Thirty-six month monocular and 12 month binocular experience with a fluid-filled accommodative intraocular lens

Session Details

Session Title: Pseudophakic IOLs: Monofocal/Accommodative

Session Date/Time: Tuesday 13/09/2016 | 16:30-18:00

Paper Time: 17:36

Venue: Hall C2

First Author: : P.Roux SOUTH AFRICA

Co Author(s): :    F. Potgieter                    

Abstract Details

Purpose:

The purpose is to demonstrate the long term visual outcomes and patient satisfaction with the FluidVision® AIOL (PowerVision, Inc., Belmont, CA, USA). The FluidVision AIOL consists of a refractive index matched silicone fluid filled optic connected by channels to two fluid filled haptics. The act of accommodation forces fluid from the haptics into the optic thereby increasing thickness and optical power. During disaccommodation fluid flows back into the haptics.

Setting:

A private clinic, Optimed Eye and Laser Centre, Pretoria, South Africa

Methods:

The pilot clinical investigation enrolled 26 eyes from 26 patients and was performed at a single center with two surgeons (PR, FP). Patients were followed-up at 1 day, 1 week, 2 weeks and at 1, 3, 6, 12, 18, 24 and 36 months with routine ophthalmological examinations and multiple measures of accommodation and accommodative amplitude. Eight patients had FluidVision AIOLs implanted in their fellow eyes at 15 to 21 months after first eye surgery. Follow-ups were scheduled for 1 week, 2 weeks and 1, 3, 6, 12, 18 and 24 months following fellow eye surgery.

Results:

Monocular follow-up was completed on 18 of 26 patients through 24 months, the first 4 at 36 months and 7 of 8 binocular patients through 12 months. Best monocular corrected distance VA was very stable averaging logMAR -0.02 through 24 months. Distance corrected intermediate and near VAs were also stable averaging logMAR 0.10 for intermediate and logMAR 0.24 for near. Binocular corrected distance VA averaged logMAR -0.06 through 12 months. Amplitude of accommodation was stable at 3.3 D monocular and 3.9 D binocular. All 18 patients at 24 months were completely or very satisfied with their surgical results.

Conclusions:

The FluidVision AIOL demonstrates excellent and stable monocular and binocular visual acuity at distance, intermediate and near. Visual acuities at all distances were stable through 24 months as was the amplitude of accommodation. All patients completing patient questionnaires at 18 to 24 months were completely or very satisfied with their surgical results.

Financial Disclosure:

... research is funded, fully or partially, by a company producing, developing or supplying the product or procedure presented, ... travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented