Posters

Long-term clinical outcomes obtained with bilateral implantation of a multifocal intraocular lens through two types of corneal incision

Poster Details

First Author: E. Karmiris GREECE

Co Author(s):    A. Diagourtas   D. Papaconstantinou                 

Abstract Details

Purpose:

To evaluate and compare long-term binocular visual function and patient satisfaction between patients implanted bilaterally with same type of Multifocal Intraocular Lens (MIOL), using two types of corneal incision and phacoemulsification method.

Setting:

1st Department of Ophthalmology, University of Athens. Hellenic Air force General Hospital, Department of Ophthalmology

Methods:

Prospective non-randomized study including 100 eyes of 50 patients that underwent surgery with bilateral implantation of ReSTOR SN6AD1 MIOL, using cataract incision either 2.2 mm with Ozil technology or 2.5 mm with conventional ultrasound. Postoperative outcomes were assessed 12 months after second eye surgery. Outcomes included visual function measures (near, intermediate, and distance visual acuity), achievement of targeted refraction and postoperative astigmatism. Patient satisfaction was also evaluated.

Results:

One year after bilateral MIOL implantation, long distance UBVA was 0.98±0.07, UBVA at 30 cm was J1 in 100% of cases and UBVA at 70 cm was J3 in 72% of cases. Targeted refraction (0 to +0.25D) was achieved in 84% and postoperative astigmatism was -0.4±0.3D. There was no statistical significant difference between UCVA in all distances, targeted refraction and postoperative astigmatism between the two different incision and phacoemulsification methods. 60% of the patients were very satisfied, 30% were satisfied and 10% of the patients declared that the result did not meet their expectations. 3 out of 5 non-satisfied patients had large angle K and not good MIOL centration.

Conclusions:

ReSTOR SN6AD1 is a reliable MIOL choice for spectacle independence. However, good preoperative patient selection is of crucial importance for final outcome in MIOLs. Incision size and phacoemulsification method do not affect the long-term end result.

Financial Disclosure:

NONE