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Tecnis multifocal low-add 1-piece intraocular lenses: the first experiences

Session Details

Session Title: Cataract II

Session Date/Time: Saturday 15/02/2014 | 08:30-11:00

Paper Time: 09:16

Venue: Gallus Hall (Level -1)

First Author: : AnteBarisic CROATIA

Co Author(s): :    Iva Dekaris   Ivana Romac   Nikica Gabric        

Abstract Details

Purpose:

To evaluate visual outcome and patients’ satisfaction after cataract surgery with implantation of Tecnis 1-piece multifocal intraocular lenses (MFIOL) with +3,25D and +2,75D near addition.

Setting:

Specialty Eye Hospital „Svjetlost“, Zagreb, Croatia

Methods:

Tecnis MFIOLs with low-add were implanted to the patients following cataract surgery. In the first group of patients, Tecnis MFIOL 1-Piece ZLB00 (+3,25D near add) were bilaterally implanted to 10 patients. In the second group, Tecnis MFIOL 1-Piece ZKB00 (+2,75D near add) were bilaterally implanted to 8 patients. In the third group, combination of Tecnis MFIOL +2,75D in dominant eye and Tecnis MFIOL +3,25D in non-dominant eye was performed in 6 patients. In fourth group, combination of Tecnis MFIOL +3,25D in dominant eye and Tecnis MFIOL +4,00D in non-dominant eye was performed in 6 patients. Uncorrected near (UCNVA), intermediate (UCIVA) and distance (UCDVA) visual acuity, spectacle independence and patient’s satisfaction were measured. Follow up was at least three months.

Results:

In group with bilateral Tecnis MFIOL +3,25D, all eyes read 0,8 or better at distance, J2 or better at near and 0,5 or better at 80 cm without correction. Patients were spectacle independent. In group with bilateral Tecnis MFIOL +2,75D, monocular UCDVA was 0,8 or better, UCNVA J3 or better and UCIVA at 80 cm 0,63 or better in all eyes. Two patients asked glasses for reading small print. In third group with combination of Tecnis MFIOL +3,25D and Tecnis MFIOL +2,75D, patients achieved monocular visual acuities comparable to first two groups. However, binocular uncorrected visual acuities at all investigated distances were excellent, UCDVA 1,0 or better; UCIVA 0,8 or better and UCNVA J2 or better in all patients. All of them were free of glasses, without serious visual disturbances. In fourth group, with combination of Tecnis MFIOL +3,25D and Tecnis MFIOL +4,00D, all patients had excellent near vision, both monocular (UCNVA J2 or better) and binocular (UCNVA J1 or better). Monocular UCIVA was 0,5 or better and UCDVA 0,63 or better in all eyes. Binocular UCIVA was 0,63 or better and binocular UCDVA 0,8 or better in all patients, without severe visual disturbances. All patients were free of glasses.

Conclusions:

Tecnis MFIOL 1-piece low-add enable to cataract patients satisfying vision at all distances, with high rate of spectacle independence and low visual disturbances. Combination of different near additions in eyes can increase depth of field and patient’s satisfaction. FINANCIAL INTEREST: NONE