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Artiflex versus AcrySof Cachet phakic intraocular lens: visual quality and patient satisfaction

Session Details

Session Title: Phakic IOL Implantation I

Session Date/Time: Tuesday 08/10/2013 | 14:00-16:00

Paper Time: 14:24

Venue: Main Lecture Hall (Ground Floor)

First Author: : M.Rego PORTUGAL

Co Author(s): :    A. Leal   P. Cardoso   J. Póvoa   J. Mira   C. Lobo   J.

Abstract Details

Purpose:

To assess the safety and efficacy of the foldable iris-fixated phakic intraocular lens (Artiflex®) and angle-supported phakic intraocular lens (Acrysof Cachet®) to correct moderate to high myopia and evaluate patient satisfaction

Setting:

Ophthalmology Department, Centro Hospitalar e Universitįrio de Coimbra, Portugal; Faculty of Medicine, University of Coimbra, Portugal

Methods:

Retrospective study of vision assessment and patient satisfaction post implantation of phakic spherical Artiflex® and Acrysof Cachet® lens. Surgeries were performed in our department, from January 2011 to December 2012. All patients were submitted to complete ophthalmological examination, pre-operative and at 6 month post-operative; this included best corrected visual acuity (BCVA), intraocular pressure (IOP), corneal topography, endothelial cell density, anterior chamber depth, white-to-white measurement. A survey was used to assess patient satisfaction. We included patients with a minimum follow-up for 6 months

Results:

A phakic intraocular lens was implanted in 64 eyes of 42 patients with mean age of 34.38 years (SD±6.32). Artiflex® was chosen in 31 eyes of 21 patients with a mean follow-up of 9 months (SD±3.19) and Acrysof Cachet® in 33 eyes of 21 patients with a mean follow-up of 11 months (SD±3.19). The mean initial BCVA in Artiflex® group was 0.068 logMAR (SD±0.11) with mean pre-operative spherical equivalent (SE) of -9.71 D (SD±2.44). Post-operative mean BCVA was 0.032 logMAR (SD±0.12) and SE of -0.23 D (SD± 1.23). The mean initial BCVA in Acrysof Cachet® group was 0.026 logMAR (SD±0.14) with mean pre-operative SE of -9.62 D (SD±2.40). Post-operative mean BCVA was -0.033 logMAR (SD±0.07) and SE of -0.13 D (SD±0.74). We achieved final SE ±0.5D in 93.94% eyes at Acrysof Cachet® group and 83.87% eyes at Artiflex® group. The endothelial cell loss at 6 month in Artiflex® group was 4.95% (SD±0.17) and 2.57% (SD±1.05) in Acrysof Cachet® group. In our survey, the patient satisfaction was 4.60 (0-5) in Acrysof Cachet® group and 4.35 (0-5) in Artiflex® group

Conclusions:

Phakic Artiflex® and Acrysof Cachet® lens to correct moderate to high myopia results in a stable and good refractive result with high level of patient satisfaction. The Acrysof Cachet® group had a better improvement in BCVA with lower refractive error and loss of endothelial cells. Patients in Acrysof Cachet® group were more satisfied than in Artiflex® group

Financial Interest:

NONE