Free Papers

The miLens strategy: MIOL implantation to correct presbyopia: patient selection, patient distribution and patient contentedness, 10 rules

Free Paper Details

First Author: L. Beckers GERMANY

Co Author(s):    D. Breyer   H. Kaymak   K. Klabe   M. Kirca   F. Kretz   G. Auffarth   T. Ax  

Abstract Details

Purpose:

Presbyopia correction with MIOL inherently causes different photopic phenomena and defocus curves in diffractive and refractive MIOL optics to a different degree. The right patient selection and preoperative counseling is crucial for patient contentedness after MIOL presbyopia correcting surgery.

Setting:

All surgeries were performed at the Breyer-Kaymak-Klabe Eye Surgery and Premium Eyes in Duesseldorf, Germany, member of the International Vision Correction Research Center (IVCRC.net).

Methods:

Based on our MIOL quality management we assessed defocus curves, halo and glare testing, contrast sensitivity and psychometric assessment over the last decade and published those data in the course of our IVCRC.net cooperation with the University of Heidelberg and G. U. Auffarth. This together with clinical experience of more than 10000 MIOL implanted resulted in our miLens strategy to select the appropriate and individual MIOL for each patient. We retrospectively analyzed the distribution of refractive blended vision vs. diffractive MIOL implantation in our clinic. Furthermore, we retrospectively asked the patient, if they received the visual quality they expected.

Results:

The distribution of refractive blended vision and diffractive MIOL implantation was nearly 50/50. Patient contentedness was close to 98%.

Conclusions:

The 10 rules of our miLens strategy seems to be an adequate evidence and clinical based tool for the individual MIOL selection for patients in presbyopia correction.

Financial Disclosure:

-