Posters

Refractive findings following cataract surgery: monofocal intraocular lens comparison at two different centers

Poster Details

First Author: I.Rodriguez Perez SPAIN

Co Author(s):                        

Abstract Details

Purpose:

To compare the accuracy of the refractive correction when using a monofocal intraocular lens (IOL) in cataract surgery performed by several surgeons in a docent, tertiary hospital versus cataract surgery performed by a single high-volume surgeon in a private practice.

Setting:

Department of Ophthalmology of Príncipe de Asturias University Hospital, Alcalá de Henares, Madrid, Spain. Novovisión Clinic, Madrid, Spain.

Methods:

Retrospective, observational study. The charts of consecutive patients that underwent cataract surgery performed in a teaching hospital, and by different surgeons using the Tecnis® (Johnson & Johnson) monofocal IOL and those having surgery in a single private center and by the same surgeon using the Acrysof® SN60WF (Alcon Laboratories) monofocal IOL were reviewed. The same biometer (IOL Master®, Zeiss) was used in both centers.

Results:

The charts of 173 eyes having cataract surgery in a teaching hospital (H) and 180 eyes in a private practice by a single surgeon (P) were reviewed. No differences in the main preoperative refractive parameters were observed other than the spherical equivalent (+0.5 diopters (D) and -2.4D in the H versus P groups, respectively (P=0.0001)). 6 weeks after surgery the percentage of eyes within ±0.5D and ±1D of post-op spherical equivalent was similar (75% versus 76%, and 93% versus 95%, P=0.8 and 0.9 respectively). Nevertheless, the post-op spherical equivalent was higher in the H group (-0.27D versus -0.01D; P=0.0001).

Conclusions:

Although the overall results are comparable, there is a slight difference in the accuracy of the refractive correction after cataract surgery when several surgeons are involved versus a single surgeon practice.

Financial Disclosure:

None