Posters

Visual quality after intraocular multifocal correction in patients with cataracts and age-related pathology: macular degeneration or primary open-angle glaucoma

Poster Details

First Author: N.Volkova RUSSIA

Co Author(s):    T. Iureva   E. Arhipov   K. Brizgalova              

Abstract Details

Purpose:

To date, the implantation of multifocal IOL during microinvasive phacoemulsification (MICS) is a routine procedure to achieve the main goal - qualitative vision. The desire to get the maximum effect of intervention is a precedent for the implantation of multifocal IOLs and in patients with concomitant pathology of the vision. The purpose of the study was to evaluate the visual quality, subjective satisfaction and usefulness of multifocal intraocular correction in patients with cataracts and age-associated disorders: macular degeneration (AMD) or primary open angle glaucoma (POAG).

Setting:

Irkutsk Branch of S. Fyodorov Eye Microsurgery Federal State Institution, Irkutsk, Russia

Methods:

38 people (76 eyes) were examined which underwent for cataract by MICS with M-Flex 630F IOL implantation. The average age was 62 +/- 3 (16 men, 26 women). The first group - without concomitant pathology - 12 people (12 eyes); second - 12 (19 eyes) with cataract and POAG (stage 1, stable, drug-compensated), third - 14 (27 eyes) with cataract and AMD (early forms of ARMESG). Stable course of concomitant pathology was confirmed by retrospective data of morphological and functional studies. Results included an assessment of visual acuity (VA) and data of questionnaire Vision function 14 on a 5-point scale.

Results:

Preoperative corrected VA was 0.32 +/- 0.18. Postoperative VA at distance in first group was accordingly 0.97 +/- 0.05; in second - 0.95 +/- 0.06; in third - 0.95 +/- 0.09. VA for near (with / without correction) was 0.41 +/- 0.06 / 0.6 +/- 0.05; 0.41 +/- 0.04 / 0.61 +/- 0.06; 0.41 +/- 0.05 / 0.59 +/-0.08. Reading glasses were needed to 2/2/8 patients. According to questionnaire results the greatest difficulty in carrying out minor works, recognition of road signs and street landmarks, driving at dusk and at night for 4.3 / 3.8 / 4.5 points in groups.

Conclusions:

Implantation of multifocal IOLs provides to get high VA and satisfaction with visual quality in patients with concomitant ophthalmopathology. Subjective reduction of visual quality was noted in patients with glaucoma, which is explained by presence of initial neuroopticopathy hampering adaptation to complex optical system. MICS did not cause progression of AMD and allows getting consistently high visual functions. Results suggest the possibility and advisability of multifocal IOLs implantation in patients with macular degeneration and glaucoma in the early stages of lesion of retina and optic nerve in the stability of their course, confirmed by initial data of dynamic follow-up.

Financial Disclosure:

NONE