Multifocal non-rotationally symmetric intraocular lens implantation: femtosecond laser-assisted versus standard phacoemulsification

Session Details

Session Title: Cataract Surgery Outcomes

Session Date/Time: Tuesday 16/09/2014 | 08:00-10:30

Paper Time: 09:08

Venue: Capital Hall A

First Author: : F.Sabatino UK

Co Author(s): :    F. Aiello   V. Maurino           

Abstract Details

Purpose:

To compare refractive results, visual acuity and safety outcomes in patients undergoing bilateral implantation of multifocal intraocular lens (M-IOL) with a surface-embedded near section (Lentis Mplus LS-313 MF15, Oculentis Gmb) with femtosecond-laser assisted phacoemulsification and standard phacoemulsification.

Setting:

Moorfields Eye Hospital, London, United Kingdom, Private Surgeon Practice setting.

Methods:

Prospective, nonrandomized, single-surgeon comparative case series. Patients with no significant ocular co-pathology, undergoing bilateral sequential cataract surgery or bilateral sequential refractive lens exchange had either bilateral femtosecond laser-assisted phacoemulsification (femto group) or standard small incision phacoemulsification (standard group) with Lentis Mplus LS-313 MF15 implantation. The following data were recorded at final follow-up (1-3 months after surgery): monocular and binocular unaided distance and near visual acuity, corrected distance and near visual acuity, subjective refraction biometry predictability; intraoperative and post-operative complications.

Results:

Mean age was 61 (SD 9.7) for the femto group and 65 (SD 10) for the standard group. 66.7% of patients were female in femto group and 46,7% female in standard group. Biometry predictability was similar in the two groups and respectively 0,10±0,47 and 0,03±0,40 in Femto and Standard group (p=0,53). Binocular unaided distance visual acuity was comparable in the two groups: -0,04 ± 0,61 logMAR and -0,06 ± 0,56 logMAR in Femto and Standard group (p=0,79) respectively; binocular unaided near visual acuity was 4,87±0,51 J and 5,20±1,23 J in Femto and Standard group (p=0,18), respectively. There were no intraoperative complications in the two surgical groups. One patient developed Irvine-Gass in one eye that resolved completely. None of our patient reported dysphotopsia-like symptoms.

Conclusions:

Both surgical technique of lens removal with surface-embedded near section M-IOL implantation provided good results in terms of safety and binocular unaided distance and near visual acuity. Biometry predictability showed no differences in the two groups. There were no statistically significant differences between bilateral femtosecond laser-assisted and standard small incision phacoemulsification in any of the outcomes measured.

Financial Interest:

NONE