Options for patient selection of monocular implantation of a small-aperture intraocular lens: a retrospective analysis

Session Details

Session Title: Multifocal IOLs I

Session Date/Time: Sunday 15/09/2019 | 16:30-18:00

Paper Time: 17:42

Venue: Free Paper Forum: Podium 1

First Author: : S.Schmickler GERMANY

Co Author(s): :    O. Cartsburg                             

Abstract Details

Purpose:

To determine which patients are good candidates for a small aperture intraocular lens (IOL).

Setting:

Single center

Methods:

Retrospecitve analysis of 30 consecutive patients implanted over two years with an IC-8 small aperture IOL (AcuFocus). 20 patients presented for cataract surgery and 10 presented for presbyopia treatment. 8 of patients presented with a history of iris trauma, prior cornea refractive surgery and/or corneal higher order aberrations of 0.3 microns or more. Cataract patients were implanted contralaterally with an IC-8 IOL and an aspheric monofocal IOL. IC-8 eyes were targeted for a residual refraction of -0.75 D and fellow monofocal eyes were targeted for plano. Patients presenting for presbyopia-correcting lens replacement surgery, received the IC-8 IOL in one eye.

Results:

All patients achieved good uncorrected visual acuities (UCVA) for near (N), intermediate (I) and distance (D) vision performance despite the differences in refractive error. On average patients achieved 20/20 for UCDVA, 20/25 for UCIVA and 20/25 for UCNVA in the IC-8 IOL implanted eye.

Conclusions:

In our experience the IC-8 IOL extendes depth of focus for a broad range of presbyopic and cataract patients. The lens works well in combination with a phakic or monofocal IOL fellow eye and provides a unique solution for eyes with naturally occurring or surgically induced aberrated corneas and irregular irides.

Financial Disclosure:

research is funded, fully or partially, by a company producing, developing or supplying the product or procedure presented