Posters

New surgical technique to minimise negative dysphotopsia symptoms

Poster Details

First Author: B.Ilango UK

Co Author(s):    T. Jenyon                    

Abstract Details

Purpose:

Refractive Lens Exchange Surgery is increasingly becoming popular. Most of the patients are young adults in their fifties/sixties. Often, they experience considerable postoperative symptoms such as negative dysphotopsia. A new modification of capsulorrexhis (CCC) technique is described to study their effect on these symptoms

Setting:

The study was performed propectively at the Optimax Eye Clinics, England, UK

Methods:

50 consecutive patients who underwent surgery 1 week apart. All operations were performed by the same surgeon. 1st eye was used as a control & and the 2nd eye used the modified CCC technique. Capsulorrexhis was intentionally created to be larger nasally & temporally either as a primary step or after the IOL implantation using vanas scissors. As a result the anterior rim of capsulorrexhis overlapped the IOL superiorly and inferiorly but not along the horizontal plane. Postoperatively patients were examined by Optometrists who were unaware of the study to avoid bias. Standard questioning of patients were recorded

Results:

All 50 patients completed the study. Average age 58 years. Females 65%. 80% patients had multifocals (Carl Zeiss & Alcon Panoptix) and 20% monofocal(Johnson & Johnson) lens implants. No statistical difference was noted between multifocal & monofocal lens implants. 60% of patients noticed less or no dysphotopsia in the modified CCC eye

Conclusions:

The new CCC surgical technique appears to be promising to reduce negative dysphotopsia symptoms and a large scale study is recommended. The visual outcome was equal in both groups Financial Disclosure: None

Financial Disclosure:

None