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Effective postoperative management of refractive surprise with the light-adjustable intraocular lens

Poster Details

First Author: L.Hanneken GERMANY

Co Author(s):                  

Abstract Details



Purpose:

To review the refractive outcomes of a series of four patients with a significant refractive surprise (±2 D) following implantation of a silicone IOL that can undergo refractive adjustments following implantation.

Setting:

: Sehkraft Augenzentrum Köln Germany

Methods:

The four patients (8 eyes) underwent routine phacoemulsification followed by implantation of the light-adjustable IOL (Calhoun Vision, Pasadena, CA). Due to a learning curve on the A-constant, the 8 eyes had refractive errors ranging from +3.25 to +1.25 D on the first post-operative visit. The patients then underwent the standard adjustment treatment using an ultraviolet light source in order to correct the refractive error and residual cylinder with a goal to create an emmetropic result.

Results:

After the final lock-in for each patient, the residual spherical refractive error ranged from 0 to 0.75 D, with a residual cylindrical error of 0 to -0.25 D. The uncorrected distance visual acuity ranged from 0.70 to 1.00.

Conclusions:

Although the issue of the A-constant resulted in significant refractive surprises in these 8 eyes, due to the ability to adjust the refractive power of this IOL following implantation, all eyes had minimal residual refractive error, with excellent patient satisfaction.

Financial Disclosure:

No

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