Clinical results with Diffractive Acritec Multifocal IOL implantation following cataracts and myopic and hyperopic clear lens Margarita Cabanás, MD Contributing Authors: Fernando LLovet, MD, PhD, Jaime Beltrán, MD, Rafael Luchena,, MD, Victoria de Rojas MD, PhD, Julio Baviera, MD. Non Financial Interest

Setting: Clínica Baviera, Instituto Oftalmológico Europeo, Spain. Purpose Evaluate visual outcomes and patients satisfaction after cataract or clear lens surgery with diffractive multifocal Acritec 366D implantation. Setting: Clínica Baviera, Instituto Oftalmológico Europeo, Spain. Non Financial Interest Margarita Cabanás, MD

Methods 265 patients underwent cataract , myopic or hyperopic clear lens extractions in both eyes (530 eyes). They underwent phacoemulsification with topic anaesthesia and implantation an Acritec 366D diffractive multifocal IOL. Shorter time or follow-up were six months. Uncorrected and best corrected far, middle and near vision were recorded after one, two and three months after surgery. Contrast sensitivity testing was examined. Patients completed a questionnaire about their subjective perception of visual function or satisfaction test. Non Financial Interest Margarita Cabanás, MD

Results Best uncorrected vision were qualified by patients like very good and good in 92% of cases in far distance, 76% in middle vision and 82% in near vision. 88% patients didn’t notice changes driving at night after surgery and 96% achieved good night vision. Contrast sensitivity test showed profit in all the frequencies, without statistically significance differences (probably because of cataract group). 98% of patients were satisfied or very satisfied ant 99,3 would underwent same surgery again. Non Financial Interest Margarita Cabanás, MD

Visual Acuity Pre CVA Post UCVA Pre CVA Post UCVA FV monoc FV binoc FV monoc FV binoc NV monoc NV binoc MV binoc AVERAGE Nota: tienes las dos opciones para escoger. Aparece el número de ojos en cada examen Sin el total de ojos Pre CVA Post UCVA FV monoc FV binoc FV monoc FV binoc NV monoc NV binoc MV binoc AVERAGE Non Financial Interest Margarita Cabanás, MD

Near Visual Acuity Margarita Cabanás, MD Non Financial Interest Elige una u otra en función de la diapositiva anterior. Si quieres o no el nº absoluto Non Financial Interest Margarita Cabanás, MD

Pre Post Contrast Sensitivity

Satisfaction Test I FAR VISION MIDDLE VISION NEAR VISION 92 % 76 % 1. VERY BAD 1. VERY BAD 1. VERY BAD 2. BAD 2. BAD 2. BAD 3. MODERATE 3. MODERATE 3. MODERATE 4. GOOD 4. GOOD 4. GOOD 5. VERY GOOD 5. VERY GOOD 5. VERY GOOD VERY GOOD 30,5% 16,5% VERY GOOD VERY GOOD 41,5% 92 % 76 % 82 % GOOD 61,5% GOOD 59,5% GOOD 40,5% MODERATE 4,7% MODERATE 21,5% MODERATE 13,1% Non Financial Interest Margarita Cabanás, MD

Satisfaction Test II NIGHT DRIVING NIGHT VISION 88% 96% 1. QUITS ON DRIVING 1. WORSTER 2. WORST (FEELS UNSAFE) 2. BIT WORST 3. WORST (WITHOUT PROBLEMS) 3. SAME OR BETTER 4. SAME OR BETTER SAME OR BETTER 57,5% SAME OR BETTER 94% 88% 96% WORST (without problems) 30,5% BIT WORST 2% WORST (feels unsafe) 10,6% Non Financial Interest Margarita Cabanás, MD

Satisfaction Test III SURGERY SATISFACTION WOULD GET SURGERY AGAIN ? 1. UNSATISFIED 1. YES 2. BIT SATISFIED 2. NO 3. SATISFIED 4. VERY SATISFIED VERY SATISFIED 69% 99,3% Sobre el total de pacientes 265 sólo encontramos a dos pacientes que no se volverían a operar. YES 98 % SATISFIED 29% NO 0,7% BIT SATISFIED 2% Non Financial Interest Margarita Cabanás, MD

Conclusions Implantation of Diffractive Multifocal Acritec 366D, provides good near, middle and distance uncorrected vision; and offers patients a better quality of life. Non Financial Interest Margarita Cabanás, MD

mcabanas@clinicabaviera.com THANK YOU