A Prospective, Randomized, Comparative Evaluation of Patients with Contralateral Implantation of Two Aspheric Acrylic Intraocular Lenses R. Cionni, MD.

Slides:

Advertisements

Similar presentations

Comparison of Visual Outcomes With Toric IOL and With Limbal Relaxing Incisions in Cataract Surgery Eriko Fukuyama, MD Fukuyama Eye Clinic Fukuoka, Japan.

Advertisements

ASCRS-ASOA Early Regression of Limbal Relaxing Incisions in Phacoemulsification Patients: At 1 and 6 Weeks Postoperatively by Melissa M. Cable, MD,

Diffractive Multifocal IOL Prof. Dr. Daniel H. Scorsetti

Comparison of surgically induced astigmatism after phacoemulsification trough 3.2, 2.2 and 1.8 clear corneal incision. Luis Izquierdo Jr MD. PhD. Maria.

A simple and accurate method of alignment for toric intraocular lens implantation using anterior segment optical coherence tomography (OCT). Kazuno Negishi,

R. Lehmann, MD ASCRS 2008 Clinically Relevant Advantages in the Functional Performance of the AcrySof ® IQ IOL Robert P. Lehmann, MD, FACS Lehmann Eye.

Long-Term Follow-Up of Toric Intraocular Lens Implantation for Keratoconus Alejandro Navas, MD, MSc, Martha Jaimes, MD, Jesús Cabral, MD, Arturo Ramirez.

The new Akreos MI 60 lens Joel Pynson, MD - Director Design Engineering Bausch & Lomb, Toulouse - France London, September 9th 2006.

Visual outcome & subjective visual symptoms of the Tecnis ZM900 multifocal intraocular lens in Asian eyes Dr Colin S.H. Tan MBBS, MMed (Ophth), FRCSEd.

Astigmatism Following 2 IOL Injection Techniques: Wound Assisted Versus Wound Directed Jay J. Meyer, MD Hart B. Moss, MD Kenneth L. Cohen, MD University.

SPINNING THE WHEEL- STABILITY OF COMMONLY USED IOL IN-THE-BAG DR ARUP BHAUMIK DISHA EYE HOSPITALS AND RESEARCH CENTRE BARRACKPORE, WEST BEGAL, INDIA

Anupama Kotha 1, Simar J. Singh 1, William B. Trattler 1,2, Carlos Buznego 1,2 The authors have no financial interest in the subject matter of this poster.

Eltutar, Kadir; Akcetin, Tulay A.; Ozcelik, N. Demet Istanbul Education and Research Hospital Department of Ophthalmology The authors state that they have.

Ruth Lapid-Gortzak MD PhD 1,2, Jan Willem van der Linden BOpt 2, and Ivanka J. van der Meulen MD 1,2 1 Department of Ophthalmology, Academic Medical Center,

Retrospective Comparison of 3177 Eyes Implanted with Presbyopic IOLs Carlos Buznego MD Elizabeth A. Davis MD, FACS Guy M. Kezirian MD, FACS William B.

Placement of Toric Intraocular Lens and the Long-term Change in the Axis of Corneal Astigmatism after Sutureless Cataract Extraction by Phacoemulsification.

Justin Charton, MD, Preston H. Blomquist, MD, Nalini K. Aggarwal, MD, James P. McCulley, MD University of Texas Southwestern Department of Ophthalmology.

The Effect of the Restor Multifocal IOL on Frequency Doubling Perimetry Elizabeth Yeu, MD1, Elizabeth Woznak, BS2, Nicole Kesten, BS2, Steven VL Brown,

Managing the Refractive “Surprise” After Toric IOL Placement Managing the Refractive “Surprise” After Toric IOL Placement Brad H Feldman, MD Derek DelMonte,

Bret Fisher, MD The Eye Center of North Florida Panama City, FL

1 Cataract Surgery Stephen G. Slade MD, FACS. 2 Financial Disclosure Alcon, AMO, B&L Consultant, Clarity, NuLens, RVO, Technolas 2 This presentation represents.

The Second Report of The National cataract Surgery Registry PATIENTS’ CHARACTERISTICS Table 1.1: Age Distributions.

The Impact of Cataract Surgery in Patients with Low Vision Irene C. Kuo, MD Clinical Research Methods July 23, 2010.

Phacoemulsification in eyes with previous anterior chamber phakic IOL surgery Walton Nosé, MD, PhD 1,2 Adriana dos Santos Forseto, MD 1 Mariana Ávila,

USAMA MOURIS BEBAWY, MB MBCh CLINICAL FELLOW, MCMASTER UNIV No Financial Disclosure GEORGE H.H. BEIKO, B.M.,B.Ch.,FRCSC ST. CATHARINES, CANADA ASSIST PROF,

Change in Patient-Reported Outcomes and Visual Acuity After Bilateral Implantation of Apodized Diffractive +3.0 IOLs Stephen Lane, MD Consultant, Alcon.

Unilateral multifocal lens implantation in patients with a contralateral monofocal or phakic eye is a viable presbyopic correction option Robert J. Cionni,

Neeti Parikh, MD Fuxiang Zhang, MD Department of Ophthalmology Henry Ford Hospital A Comparison Of Patient Satisfaction With Modified Monovision Versus.

A Fellow Eye Comparison of Aberrations, Modulation Transfer Function and Contrast Sensitivity After AcrySof IQ and AcrySof Natural IOL Implantation. Mayank.

Clinical and simulation outcomes of a multifocal intraocular lens with rotational asymmetry and two different levels of near addition Jorge Alió, MD,PhD.

Astigmatism management with toric intraocular lenses in cataract patients Adriano Guarnieri 1-2, Luis W. Lu 3-4, Alfonso Arias- Puente INCIVI, Madrid,

P91: Clinical Performance of Phakic Angle-Supported Investigational IOL in Prospective Global Trials, ASCRS 2010, Boston P91: Clinical performance of phakic.

Clinical outcomes of Epi-LASIK : 1-Year-Long Results of Flap ON/OFF with Mitomycin-C ON/OFF Gil-Joong Yoon (MD/PhD) 1 Seong-Taeck Kim (MD) 2 Jae-Woong.

Preoperative and Postoperative Glarometer Measurements in Patients Having Cataract Extraction with Placement of Posterior Chamber and Accommodating IOLs.

Effect of Aspherical Intraocular Lens on Blue-on-Yellow Perimetry  No eye had intraoperative complications. At 12 months after surgery, all the lenses.

Kaori Morii, M.D. Shinji Miura, M.D, Ph.D. Dept. of Ophthalmology, Asagiri Hospital, Hyogo, JPN We have no financial interest. This retrospective study.

Effect of Ocular Deviation on Pupil size with Implanted Multifocal Intraocular Lens Yoshihiko Iida, MDKimiya Shimizu, MD Misae Ito, CO Kitasato University.

Comparison of LASIK and Mitomycin-C Assisted LASEK for Correction of Refractive Errors After Cataract Surgery Dr. Nitin Balakrishnan, Crystal Vision Laser.

Adriana S. Forseto1, MD Walton Nosé1,2, MD

Outcomes of Transscleral Sulcus Fixation of Intraocular Lenses through a 2.4-mm Incision with an Injector System: 1-Year Follow-Up Akiko Masai, MD, Tomoichiro.

Controversies about binocular function and patient satisfaction after induced conventional monovision in case of bilateral intraocular lens implantation.

Futoshi Taketani, MD,PhD,

Johns Hopkins Hospital

LogMAR-Analysis of multifocal intraocular lenses: Clinical performance A. Mannsfeld, I.-J. Limberger, A. Ehmer, M.P. Holzer, G. U.Auffarth International.

Comparative Study of the Aspheric Akreos Adapt AO IOL Versus the Spherical Akreos Adapt IOL Maghizh Anandan Martin Leyland.

Comparison of visual function following piggyback implantation of Acrysof ReSTOR intraocular lenses with Tecnis multifocal ZM900 intraocular lenses. Rodrigo.

I have no financial interest in any devices or techniques discussed in this presentation.

Comparison of 2 Models of Aspheric Diffractive Multifocal IOL

Investigation of Multifocal Toric IOLs to Compensate for Corneal Astigmatism and to Provide Near, Intermediate, and Distance Vision José L. Rincón, MD.

Hongseok Yang, M.D. Dae Hee Kim, M.D. Department of Ophthalmology, Ajou University School of medicine, Suwon, Korea The authors have no financial interest.

Preliminary Results after Cataract Surgery with the Aspheric Acrysof ReSTOR IOL to Correct Presbyopia Meeting of the ASCRS Chicago 8-10 February 2007 R.M.M.A.

Toric IOLs: wavefront aberrometry and quality of life Mencucci Rita Giordano Cristina, Stiko Ermelinda, Miranda Paolo, Eleonora Favuzza, Ugo Menchini Authors.

F.I. Camesasca, MD Zeiss Invent ZO Aspheric IOL: Long-Term Results of Refractive and Aberrometric Analysis F. I. Camesasca* P. Vinciguerra.

Dissatisfication After Multifocal Intraocular Lens Implantation in Taiwan Yu Wei Lin, MD (Presenting Author); Ching-Ju Hsieh; Lin-Chung Woung The authors.

Division of Plastic Surgery University of Puerto Rico Norma I. Cruz, MD Nothing to disclose.

"Mix and Match" approach implantation

Vinohrady Teaching Hospital, Prague, Czech Republic Vinohrady Teaching Hospital, Prague, Czech Republic M. Vokrojova MD, M. Vokrojova MD, D. Sivekova MD,

OUR EXPERIENCE WITH PRELOADED IOL CT LUCIA 601P(Y)

FreeVis LASIK Zentrum Universitätsklinikum Mannheim

Postoperative Refraction and Patient Satisfaction after Bilateral Implantation of Presbyopia-Correcting Intraocular Lenses Robert Cionni, MD Financial.

Hayashi Eye Hospital, Fukuoka, Japan

Eye clinic of the 3rd Faculty of Medicine, Prague, Czech Republic

Evaluation of Akreos AO micro-incision IOL, implantation in 350 eyes :

Comparison in Reduction of Preoperative Astigmatism after Cataract Surgery with Toric IOLs versus Limbal Relaxing Incisions Alexander Chop PhD MD (no.

Thomas Kohnen, MD Department of Ophthalmology

성모병원 안센터 CHANGES IN ASTIGMATISM RELATIVE TO IOL HAPTIC INSERTION AXIS IN WITH-THE-RULE AND AGAINST-THE-RULE ASTIGMATISM PATIENTS Hyun Seung Kim, M.D.

David T. Vroman, MD Assistant Professor of Ophthalmology

Visual Outcomes and Satisfaction with Toric IOL Versus Monofocal IOL

Early Experience With Anterior Chamber Phakic IOL

Consultant Alcon Laboratories, Fort Worth

Presentation transcript:

A Prospective, Randomized, Comparative Evaluation of Patients with Contralateral Implantation of Two Aspheric Acrylic Intraocular Lenses R. Cionni, MD Consultant, Alcon Laboratories, Inc. Alcon sponsored the study and provided statistical and presentation support.

Background and Purpose The optical advantages of aspheric intraocular lens (IOL) technology have become fairly well accepted in ophthalmology practice However, some controversy still remains in the areas of functional benefit as it relates to pupil size, IOL decentration, depth of focus and customization The primary objective of this randomized study is to evaluate prospectively the postoperative outcomes of two different aspheric acrylic intraocular lenses

Patients and Methods Prospective, randomized, patient-masked, dual-center study Target N = 20 Subjects ≥21 years of age with good ocular health and in need of bilateral cataract extraction <1.0 D of astigmatism in both eyes Interim 3mo Contralateral implantation of aspheric Acrylic Tecnis (ZCB00) 1-Piece IOL (N=9) and the AcrySof Natural IQ (SN60WF) IOL (N=9)

Patients and Methods  Assessment The surgeon experience with ease of implantation was evaluated by a subjective questionnaire completed immediately upon conclusion of the surgery Assessment included LogMAR UCVA, lens rotation, PCO and ACO readings at 1 month and 3-months postoperatively Interim 3 mo

Patients and Methods Surgical Evaluation: Circle one choice for each question. Satisfaction Rankings: 1 = Lowest (Poor) 5 = Highest (Very Good) 1. Rate ease of advancing the lens through the delivery system Rate ease of implantation Rate control of delivery Rate precision of placement Rate overall performance of the delivery system Additional Comments Ease of Implantation Questionnaire Interim 3 mo = 9 pts

Results Ease of advancing the IOL through the delivery system: Surgeons’ rating Ease of Advancing the Lens Lowest 15 Highest Percentage Rating Score O% 56.6% 87.5% 22.2% 12.5% Results represent the response of 2 surgeons on 8 SN60WF and 9 ZCB00 surgeries

Results Ease of IOL implantation: Surgeons’ rating Ease of IOL Implantation Percentage Rating Score Lowest 15 Highest 66.7% 12.5% 0% 33.3% 87.5% 0% Results represent the response of 2 surgeons on 8 SN60WF and 9 ZCB00 surgeries

Results Control of IOL delivery: Surgeons’ rating Control of IOL Delivery Percentage Rating Score Lowest 15 Highest 0% 66.7% 33.3% 0% 100% Results represent the response of 2 surgeons on 8 SN60WF and 9 ZCB00 surgeries

Results Precision of IOL placement: Surgeons’ rating Precision of IOL Placement Percentage Rating Score Lowest 15 Highest 22.2% 0% 100% 77.8% Results represent the response of 2 surgeons on 8 SN60WF and 9 ZCB00 surgeries

Results Overall performance of the delivery system: Surgeons’ rating Overall Performance of the Delivery System Percentage Rating Score Lowest 15 Highest 22.2% 77.8% 12.5% 0% 87.5% 0% Results represent the response of 2 surgeons on 8 SN60WF and 9 ZCB00 surgeries

Results 3 -Month Post-Operative Uncorrected Visual Acuity (UCVA) NS/UP N=9 N=8 NS/UP: Non-statistical difference/under powered LogMAR 20/200 20/125 20/80 20/20 20/50 20/32 Snellen

Conclusion Overall performance of the delivery system showed better surgeons’ rating for SN60WF IOLs compared with ZCB00 IOLs. Subcategories all favored SN60WF vs. ZCB00 Ease of implantation Delivery control Precision of placement Ease of advancing the IOL Due to small sample size of interim data, the statistical differences on the LogMAR UCVA, rotational stability, PCO and ACO could not be established between the SN60WF and ZCB00 IOLs. Note: Lens of choice for participating surgeons is the SN60WF