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

Slides:

Advertisements

Similar presentations

DR. FAİK ORUCOV İSTANBUL SURGERY HOSPİTAL DEPARTMANT OF CATARACT AND REFRACTİVE SURGERY Accomodative and Multifocal IOL implantations i s t a n b u l c.

Advertisements

Dr H. Razmjoo Isfahan University of Medical Sciences Multifocal IOLs

Goals of Cataract Surgery Provide a Full Range of Vision Minimize Dependence on Glasses Including Reading Glasses and Bifocals Improve Lifestyle Activities.

Diffractive Multifocal IOL Prof. Dr. Daniel H. Scorsetti

Keiichiro Minami, Hiroko Bissen-Miyajima, Mami Yoshino, Kunihiko Nakamura Department of Ophthalmology Tokyo Dental College Suidobashi Hospital, Tokyo,

In-the-Bag Toric IOL for Correction of Astigmatism in Keratoconus and after Corneal Surgery Bart T.H. van Dooren, M.D., Ph.D Ilse E.M.A. Mol, M.D. Department.

Yüksel Totan, Ramazan Yaĝcı, Zeynel Arslanyılmaz, Uĝurcan Keskin The authors have no financial interest.

PIGGYBACK LENS AFTER MULTIFOCAL IOL IMPLANTATION Eric C. Amesbury MD Kevin M. Miller MD The authors have no financial interest.

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

NEW TRULIGN™ TORIC IOL Surgeon Training

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.

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

 sfo/SAFIR maY 2011 P. Vo Tan, ParisN. Jabbur, Beyrouth S. Zaluski, Perpignan P. Rozot, Marseille J. Blondel, Nice G. Grabner, Salzbourg M.H Duret, LilleD.

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,

Disclosure of finanacial interest * Author has no financial interest in this paper. ** Author's research is partially funded by Imperial Medical Technologies.

Progressive Multifocal Intraocular Lens G. Rubiolini M.D. Italy Disclosure of finanacial interest Author's research is partially funded.

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

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

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

Blended vision after bilateral monofocal cataract surgery: an evaluation of spectacle independence and vision related quality of life Allison Landes, MD.

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.

Purpose: Introduction:  At initial evaluation: For post-op day # 0 patients: Pre-op VA was 20/50.6 (0.395 ± 0.198); Post-op VA was 20/102.0 (0.196 ± 0.162);

Biometric Accuracy in High Hypermetropes and Myopes

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

INTRAOCULAR LENS POWER CALCULATION BY IMMERSION A-SCAN BIOMETRY VERSUS CONTACT A-SCAN BIOMETRY MEASUREMENTS BEFORE CATARACT SURGERY Burak Bilgin**, M.D.,

Use of Multifocal IOLs in Patients with Age-Related Macular Degeneration Helga P. Sandoval, MD, MSCR 1 Reid B. Murphy, MD, 1 Luis E. Fernández de Castro,

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.

Cataract Extraction with Pseudoaccommodating Intraocular Lens in Patients with Previous Radial Keratotomy Ross Bloomberg, MD Niraj Shah, BS William Martin,

A case of hypermature cataract formation following implantation of a posterior chamber phakic intraocular lens with a central hole The Catholic University.

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

Binocular Defocus Curve of Apodized Diffractive Multifocal IOL in Asian-Indian Eyes Dr.A. Shetty; Dr. M. K. Kummelil; Dr. S.Nagappa Cataract and Refractive.

Nang-Hee Song(MD) 1, Jae-Woong Koh (MD/PhD) 1, Gil-Joong Yoon (MD/PhD) 2 Department of Ophthalmology, Chosun University College of Medicine, Gwangju, Republic.

DGII 2008 Comparison of Aspheric ReSTOR and Tecnis multifocal IOL Dongho Lee MD, PhD Yonsei eye center, Seoul, South Korea No Financial Interest.

Multifocal Intraocular Lenses Abdullah Al-assiri Mansour Farooqui Abdulrahman Al-Muammar Saudi Ophthalmology Meeting 2009.

AcrySof ® ReSTOR ® Aspheric IOL. Aspheric IOL AcrySof ® ReSTOR ® 2 AcrySof ® ReSTOR ® Aspheric IOL SN6AD3 Add Power: +4 D Spectacle Plane: 3.2 D Range:

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

No author has any financial or proprietary interest in any materials or methods mentioned Seung Hyun Kim M.D. ; Tae Hoon Oh M.D. Department of Ophthalmology.

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

AcrySof ® ReSTOR ® Apodized Diffractive IOL. What is the AcrySof ® ReSTOR ® IOL? The AcrySof ® ReSTOR ® IOL incorporates an apodized diffractive optic.

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

O.I.I. EC-3 Hydrophobic Acrylic Intraocular Lens: The European Experience Thierry Amzallag, M.D. Institut Ophtalmique Somain, France.

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

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.

Inadvertent Insertion of an Opposite- Side Tecnis ZM900 Multifocal IOL Wilson Takashi Hida, M.D. Celso Takashi Nakano; Jonathan Lake;

9-Month Results after Implantation of a new accommodative IOL that works with one focus Mark Tomalla M.D.* Clinic for Refractive and Ophthalmic Surgery,

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

Liquifaction Method and Extent of Posterior Capsule Opacification: Two-Year Follow-up Marie Kalfertova, Mariya Burova, Pavel Rozsival, Nada Jiraskova Nada.

Long-term results of Phakic Refractive Lens (PRL™) implantation in high myopic eyes. Ioannis G. Pallikaris 1, 2, MD, PhD, Maria I. Kalyvianaki 1, MD, PhD,

"Mix and Match" approach implantation

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

Refraction 1. Refraction 1 Clinical importance of refraction Definition of refraction: In clinical ophthalmology, the term of refraction is employed.

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

Hayashi Eye Hospital, Fukuoka, Japan

B. Kozomara, E. Potkonjak, R. Lazic, N. Gabric

Corneal Pachymetry in Prediction of Refraction After Cataract Surgery

Clinical results of the aphakia correction using iris-fixated anterior chamber intraocular lens (Artisan) Authors have no financial interest Luis Izquierdo.

Long Term Clinical Outcomes of Refractive Lens Exchange in Moderate to High Hyperopia Frank Goes, BELGIUM Ascrs 2008.

Thomas Kohnen, MD Department of Ophthalmology

The authors have no financial interest to disclosure

David T. Vroman, MD Assistant Professor of Ophthalmology

Kellan Tetraflex KH3500 Accommodative IOLs vs. Acri

The authors have no financial interest

Presentation transcript:

Eltutar, Kadir; Akcetin, Tulay A.; Ozcelik, N. Demet Istanbul Education and Research Hospital Department of Ophthalmology The authors state that they have no proprietary interest and they have not received any grants or funds in support of the study.

 To evaluate the optical and visual performance after bilateral implantation of refractive and aspheric diffractive multifocal intraocular lenses.

The primary objective of the study was to determine the uncorrected distance, intermediate and near visual acuities after uncomplicated cataract surgery, and bilateral MIOL implantation. 10 patients who had bilateral implantation of the aspheric diffractive MIOL (n=20; D add), and 10 patients who had bilateral implantation of the refractive MIOL (n=20, add) were enrolled. Spectacle independency, patient satisfaction and photic phenomena were evaluated. The study was carried out prospectively with a follow- up period lasting for six months postoperatively.

Patients had to follow the examination dates on postoperative days 1, 30 and 180. Immersion A-scan biometry was used for axial length measurements with targeted emmetropia using SRK-T formula. Distance visual acuities were achieved by ETDRS chart at 4,0 meters, intermediate (60.0 cm) and near (40.0 cm) visual acuities were evaluated with Jaeger cards.

Mean follow up time was 25,30 ± 2,32 (24-30) weeks. Mean age of the patients was 63,08 ± 4,20 (48-75 years). These patients had Grade 1-4 bilateral cataract (LOCS III) on baseline examination. No intraoperative complications occurred in any of the cases. Preoperative and postoperative LogMAR UCVA findings showed statistically significant difference in the aspheric diffractive and the refractive groups (p < 0,05) Considering uncorrected distance visual acuities, the difference between the refractive and the aspheric diffractive groups was not statistically significant (p>0.05) on postoperative first day, first month, and sixth month examinations.

UCVA (Mean LogMAR) ± SD (Range) RefractiveAspheric DiffractiveP Preoperative 0,42±0,14 (0,3-0,8)0,48±0,14 (0,4-0,9) ( p > 0.05 ) Postoperative 1 st day 0,36±0,24 (0,0-0,6)0,32±0,14 (0,0-0,6) ( p > 0.05 ) Postoperative 1 st month 0,07±0,02 (0,0-0,3)0,08±0,06 (0,0-0,4) ( p> 0.05 ) Postoperative 6 th month0,06±0,04 (0,0-0,3)0,4±0,02 (0,0-0,3)( p > 0.05 )

Postoperative Near VA Mean ± SD 1st day Mean ± SD 1st month Mean ± SD 6 th month Aspheric Diffractive J 2,62 ± 1,05J 1,52 ± 0,40J 1,46 ± 0,28 Refractive 3,16 ± 0,64J 2,22 ± 0,72J 1,92 ± 0,64 pp>0.05

Postoperative Intermediate VA Mean ± SD 1st day Mean ± SD 1st month Mean ± SD 6 th month Aspheric Diffractive J 4,20 ± 0,67J 3,46 ±0,78J 3,26 ± 0,88 Refractive J 4,03 ± 0,88J 2,64±0,55J 2,32 ± 0,42 pp>0.05p<0.05

Six months postoperatively, in aspheric diffractive group spectacle independency rates were, 93,6 % for distance, % 94,2 % for near, and 88,4 % for intermediate vision. In refractive group spectacle independency rates were, 94,2 % for distance, % 90,8 % for near, and 92,8 % for intermediate vision. The difference was not statistically significant (p> 0,05).

Complications related to phacoemulsification and MIOL implantation CME: Cystoid Macular Edema PCO: Posterior Capsular Opacification COMPLICATIONSNo. (%) of Eyes INTRAOPERATIVENone POSTOPERATIVE EARLY Transient corneal edema5 ( 12,5 %) Photic phenomena Aspheric Diffractive 7 (17,5%) Refractive 11 (27,5%) High IOP3 (7,5 % ) Dry eye3 (7,5 %) Minimal decentralization of IOL1( 2,5 %) LATE Photic phenomena Aspheric Diffractive 4 (10,0%) Refractive 8 (20,0 %) CME1 (2,50 %) Minimal decentralization of IOL1 (2,50 %) PCOAspheric Diffractive 2 (5 %) Refractive 5 (12,5 %)

Our results show that; bilateral implantation of MIOLs with the same optic designs provides efficient distance vision. There is no superiority between the two groups considering uncorrected distance visual acuities. The mean uncorrected near visual acuity was better in the aspheric diffractive group. The mean uncorrected intermediate visual acuity was better in the refractive group. Photic phenomena was tolerable in both groups. Though not statistically significant, photic phenomena related disturbances were relatively less detected in the aspheric diffractive group at all visits.

 For refractive MIOLs, if poorly tolerated by the patient, photic phenomena may even lead to the extraction of MIOLs. Especially in dim light conditions some patients may need presbyopic correction by spectacles, and patients must be warned about not driving for long hours at night.  For aspheric diffractive MIOLs with D add, near vision was highly satisfactory in both bright and dim light conditions. Some patients may need spectacles for intermediate vision, which might also be resolved by preoperative targeted myopia by biometry, or preferring diffractive miols with lower presbyopic addition.