1. Long Term Clinical Outcomes of Refractive Lens Exchange in Moderate     to High Hyperopia
Frank Goes, BELGIUM
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2. REFRACTIVE LENS EXCHANGE
September2005 Escrs Lisbon   
          To Review Long-term Safety and Efficacy of
REFRACTIVE LENS EXCHANGE
in 515 EYES
Refraction : mean +6.3 D Age : mean 52 years Follow-up : mean 52 months with 185 eyes > 5 years Axl : mean 20.9 mm (range )
GOES EYE CENTRE ANTWERP BELGIUM
Ascrs

3. COMPLICATIONS. Intra-operative - None Postoperative-
COMPLICATIONS Intra-operative - None Postoperative- Short Term : No Infection 14 eyes with transient CME Long Term : No retinal detachment in this series Retinal Detachment After Uncomplicated RLE Seems To Be Inexistent In Moderate - High Hyperopia

4. + 150 TECNIS ZM900 Multifocal IOLs
4 TYPES OF MIOLs
September2005 Escrs Lisbon
Number of eyes
+ 150 TECNIS ZM900 Multifocal IOLs
TOTAL = 515 eyes
Ascrs

5. TECNIS ZM 150 MULTIFOCAL IOLs
Diffractive principle
Newest generation high-refractive silicone
Safe centration due to CapC haptics
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6. OUTCOMES MONOFOCALS
6.29
REFRACTION DPTR.
0.25
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7. RESULTS 365 MONOFOCAL IOLs
September2005 Escrs Lisbon
Excellent Results
Also the Bcva improved!
REFRACTION Dptr.
20/25
20/200
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8. DISTANCE VA with the TECNIS MIOL UNCORRECTED BEST CORRECTED
September2005 Escrs Lisbon
DISTANCE VA with the TECNIS MIOL UNCORRECTED BEST CORRECTED
95% patients always free from glasses :only 4
need glasses for PC work
20/20
20/100
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9. NEAR VA with the TECNIS MIOL UNCORRECTED DISTANCE CORRECTED
September2005 Escrs Lisbon
NEAR VA with the TECNIS MIOL UNCORRECTED DISTANCE CORRECTED
100% patients can read J2 or better without correction
Jaeger
Ascrs

10. NEAR AT 50 CM PC WORK BINOCULAR -AND -DISTANCE CORRECTED
September2005 Escrs Lisbon
NEAR AT 50 CM PC WORK BINOCULAR -AND -DISTANCE CORRECTED
Only 6 patients problems
90% at least J3
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11. CONCLUSIONS CLEAR LENSECTOMY FOR HYPEROPIA
September2005 Escrs Lisbon
CONCLUSIONS
CLEAR LENSECTOMY FOR HYPEROPIA
IS PREDICTABLE AND EXTREMELY SAFE
Results are acceptable for Monofocal lenses
And extremely good for MULTIFOCAL LENSES TYPE TECNIS
The Tecnis ZM900 Multifocal IOL Provides
EXCELLENT NEAR- DISTANCE- AND INTERMEDIATE VISION
Is Indicated for correction of aphakia in Cataract Surgery and in Refractive Lens Exchange, i.e. presbyopia
Ascrs