Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance

10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits


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Refractive lens exchange in preoperative emmetropic-presbyopia patients

Poster Details

First Author: S. Rehman UNITED KINGDOM

Co Author(s):    C. Thacker   C. O'Donnell   J. Dermott   A. Hartwig           

Abstract Details


To investigate the objective results of refractive lens exchange in the treatment of patients with near-emmetropic-presbyopia using multifocal intraocular lenses.


Optegra Eye Hospital Yorkshire, Bradford, UK


Single surgeon (SR), single site, retrospective case review. We examined the visual and refractive outcome of 58 eyes in 29 patients who had undergone bilateral IOL implantation. Pre-operatively patients were emmetropic in both eyes and only admitted to wearing glasses for presbyopia. Pre-operative emmetropia was defined by a spherical equivalent between -0.75 D and +0.75 D. The mean age of the patients was 63.2 ± 8.5 years, ranging from 50 to 84 years. The following IOLs were implanted: segmented bifocal (34) and diffractive trifocal (24) and available data are reported.


Mean pre-operative UDVA and CDVA were 0.05 ± 0.12 logMAR (14 eyes) and 0.03 ± 0.14 logMAR (11 eyes), respectively. Post-operative results were as follows: Mean spherical equivalent -0.19 ± 0.39 D, ranging from -1.38 D to 0.75 D (42 eyes). Mean monocular UDVA 0.03 ± 0.11 logMAR (40 eyes). Monocular UNVA of N6 or better was achieved by 82 % (28 eyes) and monocular UIVA of N12 or better was achieved by 60 % (10 eyes). Mean binocular UDVA was -0.10 ± 0.06 logMAR (7 patients). No operative complications occurred.


Refractive lens exchange in emmetropic-presbyopia patients can result in an acceptable standard of visual outcomes, preserving distance vision whilst simultaneously improving uncorrected near and intermediate visual acuity.

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