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10 - 12 February 2017, MECC Maastricht,The Netherlands.

This Meeting has been awarded 15 CME credits.


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Pseudo-accommodative IOLs for pseudophakic presbyopia

Poster Details

First Author: M. Dvali GEORGIA

Co Author(s): N. Tsintsadze   B. Sirbiladze   L. Vardnashvili              

Abstract Details


To access uncorrected visual acuity on different distances keeping binocularity after implantation of pseudoaccommodative IOL in both eyes with planned target amizometropia


Tbilisi State Medical University, Eye Clinic 'Akhali Mzera'


Emetropia achieved with pseudoaccommodative IOL doesn’t allow patients to work/read without correction. Monovision (-2,5-3,0D) excludes binocularity. Pseudoaccommodative IOLs (Tetraflex/Lenstec) we use move forward together with capsular bag by 0.5-0.7 mm changing the refraction maximum by 1.5D, not enough for working for near. We use pseudoaccommodative minimonovision with difference between eyes 1,25-1,5D, the dominant eye, corrected for far has emmetropic refraction, fellow eye – low myopia refraction, without loss of binocularity. Working at near distance – dominant eye has low myopia upto-1,5D, fellow eye -3,0D that also keeps binocularity. Difference 1,25-1,5D between eyes is also kept when working on medium distances.


The 74 eyes undergone pseudoaccomodative IOLs (Tetraflex) implantation. All the patients have from 1.25 to 1.5 D anisocorrection to achieve pseudophakic minimonovision. The follow up period was from 3 months to 3 years. Mean distance UCVA was 20/35 or better, mean UCVA for near was J2 and 20/35 - for intermediate distance, group 2 achieved mean UCVA for near – J1; UCVA intermediate was J5.


Satisfactory UCVA for all distances (near, intermediate, far) was achieved in all patients. Proper patients' selection,their extensive education, precise calculation to get minimal differences (1.25-1.5 D) between eyes are crucial to success of pseudoaccommodative minimonovision. Further prospective long-term studies will show the viability of this method to find its place in refractive surgery.

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