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Session Title: Intraocular correction of presbyopia : multifocal IOLs, Monovision
Session Date/Time: Tuesday 08/10/2013 | 14:00-16:00
Paper Time: 14:12
Venue: Elicium 1 (First Floor)
First Author: : R.Morris UK
Co Author(s): : J. Dermott O. Bowen-Thomas R. Walsh C. O"Donnell
To evaluate the clinical outcomes with a rotationally asymmetric multifocal intraocular lens (IOL) design implanted bilaterally in a large cohort of eyes.
Optegra Eye Sciences, Optegra UK
Observational case series. Seventy-four patients (148 eyes) underwent bilateral Lentis® Mplus/Comfort LS-313 MF15 implantation by a single surgeon at two sites. Pre- and post-operative monocular uncorrected distance (UDVA) and near (UNVA) vision was recorded along with corrected distance and near visual acuity (CDVA and CNVA respectively) and operative and post-operative complication rates. Patient satisfaction, spectacle independence and symptomatology were assessed from inspection of electronic case notes.
Patients ranged in age from 49 to 77 years (mean±SD 62±7 years). Mean monocular pre-operative and post-operative UDVA was LogMAR 0.54±0.35 and 0.07±0.16 respectively (p<0.05). Pre-operative and post-operative CDVA was LogMAR 0.04±0.14 and 0.01±0.01 respectively (p<0.05). Mean post-operative UNVA was LogMAR 0.37±0.21. Binocularly all patients achieved UDVA 6/12 or better post-operatively, 71% of patients achieved UDVA 6/6 or better and 68% of patients achieved combined 6/7.5 and N6 unaided vision. There were two operative complications (1%) and two post-operative complications (PCO) recorded. Ninety-six percent of patients reported they were satisfied with their vision post-operatively, 88% reported being spectacle independent for everyday tasks and there was a low incidence of dysphotopsia symptoms reported by patients (3% haloes/glare effects).
The Lentis® Mplus/Comfort LS-313 MF15 IOL is an effective way to enhance both distance and near vision following phacoemulsification surgery.
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