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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: 15:54
Venue: Elicium 1 (First Floor)
First Author: : V.Antunes BRAZIL
Co Author(s): : E. Andreghetti V. Antunes L. Paulino J. Redher M. Prasad R.
To assess visual outcomes, reversibility, safety, and patient satisfaction following implantation of the Sulcoflex multifocal intraocular lens (IOL; Rayner Intraocular Lenses Ltd., Hove, UK) in a single surgical procedure combining primary capsular bag lens implantation with supplementary sulcus placement of the Sulcoflex IOL.
Instituto de Oftalmologia de Assis, Assis, SP, Brazil
The study included cataract patients older than 45 years of age, with hyperopia ?1.50 D and potential acuity measurement ?20/30, undergoing Sulcoflex multifocal IOL implantation in a single session combining primary capsular bag IOL implantation followed by supplementary sulcus placement of the Sulcoflex IOL. Monocular and binocular uncorrected near and distance visual acuity (VA) were evaluated at 5 days, 1 month, and 3 months post-operatively. Contrast sensitivity and refraction were measured in a subset of patients 3 months post-operatively. Patient satisfaction was assessed 1 month post-operation.
The study comprised 25 eyes (13 patients, 7 female, mean age 70 years, range 6380 years). Eleven eyes (52%) had pre-existing retinal pathologies, and 2 eyes (8%) previously had refractive surgery. Eighty percent of eyes received an aspherical distance primary IOL, whereas the remaining received toric distance IOLs. All eyes received a 0D multifocal secondary lens with +3.50D addition. There was a significant improvement in monocular distance VA post-operatively as compared to pre-operatively at all follow-up visits. At the 3-month follow up, 88% of eyes had a monocular uncorrected distance VA (UDVA) of at least 20/25, of which 24% had a UDVA of 20/20. At the same follow-up, all eyes had a binocular UDVA of at least 20/25, of which 58% had a binocular UDVA of 20/20. At 3 months, 68% of eyes had monocular uncorrected near vision (UNVA) of J1 on the Jaeger scale and all patients had a binocular UNVA of J1. Ninety-two percent of eyes had a spherical equivalent (SE) within 1D and 58% of eyes had a SE within -0.5D. The majority of patients reported improvements in visual outcomes and quality of life. Complications included an increase in IOP post-surgery in 4 eyes.
Implantation of the multifocal Sulcoflex IOL improves near and visual acuity in cataract patients. Patients with retinal abnormalities were able to tolerate the multifocal IOL. The secondary IOL implantation is reversible and safe.
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