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Monofocal accommodative intraocular lens (IOL) implantation visual outcome in our first 44 eyes (22 cataract patients)

Poster Details

First Author: A.Joseph Low MALAYSIA

Co Author(s):                  

Abstract Details



Purpose:

To evaluate the binocular functional vision (visual acuity for distance, intermediate and near) of our 22 cataract patients with implantation of monofocal accommodative IOLs.

Setting:

Single site study, single surgeon at VISTA Eye Specialist, Malaysia.

Methods:

The Crystalens Aspheric Optic (AO) IOLs have been used in our study. 44 eyes of 22 patients were evaluated at pre-op assessment and at post-op 1 week and 1 month. Monocular and binocular Uncorrected Visual Acuity (UCVA) and Best Corrected Visual Acuity (BCVA) were taken at post-op 1 week and 1 month. Targeted post-op refraction for dominant eyes was plano and for non-dominant eyes was either plano or -0.50D. Exclusion criteria included any eyes with pathology except for cataracts. However, hard brunescent cataracts, white intumesecent cataracts and polar cataracts were also excluded.

Results:

At post-op 1 month, the monocular mean uncorrected distance visual acuity (UCDVA) was 0.75ḟ0.19 with 73% (32eyes) achieving 20/32 (6/9) or better, mean uncorrected intermediate visual acuity (UCIVA) was 0.77ḟ0.18 with 84% (37eyes) achieving 20/32 or better and mean uncorrected near visual acuity (UCNVA) was 0.92ḟ0.28 with 73% (32eyes) achieving J6 (N8) or better. The binocular post-op mean uncorrected distance visual acuity (UCDVA) was 0.91ḟ0.12 with 100% (22pairs) achieving 20/32 (6/9) or better, mean uncorrected intermediate visual acuity (UCIVA) was 0.90ḟ0.14 with 100% (22pairs) achieving 20/32 or better and mean uncorrected near visual acuity (UCNVA) was 0.70ḟ0.19 with 100% (22pairs) achieving J6 (N8) or better.

Conclusions:

Most patients implanted with Crystalens AO with or without using micro-monovision technique are able to have functional vision which is sufficient to perform their daily lifestyle activities without need for glasses for distance & intermediate visual acuity. Financial Disclosure: I do not have any invested interest in Bausch + Lomb.

Financial Disclosure:

NONE

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