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Laser enhancement after multifocal intraocular lens surgery: still a compromise solution?

Poster Details

First Author: A.Frings GERMANY

Co Author(s):    J. Steinberg   S. Linke   V. Druchkiv   T. Katz           

Abstract Details


To report refractive and subjective results of laser vision enhancement in eyes with prior multifocal intraocular lens (MIOL) surgery.


University Hospital and private chain of refractive surgery centres in Germany.


Prospective non-interventional cohort study of two groups of consecutive refractive surgery patients. Group 1 (n= 35, study group) received an MIOL with subsequent laser vision correction after at least 6 months follow-up and was compared to group 2 (n= 33, control group) who were treated with MIOL surgery-only. Efficacy and safety index (EI and SI) and predictability of the treatment were compared accompanied by a subjective assessment of patient satisfaction.


Independent of laser enhancement, both the treatment strategies resulted in high levels of EI, SI and predictability. There were no statistically significant differences between eyes with MIOL surgery-only compared to eyes with subsequent need for laser enhancement (differences in EI, SI and predictability = P>0.05, respectively). Subjective evaluation of satisfaction with the treatment was highest in patients without need for a second surgery; however, no statistically significant differences were obtained compared to those candidates with laser enhancement (P= 0.430).


In patients with residual refractive error after MIOL surgery, laser vision enhancement offers a reliable, secure and efficient way to finally fulfil the aim of the refractive treatment and most patients�â�€�™ expectations.

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