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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

Purpose:

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

Setting:

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

Methods:

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.

Results:

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).

Conclusions:

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.

Financial Disclosure:

NONE

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