ESCRS - FP14 - SUPPLEMENTAL MULTIFOCAL INTRAOCULAR LENSES (SMIOL) FOR PRESBYOPIA MANAGEMENT IN THE CILIARY SULCUS: A SYSTEMATIC REVIEW

SUPPLEMENTAL MULTIFOCAL INTRAOCULAR LENSES (SMIOL) FOR PRESBYOPIA MANAGEMENT IN THE CILIARY SULCUS: A SYSTEMATIC REVIEW

Published 2022 - 26th ESCRS Winter Meeting

Reference: FP14 | Type: Abstracts | DOI: 10.82333/mxp5-6c44

Authors: Carlos Rocha-De-Lossada* 1 , Francisco Zamorano-Martin 2 , David Piñero 3 , Manuel Rodríguez-Vallejo 4 , Joaquín Fernández 5

1Department of Ophthalmology, Cornea and Refractive Surgery,Qvision, Vithas Almería, Spain & Hospital Virgen de las Nieves, Granada, Spain,Malaga,Spain, 2Ophthalmology,Regional University Hospital of Malaga,Malaga,Spain, 3Department of Optics, Pharmacology and AnatomyUniversity of Alicante, Alicante, Spain & Department of Ophthalmology, Vithas Medimar International Hospital, Alicante, Spain,University of Alicante, Alicante, Spain &Vithas Medimar International Hospital, Alicante, Spain,Alicante,Spain, 4Department of Ophthalmology,Qvision, Vithas Almeria,Almeria,Spain, 5Department of Ophthalmology,Qvision, Vithas Almeria ,Almeria,Spain

Purpose

To summarized and critical review the scientific peer-reviewed current literature regarding the use of supplemental multifocal intraocular lens (SMIOL) in the ciliary sulcus.

Setting

Department of Ophthalmology, Qvision, Vithas Almería. Spain

Methods

This systematic review were performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations. According to the inclusion and exclusion criteria previously defined, 15 articles were included. All of them was carefully analyzed. Risk of bias was assessed with the Quality Assessment Tool for Case Series Studies from the National Heart, Lung, and Blood Institute.

Results

384 eyes of 227 patients were finally analyzed. Most of the studies had a short follow-up, as well as a poor or limited methodological design. Case reports, case series and clinical trials with various gaps were included. Most of the articles reviewed (13/15) achieved a risk of bias score between 6 and 8, representing a high level of evidence despite study design limitations. Postoperative uncorrected distance and near visual acuity ranged from 20/40 to 20/20 and 0.4 to 0.02 logMAR, respectively. Regarding complications, pigment dispersion (12 eyes) and deposits (13 eyes) were the most described in the literature. Dysphotopsias, in the form of glare and halos, were the most frequent visual disturbances. However, most patients reported a high level of satisfaction with their surgery.

Conclusion

SMIOLs seem to obtain a good far and near visual outcomes. According to this study, this fact leads patients to high levels of spectacle independence and satisfaction. Moreover, limited complications associated with SMIOL were reported in the literature. However, more and better studies are still needed to confirm these results.