ESCRS - P238 - VISION OF AMBLYOPIC ADULT PATIENTS AFTER CLEAR LENS EXTRACTION.

VISION OF AMBLYOPIC ADULT PATIENTS AFTER CLEAR LENS EXTRACTION.

Published 2022 - 26th ESCRS Winter Meeting

Reference: P238 | Type: Abstracts | DOI: 10.82333/0zeb-dx89

Authors: Juraj Halicka* 1 , Michal Kralik 2 , Rastislav Vida 2 , Peter Ziak 2

1Eye clinic,Jessenius Medical School, Commenius University,Martin,Slovakia;UVEA Private clinic,UVEA,Martin,Slovakia, 2UVEA Private clinic,UVEA,Martin,Slovakia

Purpose

To find out long term change in vsual acuity after clear lens extraction (CLE).

Setting

Retrospective study of adult patients with amblyopia after CLE.

Methods

Total 34 patients with amblyopia of various degrees underwent CLE in the period from 2013 to 2020. After excluding other eye diseases, we evaluated 23 patients aged 39-59 years, of which 18 were women and 5 men. In all cases multifocal intraocular lenses were implanted. Total 15 eyes were analyzed in patients with anisometropic amblyopia and 8 eyes in patients with strabismic amblyopia. Change in visual acuity were evaluated 1 month and 1 year after surgery. Paired, non-paired T-test and Mann-Whitney test were used for statistical analysis where appropriate.

Results

The results for the group of anisometropic amblyopes were as follows: UCDVA before OV and 1R after 0.13 ± 0.09 vs. 0.57 ± 0.27 (p <0.05); BCDVA before operation (OP) and 1R after 0.51 ± 0.23 vs. 0.62 ± 0.3 (p> 0.05); UCNVA before OP and 1R after 0.08 ± 0.06 vs. 0.47 ± 0.31 (p <0.05); BCNVA before OP and 1R after 0.57 ± 0.14 vs. 0.53 ± 0.31 (p> 0.05). The results were as follows for the group of strabismic amblyopes: UCDVA before OP and 1R after 0.12 ± 0.09 vs. 0.66 ± 0.34 (p <0.05); BCDVA before OP and 1R after 0.54 ± 0.21 vs. 0.69 ± 0.33 (p> 0.05); UCNVA before OP and 1R after 0.05 ± 0.05 vs. 0.50 ± 0.37 (p <0.05); BCNVA before OP and 1R after 0.51 ± 0.28 vs. 0.57 ± 0.42 (p> 0.05).

Conclusion

Our small study shows that the use of multifocal IOL in CLE is effective in patients with amblyopia, we did not observed any serious side effects. BCDVA and BCNVA 1 year after refraction correction did not changed in amblyopic eyes.