ESCRS - P200 - SMILE MODULE FOR THE TREATMENT OF HYPEROPIC RESIDUAL REFRACTIVE ERROR AND PRESBYOPIA AFTER TRIFOCAL IOL IMPLANTATION

SMILE MODULE FOR THE TREATMENT OF HYPEROPIC RESIDUAL REFRACTIVE ERROR AND PRESBYOPIA AFTER TRIFOCAL IOL IMPLANTATION

Published 2023 - 27th ESCRS Winter Meeting

Reference: P200 | Type: Free Paper Submission | DOI: 10.82333/pf6z-bv42

Authors: Faruk Semiz* 1 , Anita Syla Lokaj 1 , Njomza Hima Musa 1 , Olcay Semiz 2 , Zekeriya Alp Demirsoy 3 , Ceren Ece Semiz 4

1Ophthalmology,Eye Hospital,Prishtina,Kosovo, 2Eye Hospital,Prishtina,Kosovo, 3Medical Faculty,Yedi Tepe University,Istanbul,Türkiye, 4Medical Faculty,Gazi University,Ankara,Türkiye

Purpose

To investigate the improvement in visual acuity and patient satisfaction after small-incision intrastromal myopic lenticule implantation (SMILE module) in pseudophakic ( trifocal intraocular lens, IOL) patients with hyperopic residual refraction and presbyopia after trifocal  IOL implantation.

Setting

Eye ,Hospital,Kosovo

Methods

 
This study included 64 eyes of 32 patients (aged 41 to 62 years).
Postop trifocal IOL implantation included hyperopic residual refraction. They had Phaco surgery in various clinics between 2019-2020. Patients had residual hyperopia between +0.75 and +1.75 D and
Astigmatism between +0.50 and +1.25 D.With the SMILE module, a stromal pocket with a diameter of 7.70 mm was created in the corneas of the patients. The cover thickness from the corneal surface is 130 μm.
2mm incision. The pocket was dissected using a blunt spatula. implanted fresh myopic lenticule

This study included 64 eyes of 32 patients (aged 41 to 62 years).Postop trifocal IOL implantation included hyperopic residual refraction. They had Phaco surgery in various clinics between 2019-2020. Patients had residual hyperopia between +0.75 and +1.75 D andAstigmatism between +0.50 and +1.25 D.With the SMILE module, a stromal pocket with a diameter of 7.70 mm was created in the corneas of the patients. The cover thickness from the corneal surface is 130 μm.2mm incision. The pocket was dissected using a blunt spatula. implanted fresh myopic lenticule

 

Results

 
Distance Visual Acuity, patients were followed for an average of 1 year. UDVA (0.62±0.09 LogMAR before op increased at 12 months postoperatively (0.08±0.05 LogMAR; p<0.001).UNVA (35cm) increased from 6J to 2J preop, 1 year postoperatively, statistically significant (p<0.001).UNVA (70 cm) preop from 6 J to 3J  postop 1-year, this improvement was statistically significant (p<0.001) 

Distance Visual Acuity, patients were followed for an average of 1 year. UDVA (0.62±0.09 LogMAR before op increased at 12 months postoperatively (0.08±0.05 LogMAR; p<0.001).UNVA (35cm) increased from 6J to 2J preop, 1 year postoperatively, statistically significant (p<0.001).UNVA (70 cm) preop from 6 J to 3J  postop 1-year, this improvement was statistically significant (p<0.001) 

 

Conclusion

SMILE module is a reliable method for treating hyperopic residual refraction and presbyopia after trifocal IOL implantation, as it provides results in the shortest time without complications and increases patient satisfaction.

NCT04692012

Key Words: Trifocal intraocular lens,Presbyopia ,Hyperopia,Smile Module