ESCRS - PO0286 - Refractive And Aberrometric Comparative Outcomes After Three Types Of Edof Iol In Phacoemulsification Surgeries

Refractive And Aberrometric Comparative Outcomes After Three Types Of Edof Iol In Phacoemulsification Surgeries

Published 2023 - 41st Congress of the ESCRS

Reference: PO0286 | Type: Free paper | DOI: 10.82333/wymw-jh20

Authors: Lourdes DEL CARMEN Amato* 1

1SAN SALVADOR,ASOCIACION SALVADOREñA DE OFTALMOLOGIA,SAN SALVADOR,El Salvador

Purpose

DETERMINE UNCORRECTED AND CORRECTED BILATERALVISUAL ACUITY FOR DISTANCE, INTERMEDIATE AND NEAR, AS WELL AS ABERROMETRIC RESULTS AT ONE MONTH POSTOPERATIVE OF PHACOEMULSIFICATION COMPARING THREE TYPES OF EDOF INTRAOCULAR LENSES, RAYONE EMV, TECNIS SYNERGY ZFR00V AND EYHANCE (TECNIS) ICB000.

DETERMINE RMSLOA, RMSHOA, RMSTOTAL, WFAZ40, REFRACTION, AND DYSPHOTOPSIA POSTOPERATIVEONE MONTH FOLLOW-UP.

Setting

 REVIEW OF PATIENTS  WITH EDOF IOLS, BETWEEN FEBRUARY 2019 AND DECEMBER 2021.

INCLUSION CRITERIA, REGULAR ASTIGMATISM PRE-OP BILATERAL, BILATERAL CATARACT, AND UCORD UP 0.4.

 IN CASES OF SYNERGY AND EYHANCE EDOF IOLS AND -1.50NON DOMINANT EYE FOR RAYNEREMV.BILATERAL TARGETED FOR EMETROPIA FAR, INTERMEDIATE, AND NEAR VISION. ZERNICKE MAPS WERE COMPARED IN RMSLOARMSHOA, RMSTOTAL.

COMPARISON OF PRE AND POSTOPERATIVE TCSA(WFAZ40) IN CATARACTPREOP TEMPLATE AT PENTACAM.

Methods

THE TOTAL GROUP WAS NINE PATIENTS. FOUR PATIENTS UNDERWENT BILATERAL CATARACT SURGERY WITH SYNERGY TECNIS, FOUR PATIENTS WITH RAYONE EMV, AND ONE EYHANCETECNIS IOL, AS WELL. ALCON LENSX FEMTOSECOND LASER SYSTEM AND ROUTINE PHACOEMULSIFICACION TECHNIQUE WITH CENTURION EQUIPMENT WAS PERFORMED. 

EXCLUSION CRITERIA

GLAUCOMA, ANY PARTICULAR RETINAL DISEASE, DIABETIC PATIENTS, KERATOCONUS, ANY CORNEAL PATHOLOGY, DRY EYE, PTERIGION, IRREGULAR ASTIGMATISM, AND REGULAR ASTIGMATISM MORE THAN ONE 0.75 DIOPTER.

Results

IN THE GROUP OF SYNERGY AND RAYONE EMV, THE MEAN POSTOPERATIVE UDVA WAS 0.01+/-0.01 log MAR AND THE PATIENT OF EYHANCE SAW 0.02 +/-0.02 logMAR.THE UVA WAS 0.01 +/-0.01  log MAR FOR THE EYHANCE PATIENT AND RAYONE EMV GROUP AND 0.02 +/- 0.02log MAR  FOR THE SYNERGY GROUP. THE UNVA WAS0.01+/-0.01 logMAR FOR SYNERGY  AND RAYONE EMV PATIENTS AND THE EYHANCE PATIENT WAS 0.02+/- logMAR.ONE PATIENT REPORTED POSTIVIE DYSPHOTOPSIAS IN THE SYNERGY GROUP.

Conclusions

THE LESS DYSPHOTOPSIA CASE ES RELATED TO THE DECREASE IN RMS TOTAL, AS THE RAYONE EMV WITH p-0.05. THE UDVA IS VERY SIMILAR IN THE THREE GROUPS. THE BEST UIVA WAS REACHED WITH RAYONE EMV AND THE BEST UNVA WAS REACHED WITH SYNERGY. NO SIGNIFICANT DIFFERENCES WERE SEEN IN THE BINOCULARS UDVAIN THE THREE EDOF IOLS.