ESCRS - PO0374 - Pinhole Intraocular Lens To Correct Presbyopia And Astigmatism In Eye With Regular And Irregular Cornea 7 Years Follow Up

Pinhole Intraocular Lens To Correct Presbyopia And Astigmatism In Eye With Regular And Irregular Cornea 7 Years Follow Up

Published 2023 - 41st Congress of the ESCRS

Reference: PO0374 | Type: Free paper | DOI: 10.82333/gx2k-e693

Authors: Gabriele Scaltrini 1 , Matteo Piovella* 1

1Piovella Global Center For Ophthalmology,Monza,Italy

Purpose

To demonstrate visual performance of the IC-8 small aperture IOL (AcuFocus, Irvine, CA)

implanted in patients in whom a cataractous lens has been removed. Pinhole IOLs technology demonstrated to be the best available technology to be implanted in patients that have experienced previous RK or with irregular corneal astigmatism

Setting

Piovella Global Center for Ophthalmology

Methods

29 eyes with cataract, corneal astigmatism 1.50 ± 2.57, had IC-8 IOL implantation. 21 patients experienced IC-8 IOL in the non-dominant eye and a monofocal IOL in the dominant eye. 4 Patients had bilateral IC 8 IOL implantation. One pateint 20 years after RK Results

Results

The IC8 musk decreases halos and glare in aberrate cornea At 6 years in the IC-8 eye, UDVA is 20/20,56 UIVA is 20/20 at 80cm and 67 cm and UNVA is 20/20.5.In the monofocal eye,

UDVA is 20/18,UIVA is 20/23 at 80cm 20/25.7 at 67cm and UNVA is 20/50.Binocular UDVA is 20/18,UIVA is 20/18.3 (80 cm and 67cm)and UNVA is 20/20.5

Conclusions

Pinhole effect normally corrects up to two diopters of corneal astigmatism and overcome toric IOL management within this range. IC 8 is the most effective solution to correct presbyopia and astigmatism in eyes with irregular cornea or in patients that have experienced RK.