Intraocular Lens Safety And Efficacy Outcomes In A Post-Lasik Patient Cohort

To evaluate and describe the safety, efficacy and patient reported outcomes of Multifocal intraocular lens implantation in a cohort of post-LASIK patients.

Private Refractive Surgery (Optical Express)

Outcomes of 411 eyes from 274 post-LASIK patients who underwent cataract / refractive lens exchange surgery with implantation of a premium intraocular lens. The age range of patients was 32 to 84 years. Postoperative clinical safety and efficacy outcomes up to 12 months following implant were analysed.

The mean time between the primary LASIK procedure and intraocular lens implantation was 8 years, with a range of 1 to 11 years. Mean post-implant binocular distance visual acuity was -0.01 logMAR (range -0.18 to +0.54 logMAR). Mean binocular near visual acuity was 0.29 logMAR (range -0.08 to +1.00 logMAR). Less than 5% of patients experienced severe difficulty with glare, halo or starburst. 83% of patients reported being satisfied with their visual outcomes, while 91% reported they would recommend the procedure to friends and family. The rate of postoperative adverse events reported in this post-LASIK cohort was comparable to primary intraocular lens patients.

Post-LASIK IOL patients have favorable outcomes across a wide range of IOL lenses. Careful decision making is required when analysing different formulae and selecting lens power. While the target of the procedure is dependent on individual patient requirements, 9 of 10 patients report they would recommend the procedure to friends and family.