CLINICAL OUTCOMES AND PATIENT SATISFACTION AFTER LENS REPLACEMENT SURGERY WITH SMALL-APERTURE IOL IMPLANTATION IN EYES WITH IRREGULAR CORNEAS
Published 2024 - 28th ESCRS Winter Meeting
Reference: P090 | Type: Presented Poster & Poster | DOI: 10.82333/ka7x-6374
Authors: Suphi Taneri* 1 , Anika Förster 2 , H. Burkhard Dick 3
1Center for Refractive Surgery,Eye Center at St. Francis-Hospital, Muenster,Muenster,Germany;Ruhr-University Bochum,Bochum,Germany, 2Center for Refractive Surgery,Eye Center at St. Francis-Hospital, Muenster,Muenster,Germany, 3Ruhr-University Bochum,Bochum,Germany
Purpose
To present outcomes and patient satisfaction in lens replacement with uni- or bilateral implantation of small-aperture IOL in patients with irregular corneal topography.
Setting
Tertiary care center
Methods
Retrospective study. Adult patients with corneal irregularities due to disease or prior surgery seeking vision improvement were advised to get lens replacement surgery with a small-aperture IOL (IC-8 Apthera, Bausch&Lomb) to utilize the pinhole effect. Either uni- or bilateral implantations were performed based on the severity of the corneal irregularities and the availability of the required dioptric power of the IOL. After surgery, patients were asked about their outcomes using a special questionnaire.
Results
Thirty-three eyes of 23 patients were included. After a mean follow up of 309 days, uncorrected distance visual acuity (UDVA) was same or better than preoperative corrected distance visual acuity (CDVA) in 75%; 39% gained 1 or more lines in CDVA, 55% had no change. No eye lost 2 or more lines of CDVA. Overall, 83% of patients were satisfied. The only dissatisfied patient had had bilateral IC-8 implantation. No explantation was performed. Glare (53%) and halo (37%) were the most common symptoms after surgery. Problems with night vision occurred in 25% of patients, of which 60% had bilateral implantation.
Conclusion
Small-aperture IOL implantation may be safe and effective in eyes with irregular corneas. However, night vision problems and increased halos occurred. Setting realistic patient expectations seems crucial for satisfaction.