Clinical Outcomes After Implantation Of A New Monofocal Intraocular Lens With Enhanced Intermediate Function In Patients With Ocular Pathology.
Published 2024 - 42nd Congress of the ESCRS
Reference: FP01.08 | Type: Free paper | DOI: 10.82333/dtds-9x65
Authors: Ho Seok Chung 1 , Yoo Young Jeon* 1 , Hayoung Lee 1 , Taehun Kim 1 , Kyu Sang Eah 1 , Yong-Ha Jo 1 , Soo Young Lee 1 , Nawoo Kim 1 , Hun Lee 1 , Jae Yong Kim 1 , Hungwon Tchah 2
1Asan Medical Center,Seoul,Korea, Republic Of, 2Kim's Eye Hospital,Seoul,Korea, Republic Of
Purpose
We aimed to evaluate the clinical outcomes after implantation of a new monofocal intraocular lens (IOL) with enhanced intermediate function in patients with ocular pathology including preperimetric glaucoma and epiretinal membrane (ERM).
Setting
Asan Medical Center, Seoul, South Korea
Methods
Regarding glaucoma, patients with bilateral RNFL defects and no glaucomatous visual field defects who underwent cataract surgery were classified as the preperimetric glaucoma group. Regarding patients with ERM, patients with preexisting ERM (non-fovea-involving and fovea-involving ERM) who underwent cataract surgery with implantation of a new monofocal IOL with enhanced intermediate function and age-matched controls were included. Uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), defocus curve, central subfield thickness (CST, only ERM patients), contrast sensitivity, and questionnaire were evaluated 1 month after surgery.
Results
We included a total of 120 eyes of 60 patients of patients with preperimetric glaucoma and 92 eyes of 92 patients of patients with ERM. In terms of glaucoma, No difference in binocular UDVA, UIVA, and UNVA was evident between the two groups. There were no significant differences between the two groups regarding the proportion of photic phenomena and the overall satisfaction. In patients with ERM, significant differences in UDVA, CDVA, and CST were observed between the fovea-involving ERM and control group. Photic phenomena were reported less in the fovea-involving group than in the non-fovea-involving group and more than 70% of patients in both ERM groups were satisfied.
Conclusions
Implantation of a new monofocal IOL with enhanced intermediate function in patients with preperimetric glaucoma and ERM demonstrated relatively good clinical outcomes and could be considered a feasible alternative.