Monofocal Plus Iol - Rayner Emv – Our Own 1-Year Experience With Micro- And Minimonovision
Published 2024 - 42nd Congress of the ESCRS
Reference: PO315 | Type: Free paper | DOI: 10.82333/brey-vx30
Authors: Agnieszka Julia Kudasiewicz-Kardaszewska* 1 , Małgorzata Ozimek 1 , Aleksander Tkaczenko 1 , Zbigniew Zagórski 2
1Ophthalmology,Prof. Zagorski Eye Surgery Center in Nowy Sącz, OCHO Medical Group,Nowy Sącz,Poland, 2Ophthalmology,Prof. Zagorski Eye Surgery Center in Nowy Sącz, OCHO Medical Group,Nowy Sącz,Poland;Ophthalmology,OCHO Medical Group,Lublin,Poland
Purpose
The aim of the study was to evaluate visual performance and partial spectacle independence in patients after cataract surgery with Rayner EMV PC-IOL implantation
Setting
Between August 2022 and December 2023 in Prof. Zagorski Eye Surgery Center in Nowy Sącz, Poland 179 patients (358 eyes) underwent cataract surgery with Rayner EMV IOL implantation. Study was prospective, non-randomized, observational, directed on evaluation of visual performance and degree od spectacle independence.
Methods
Patients were fitted for micro- and mini-monovision. Dominant eye was measured for emmetropia and non-dominant eye for -0,5 D to -1,25 D myopia in order to achieve spectacle independence for distant and intermediate foci with the use of both eyes. Barret Universal II formula was used for IOL calculation in every case. To verify calculations Kane formula and ESCR online calculator were applied.
Best corrected visual acuity for distance and for near, necessity and degree of near addition, target refraction and deviation from target refraction in biometry were evaluated before, 3 weeks (15-28 days) and 6 months postoperatively. Unilateral and binocular visual perfomance were evaluated in 6 months as well.
Results
Distant visual acuity improved significantly in the whole group. Some patients needed minor correction for distance especially for driving at night. Due to bilateral Rayner EMV IOL implantation majority of the patients needed no spectacles for distance.
All patients reported near visual acuity improvement with the use of either no correction for near or mean 50% reduction of preoperative correction for near.
Deviation from target refraction given by biometer compared to postoperative refraction was 0,5D towards minus.
No serious neither intra- nor postoperative complications were noted in this group. No dysphotopsias were noticed either.
Conclusions
Mini- and micromonovision with the use of Rayner EMV PC-IOL seems to be a good solution for partial spectacle independence in cataract patients.
It has to be noticed that while implanted to both eyes IOLs allowed us to reduce near add. Intermediate performance improved as well.