Latest Technology In The Prediction Of Refractive Outcome In Patients With Edof-Iol Implantation - Is It Really Helpful?
Published 2024 - 42nd Congress of the ESCRS
Reference: PO605 | Type: Free paper | DOI: 10.82333/786c-6r56
Authors: Vladislav Dzinic* 1 , Alen Popovic Beganovic 2
1OPHTHALMOLOGY,EYE CLINIC PROF DR DZINIC,NOVI SAD,Serbia;OPHTHALMOLOGY ,POLIKLINIKA GHETHALDUS,BRCKO,Bosnia and Herzegovina, 2OPHTHALMOLOGY,POLIKLINIKA GHETHALDUS,BRCKO,Bosnia and Herzegovina
Purpose
to show post-operative refractive results in patients who undertaken cataract surgery with EDOF intraocular lens implantation using swept-source OCT technology for power calculation and digital marker technology combined with 3D viewing system during cataract procedure.
Setting
Eye clinic "Prof dr Dzinic"
Laze Lazrevica 22B
21000 Novi Sad
Serbia
Methods
19 patents (26 eyes) undertaken cataract surgery procedure. Mean best corrected visual acuity before surgery range from 0,1-0,5 (Snellen charts), axial length range from 22,67mm - 25,09 mm.. Axial length In all patients,IOL power calculation was conducted using swept-source biometer (Barrett formula) and Alcon vision planner. In all patients cataract surgery was performed using 3D viewing system (Ngenuity®) technology. 2,75mm main incision and side ports were made et the marked projecting sites. Capsulorexes was performed using predefined value of 5,5mm, following the digital marker centration. EDOF IOL (Vivity™️) lens were implanted in the bag.In all patients uncomplicated cataract surgery was preformed. Follow up period was 6 months.
Results
In 7 patients binocular surgery was performed with one week apart between the surgeries. After six months, binocular uncorrected distant visual acuity was between 0,9-1.0 (Snellen chart) and Jegger 2-3 for near vision. In 12 patients with monocular eye surgery, uncorrected visual acuity vary from 0,7-0,9, with best corrected 1.0 in all patients. Uncorrected near visual acuity was between 3-5 Jegger charts, and best corrected 1-1+.
Conclusions
According to our study refractive outcome using all of the available latest technology was useful in predicting refractive outcome in cataract surgery patients. Results which were achieved were in the range of expected and predicted. In bilateral surgery "fine tuning” is must in order to achieve satisfactory near vision. Large studies with more patients with different ocular parameters are required in order to confirm all of the benefits of the new technology.