Combining Monofocal Iol Cataract Surgery With Planned Sequential Presbyond Lasik
Published 2024 - 42nd Congress of the ESCRS
Reference: PP17.04 | Type: Free paper | DOI: 10.82333/g01d-z695
Authors: Dan Z Reinstein* 1 , Timothy Archer 2 , Joseph Potter 2 , Ruchi Gupta 2
1Sorbonne Université,Paris,France;Biomedical Science Research Institute, Ulster University,Coleraine,United Kingdom;Reinstein Vision,London,United Kingdom;London Vision Clinic,London,United Kingdom;Columbia University Medical Center,New York,United States, 2Reinstein Vision,London,United Kingdom;London Vision Clinic,London,United Kingdom
Purpose
To report the visual outcomes of combining monofocal IOL cataract surgery with planned sequential Laser Blended Vision PRESBYOND LASIK.
Setting
London Vision Clinic, London, UK
Methods
This was a retrospective analysis of 14 patients who underwent cataract surgery followed by PRESBYOND Laser Blended Vision LASIK between Jul 2012 to Oct 2022. Informed consent was obtained to perform cataract surgery using monofocal IOLs with a hyperopic refractive target between +1.00 to +1.75 D. PRESBYOND LASIK was performed within 3-6 months once the cataract surgery outcome was complete. The refractive target was plano for the distance eye and between -1.50 and -1.75 D for the near eye, as determined by the micro-anisometropia acceptance test. A further LASIK enhancement was performed for patients if improvement could be deemed to be achieved. Standard outcomes analysis was performed using the data at 12 months after all treatments.
Results
Mean age was 62±8.4 (47 to 74 years). After cataract surgery, binocular UDVA was 20/40 or better in 75% and 20/25 in 17% with CDVA of 20/20 in 93%. Mean post-cataract SEQ was +1.83±1.84 D and within ±0.50 D in 81% of eyes. An enhancement was performed for 5 eyes (18%). Final outcome after PRESBYOND including enhancements provided binocular UDVA of 20/20 or better in 86% (relative to CDVA of 20/20 or better in 93%) and 20/25 or better in 100%. Binocular UIVA was 20/32 or better in 58% and 20/63 or better in 100%. Binocular UNVA was J2 or better in 100%. Mean postoperative SEQ was within ±0.50 D in 79% and ±1.00 D in 93%. Contrast sensitivity was within 1 patch of normal in 82% eyes at 3 cpd, 75% at 6 cpd, 75% at 12 cpd and 64% at 18 cpd.
Conclusions
Combining monofocal IOL cataract surgery with planned sequential Laser Blended Vision PRESBYOND LASIK provides an effective method of refractive correction in cataract patients. The procedure enables clear, continuous vision at distance, intermediate and near whilst maintaining excellent visual quality and contrast sensitivity.