Initial Clinical Experience With The Light Adjustable Lens
Published 2024 - 42nd Congress of the ESCRS
Reference: PP19.03 | Type: Poster | DOI: 10.82333/9pg6-qp90
Authors: Michael Mahr* 1 , Cheryl Khanna 1 , Sunil Khanna 1 , Ruti Sella 1
1Ophthalmology,Mayo Clinic,Rochester,United States
Purpose
To report on an academic practice’s initial clinical experience with the Light Adjustable Lens (LAL).
Setting
Mayo Clinic Department of Ophthalmology – Rochester, MN USA
Methods
Retrospective review of the initial 40 light adjustable lens implants in 22 patients.
Results
36% of patients had a history of refractive surgery. The average time from first surgery to final lock-in appointment was 77 days (min 32, max 142). The average number of non-surgery physician outpatient visits per patient was10 (min 6, max 15). 78% of bilateral patients ultimately chose blended monovision. For patients seeking distance emmetropia, after final lock-in 77% were uncorrected 20/15, 18% 20/20, and 5% 20/25. Final bilateral uncorrected visual acuity outcomes for patients pursuing monovision were distance: 20/15 – 62%, 20/20 – 38% (100% 20/20 or better); intermediate: 20/20 84%, 20/25 – 16% (100% 20/25 or better); near: 20/20 – 62%, 20/25 – 15%, 20/30 – 15%, 20/40 8% (92% 20/30 or better).
Conclusions
The light adjustable lens provided outstanding uncorrected visual acuity outcomes with most bilateral patients choosing blended vision. A disproportionately large percentage of patients had a history of previous refractive surgery.