Visual Outcomes, Halometry And Patient Reported Outcomes Following Bilateral Implantation With The Rayner Galaxy Iol

To evaluate 60 eyes of 30 patients following bilateral implantation of the Rayner Galaxy IOL and Galaxy Toric IOL.

Southend Private Hospital 

30 subjects (60 eyes) assessed at 3 months post-operatively. Uncorrected and best distance corrected acuity was assessed both monocularly and binocularly at distance (6m), intermediate (70cm) and near (40cm) using ETDRS LogMAR Charts. Binocular Defocus curves were assessed from +1.50D to -5.00D in 0.5D steps with additional steps at +0.25D and -0.25D. Contrast Sensitivity was assessed using a computerised Pelli-Robson chart. Halometry was assessed using the Aston halometer and patient reported outcome measures using the RayPro system.Patient were also assessed for toric rotation, where applicable, and posterior capsular opacification.

Binocular Uncorrected distance visual acuity (UDVA) was -0.04±0.05LogMAR, uncorrected intermediate visual acuity (UIVA) was 0.02±0.07LogMAR and uncorrected near visual acuity was 0.03± 0.10LogMAR.There was no significant difference between uncorrected and distance corrected acuity. Binocular Defocus profile showed VA > 0.20LogMAR from +1.00 to -2.50D imposed defocus and VA > 0.1LogMAR from +0.50 to -2.00D. Binocular Contrast sensitivity was 1.46±0.07LogCS.Halometry displayed a mean photopic scotoma area of 2.1deg/15.87%, with <0.7 deg in horizontal meridian, yet greater in the vertial meridian (0.9) PROMs showed 100% spectacle independence at all distances, 90% satisfaction with visual outcomes and no reports of visual disturbances 

The Rayner Galaxy Spiral IOL shows excellent acuity outcomes at all distances, binocular defocus range maintains acuity >0.2 throughout a wide range, with no characteristic dip in acuity between distance and intermediate nor intermediate and near as is often seen in MIOLs. There was no detriment to contrast sensitivity. Patient reported outcomes were excellent and all patients were spectacle independent. There were no patient reports of dysphotopsia.