Retrospective Analysis Of 300 Panoptix Mutifocal Implants From A Tertiary Eye Care Hospital In Kenya.

To study the efficacy of Panoptix Multifocal IOL for distance, intermediate, and near vision, target refraction, achieved refraction in one month, and overall patient satisfaction. 

To study the Complications rate of the single surgeon

Lions SightFirst Eye Hospital, Loresho, Nairobi, Kenya. The hospital is the leading eye hospital in East Africa, with a daily paid-out patient number of close to five hundred patients daily and eighteen full-time eye surgeons. Approximately fifty cataract surgeries are done daily. There are two to five with a Maximum Number of eight Panoptix IOLS done in a single sitting. 

A few Panoptix iols were combined with IStent Implant in the same sitting. 

All patients underwent detailed preoperative evaluation, including the Lenstar system's optical biometry.

All surgeries were recorded. All patients underwent phacoemulsification with Panoptix Multifocal Implants. 

Patients with at least 1 mm of anterior capsular margin on the IOL were specifically taken up for post of refraction analysis. 

Patients with normal fundus were taken up for detailed analysis and a questionnaire, like glare and incidence of negative dysphotopsia. 

Bilateral Panoptix implants were separately evaluated for Binocular Distance and Binocular Near vision.  

Diabetic patients with cme were not included in this study. 

Patient Satisfaction rate of More than Ninety nine percent. 

Four patients had posterior capsular rupture, two in the sulcus, one iol in the sulcus with nonresolving cme.

One Patient with posterior capsular rupture but with iol in bag: Good vision, no cme and patient happy. 

One patient with an Anterior capsular run off and a posterior capsular rupture: double complication: successfully managed: no cme: good vision, and happy patient. 

One patient with glare underwent a vivity implant in the other eye. Glare persisted, and the issue was finally resolved with one drop of Brimonidine at five p.m. on the day of driving. 

One patient with waxy vision, a rare side effect, could not find any reason and was finally unhappy. 

Panopitix IOl remains perhaps one of the Best IOLS.

The author has been doing Symphone and Vivity iols too. 

The final joy of a spectacle-free vision cannot be measured.

Glare can happen, and proper screening and mesopic pupil size should be considered and kept in mind. 

Tomography is necessary . Always see any misalignment or angle kappa.

It is used to determine the Total corneal refractive power in Toric Calculations and the Holladay Report to EKR for the correct k value, which is A MUST.

Finally, in the author's opinion, Tomography, and two different optical biometers, Argos and Lenstar, should be done at least three days apart after starting the Good Lubrication drops to get the correct K values to Clinch a Persistent top Performance.