Implantation Of Spiral Iol Rayner Galaxy In Eyes Affected By Cataract Or High Refractive Defect. Clinical Experience.
Published 2025 - 43rd Congress of the ESCRS
Reference: PO432 | Type: Free paper | DOI: 10.82333/ggbj-4r38
Authors: Mercedes Molero-Senosiain* 1 , Pilar Perez-García 1 , Barbara Burgos Blasco 1 , Mayte Ariño-Gutierrez 1 , Rosalia Mendez-Fernandez 1
1Cornea,Hospital Clínico San Carlos,Madrid,Spain
Purpose
To evaluate efficacy and safety of implantation of spiral lens Rayner Galaxy in eyes affected by cataratc or high refractive defect
Setting
Vista Vision Eye Clinic, Milan, Italy
Methods
14 eyes of 12 patients (mean age 73) were submitted to phacoemulsification procedure with Rayner galaxy spiral multifocal lens implant. Mean corrected distance visual acuity (CDVA) before surgery was LogMAR 0,4 ± 0,8. Mean average refractive defect befor surgery was -1,5 diopters(range between -11,5D and +1,25D). Inclusion criteria were:minimum pupil diameter greater than 2 mm in photopic conditions and greater than 3.5 mm in scotopic conditions.Total high-order corneal aberrations measured on a 6 mm pupil not exceeding 60 microns.Distance between the optical axis and the center of the pupil not exceeding 0.5 mm.Uncorrected visual distance acuity(UCDVA),CDVA,and uncorrected near visual acuity (UNVA) were measured 7 and 30 days after surgery
Results
10 days after surgery mean UCDVA was LogMAR 0 ±1. All eyes were able to read the first two characters for near vision at 30 cm. 10 eyes were able to read the first character for near vision (88%), second character for near vision was read by 4 eyes. In two eyes, visual acuity improved with a correction of +0.5 cylinder from LogMAR 0 to LogMAR -0,1. The visual situation remained stable in the control after 30 days in all the eyes examined. No patient complained the appearance of halos or glares after the surgery, during driving and night vision. The patients who underwent surgery in one eye, because they suffered from cataract in only one eye, did not complain about the different vision compared to the unoperated eye.
Conclusions
Rayner Galaxy spiral multifocal lenses seems to achieve visual results comparable to extended depth-of-focus intraocular lenses in distance vision but appear to achieve significantly better visual quality in near vision. Further observational studies will be needed to confirm these characteristics.