Presbyopic LASIK (SUPRACOR) or multifocal IOL?
First Author: S.Anisimova RUSSIA
Co Author(s): S. Anisimov L. Zagrebelnaya S. Semenov I. Novak
To evaluate visual and refractive outcomes quality of vision and patient satisfaction after laser-assisted cataract surgery with a multifocal intraocular lens implantation (IOL group) and presbyopic LASIK (SUPRACOR) (SUPRACOR group) in patients with presbyopia combined with ametropia.
Eye center East sight recovery
IOL group consisted of 82 patients (140 eyes) 45 - 72 years of age who underwent femtosecond laser-assisted cataract surgery (Victus, USA) with multifocal IOL implantation: Tecnis ZMB00 diffractive multifocal IOL (Abbot t Medical Optics) and AcrySof ReSTOR +3.0 D add SN6AD1,( Alcon, USA). SUPRACOR group consisted of patients 45-66 years of age were treated by SUPRACOR method: 228 eyes of 114 patients with presbyopia combined with hyperopia and 36 eyes of 18 patients with presbyopia combined with myopia. SUPRACOR was performed bilaterally on excimer laser Technolas 217Z (Bausch@Lomb)
IOL-group: Uncorrected distance visual acuity (UDVA) 0,8 or better was achieved in 90 %. Uncorrected near visual acuity (UNVA) 0,5 or better was 78% in (with Tecnis) and 74 % (with ReStor). SUPRACOR group. Before surgery average sphere equivalent was +2.8 (hyperopic eyes - HE) and -2.95 (myopic eyes - ME), UNVA was 0.08 (HE) and 0.25 (ME), UDVA was 0.45 (HE) and 0.07 (ME). Average UNVA and UDVA were respectively 0.87 and 0.96 (HE) and 0.95 and 0.78 (ME) first day after operation.1 month postoperatively UNVA and UDVA were 0.87 and 0.9 (HE) and 0.97 and 0.98 (ME) respectively.
Femtosecond laser-assisted cataract surgery with multifocal IOL implantation provides an effective restoration of distance and near vision. It allows patients to be spectacle independent and provides high level of patient satisfaction. Based on a well known LASIK method, SUPRACOR shows effective and predictable results in cases of presbyopia combined with ametropia and can be considered to be a safe procedure when performed bilaterally. The main cryteria for intraocular method of presbyopia correction can be considered age of patient and cataract formation.