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Filed Under
Presbyopia
IOLs & Calculations
trifocal IOL
presbyopia-correcting IOL
refractive lens exchange
2020 paper presentation
Purpose
Outcomes of unilateral refractive lens exchange (RLE) with implantation of a trifocal intraocular lens (IOL) are limited. The purpose of this study was to evaluate the visual outcomes and patient satisfaction following unilateral implantation of a diffractive trifocal IOL in the non-dominant eye of hyperopic patients with presbyopia.
Methods
This is a single-center, retrospective case series. Hyperopic presbyopic patients who underwent unilateral femtosecond-laser assisted RLE with implantation of a diffractive trifocal IOL (Alcon Panoptix) in the non-dominant eye were evaluated. The contralateral eye was corrected with keratorefractive surgery if needed. Inclusion criteria were hyperopia over +1.00 D and presbyopia (J3 or worse). Primary outcome measures were uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), and uncorrected near visual acuity (UNVA). Secondary outcomes were spherical equivalent (SE) and patient questionnaire. Three and six months data will be evaluated.
Results
At 1 month, preliminary results from 15 eyes of 15 patients (average age 53.2 ± 4.1 years) showed a change in monocular UDVA from 0.50 ± 0.25 logMAR preoperatively to 0.11 ± 0.21 logMAR postoperatively (p <0.01). UIVA and UNVA improved postoperatively to 0.05 ± 0.12 logMAR and 0.08 ± 0.10 logMAR, respectively (p < 0.005). 100% (15/15) of eyes were within ±1.00 D of emmetropia and 87% (13/15) of eyes achieved an UNVA of J2 (snellen 20/30) or better. There were no intraoperative complications and no IOL exchange was required. More cases will be reviewed and final outcomes including spectacle independence, visual disturbances, and patient satisfaction will be assessed after 3 and 6 months.
Conclusion
Unilateral RLE with a diffractive trifocal IOL (Alcon Panoptix) in hyperopic presbyopic patients is safe and effective. Final conclusions will be made after 3 and 6 months.
Outcomes of unilateral refractive lens exchange (RLE) with implantation of a trifocal intraocular lens (IOL) are limited. The purpose of this study was to evaluate the visual outcomes and patient satisfaction following unilateral implantation of a diffractive trifocal IOL in the non-dominant eye of hyperopic patients with presbyopia.
Methods
This is a single-center, retrospective case series. Hyperopic presbyopic patients who underwent unilateral femtosecond-laser assisted RLE with implantation of a diffractive trifocal IOL (Alcon Panoptix) in the non-dominant eye were evaluated. The contralateral eye was corrected with keratorefractive surgery if needed. Inclusion criteria were hyperopia over +1.00 D and presbyopia (J3 or worse). Primary outcome measures were uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), and uncorrected near visual acuity (UNVA). Secondary outcomes were spherical equivalent (SE) and patient questionnaire. Three and six months data will be evaluated.
Results
At 1 month, preliminary results from 15 eyes of 15 patients (average age 53.2 ± 4.1 years) showed a change in monocular UDVA from 0.50 ± 0.25 logMAR preoperatively to 0.11 ± 0.21 logMAR postoperatively (p <0.01). UIVA and UNVA improved postoperatively to 0.05 ± 0.12 logMAR and 0.08 ± 0.10 logMAR, respectively (p < 0.005). 100% (15/15) of eyes were within ±1.00 D of emmetropia and 87% (13/15) of eyes achieved an UNVA of J2 (snellen 20/30) or better. There were no intraoperative complications and no IOL exchange was required. More cases will be reviewed and final outcomes including spectacle independence, visual disturbances, and patient satisfaction will be assessed after 3 and 6 months.
Conclusion
Unilateral RLE with a diffractive trifocal IOL (Alcon Panoptix) in hyperopic presbyopic patients is safe and effective. Final conclusions will be made after 3 and 6 months.
View More Presentations from this Session
This presentation is from the session "SPS-108 Trifocal IOLs" from the 2020 ASCRS Virtual Annual Meeting held on May 16-17, 2020.