Clear Lens Extraction with Multifocal Apodized Diffractive Intraocular Lens Implantation
Purpose To assess efficacy, safety, predictability, and stability after clear lens extraction (CLE) with multifocal diffractive intraocular lens (IOL) implantation. Design Prospective, nonrandomized, masked observational case series (self-controlled). Participants Two hundred twenty-four eyes of 112...
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| Veröffentlicht in: | Ophthalmology (Rochester, Minn.) Minn.), 2007-08, Vol.114 (8), p.1491-1498 |
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| creator | Fernández-Vega, Luis, MD, PhD Alfonso, José F., MD, PhD Rodríguez, Pedro P., MD, PhD Montés-Micó, Robert, PhD |
| description | Purpose To assess efficacy, safety, predictability, and stability after clear lens extraction (CLE) with multifocal diffractive intraocular lens (IOL) implantation. Design Prospective, nonrandomized, masked observational case series (self-controlled). Participants Two hundred twenty-four eyes of 112 consecutive patients after CLE with bilateral AcrySof ReSTOR Natural IOL implantation. Eyes were divided into myopic (mean spherical equivalent [SE], −6.01±2.71 diopters [D]) and hyperopic (mean SE, +3.86±2.52 D) groups. Methods Monocular and binocular uncorrected distance visual acuity (VA), best-corrected distance VA, uncorrected distance near VA, and best distance-corrected near VA were recorded preoperatively and 6 months after surgery. Main Outcomes Measures Efficacy, safety, predictability, and stability. Results At 6 months postoperatively, uncorrected distance VA was 20/25 or better in 100% of the eyes. Efficacy indexes were 0.97 for myopic and 0.96 for hyperopic patients. No eye lost ≥2 lines of best-corrected distance VA; for the myopic group, 10 eyes gained 1 line, and 10 eyes gained ≥2 lines; for the hyperopic group, 20 eyes gained 1 line, and 15 eyes gained ≥2 lines. Safety indexes were 1.05 for myopic and 1.02 for hyperopic patients. All eyes were within ±1.00 D of the desired refraction. No eye lost >2 lines of best distance-corrected near VA; for the myopic group, 10 eyes lost 1 or 2 lines, 15 eyes gained 1 line, and 5 eyes gained 2 lines; for the hyperopic group, 8 eyes lost 1 or 2 lines, 20 eyes gained 1 line, and 16 eyes gained 2 lines. Safety indexes at near were 1.05 for myopic and 1.11 for hyperopic patients. Uncorrected distance near VA was better for hyperopic than myopic patients (0.95±0.08 vs. 0.88±0.15). Efficacy indexes at near were 1.03 for myopic and 1.10 for hyperopic patients. Conclusions Clear lens extraction with multifocal IOL implantation is an effective procedure for correcting ametropia and presbyopia. Safety and efficacy indexes at distance were comparable in myopic and hyperopic patients. However, at near, both indexes were larger for hyperopic patients. |
| doi_str_mv | 10.1016/j.ophtha.2006.10.058 |
| format | Article |
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Design Prospective, nonrandomized, masked observational case series (self-controlled). Participants Two hundred twenty-four eyes of 112 consecutive patients after CLE with bilateral AcrySof ReSTOR Natural IOL implantation. Eyes were divided into myopic (mean spherical equivalent [SE], −6.01±2.71 diopters [D]) and hyperopic (mean SE, +3.86±2.52 D) groups. Methods Monocular and binocular uncorrected distance visual acuity (VA), best-corrected distance VA, uncorrected distance near VA, and best distance-corrected near VA were recorded preoperatively and 6 months after surgery. Main Outcomes Measures Efficacy, safety, predictability, and stability. Results At 6 months postoperatively, uncorrected distance VA was 20/25 or better in 100% of the eyes. Efficacy indexes were 0.97 for myopic and 0.96 for hyperopic patients. No eye lost ≥2 lines of best-corrected distance VA; for the myopic group, 10 eyes gained 1 line, and 10 eyes gained ≥2 lines; for the hyperopic group, 20 eyes gained 1 line, and 15 eyes gained ≥2 lines. Safety indexes were 1.05 for myopic and 1.02 for hyperopic patients. All eyes were within ±1.00 D of the desired refraction. No eye lost >2 lines of best distance-corrected near VA; for the myopic group, 10 eyes lost 1 or 2 lines, 15 eyes gained 1 line, and 5 eyes gained 2 lines; for the hyperopic group, 8 eyes lost 1 or 2 lines, 20 eyes gained 1 line, and 16 eyes gained 2 lines. Safety indexes at near were 1.05 for myopic and 1.11 for hyperopic patients. Uncorrected distance near VA was better for hyperopic than myopic patients (0.95±0.08 vs. 0.88±0.15). Efficacy indexes at near were 1.03 for myopic and 1.10 for hyperopic patients. Conclusions Clear lens extraction with multifocal IOL implantation is an effective procedure for correcting ametropia and presbyopia. Safety and efficacy indexes at distance were comparable in myopic and hyperopic patients. However, at near, both indexes were larger for hyperopic patients.</description><identifier>ISSN: 0161-6420</identifier><identifier>EISSN: 1549-4713</identifier><identifier>DOI: 10.1016/j.ophtha.2006.10.058</identifier><identifier>PMID: 17350687</identifier><identifier>CODEN: OPHTDG</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Acrylic Resins ; Aged ; Biological and medical sciences ; Female ; Humans ; Hyperopia - physiopathology ; Hyperopia - surgery ; Lens Implantation, Intraocular ; Lens, Crystalline - surgery ; Lenses, Intraocular ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Myopia - physiopathology ; Myopia - surgery ; Ophthalmology ; Ophthalmoscopy ; Phacoemulsification ; Prospective Studies ; Prosthesis Design ; Tonometry, Ocular ; Treatment Outcome ; Visual Acuity - physiology</subject><ispartof>Ophthalmology (Rochester, Minn.), 2007-08, Vol.114 (8), p.1491-1498</ispartof><rights>American Academy of Ophthalmology</rights><rights>2007 American Academy of Ophthalmology</rights><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c445t-be06b0ab949b681c7154990b8088e644bf1ad889d5ac3c3ce4bffaadd5c82b943</citedby><cites>FETCH-LOGICAL-c445t-be06b0ab949b681c7154990b8088e644bf1ad889d5ac3c3ce4bffaadd5c82b943</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ophtha.2006.10.058$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18950396$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17350687$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fernández-Vega, Luis, MD, PhD</creatorcontrib><creatorcontrib>Alfonso, José F., MD, PhD</creatorcontrib><creatorcontrib>Rodríguez, Pedro P., MD, PhD</creatorcontrib><creatorcontrib>Montés-Micó, Robert, PhD</creatorcontrib><title>Clear Lens Extraction with Multifocal Apodized Diffractive Intraocular Lens Implantation</title><title>Ophthalmology (Rochester, Minn.)</title><addtitle>Ophthalmology</addtitle><description>Purpose To assess efficacy, safety, predictability, and stability after clear lens extraction (CLE) with multifocal diffractive intraocular lens (IOL) implantation. Design Prospective, nonrandomized, masked observational case series (self-controlled). Participants Two hundred twenty-four eyes of 112 consecutive patients after CLE with bilateral AcrySof ReSTOR Natural IOL implantation. Eyes were divided into myopic (mean spherical equivalent [SE], −6.01±2.71 diopters [D]) and hyperopic (mean SE, +3.86±2.52 D) groups. Methods Monocular and binocular uncorrected distance visual acuity (VA), best-corrected distance VA, uncorrected distance near VA, and best distance-corrected near VA were recorded preoperatively and 6 months after surgery. Main Outcomes Measures Efficacy, safety, predictability, and stability. Results At 6 months postoperatively, uncorrected distance VA was 20/25 or better in 100% of the eyes. Efficacy indexes were 0.97 for myopic and 0.96 for hyperopic patients. No eye lost ≥2 lines of best-corrected distance VA; for the myopic group, 10 eyes gained 1 line, and 10 eyes gained ≥2 lines; for the hyperopic group, 20 eyes gained 1 line, and 15 eyes gained ≥2 lines. Safety indexes were 1.05 for myopic and 1.02 for hyperopic patients. All eyes were within ±1.00 D of the desired refraction. No eye lost >2 lines of best distance-corrected near VA; for the myopic group, 10 eyes lost 1 or 2 lines, 15 eyes gained 1 line, and 5 eyes gained 2 lines; for the hyperopic group, 8 eyes lost 1 or 2 lines, 20 eyes gained 1 line, and 16 eyes gained 2 lines. Safety indexes at near were 1.05 for myopic and 1.11 for hyperopic patients. Uncorrected distance near VA was better for hyperopic than myopic patients (0.95±0.08 vs. 0.88±0.15). Efficacy indexes at near were 1.03 for myopic and 1.10 for hyperopic patients. Conclusions Clear lens extraction with multifocal IOL implantation is an effective procedure for correcting ametropia and presbyopia. Safety and efficacy indexes at distance were comparable in myopic and hyperopic patients. However, at near, both indexes were larger for hyperopic patients.</description><subject>Acrylic Resins</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>Humans</subject><subject>Hyperopia - physiopathology</subject><subject>Hyperopia - surgery</subject><subject>Lens Implantation, Intraocular</subject><subject>Lens, Crystalline - surgery</subject><subject>Lenses, Intraocular</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Myopia - physiopathology</subject><subject>Myopia - surgery</subject><subject>Ophthalmology</subject><subject>Ophthalmoscopy</subject><subject>Phacoemulsification</subject><subject>Prospective Studies</subject><subject>Prosthesis Design</subject><subject>Tonometry, Ocular</subject><subject>Treatment Outcome</subject><subject>Visual Acuity - physiology</subject><issn>0161-6420</issn><issn>1549-4713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkcFu1DAQhi1ERZfCGyCUC9yyHSeO17kgVdsCK23FAZC4WY4z0XrJxsF2CuXpO2EXVeKCfBhp9M3v0TeMveKw5MDl5X7px13amWUBIKm1hEo9YQteiToXK14-ZQvCeC5FAefseYx7IFCW4hk756uyAqlWC_Zt3aMJ2RaHmN38SsHY5PyQ_XRpl91OfXKdt6bPrkbfut_YZteu6_5Ad5htBuK9nfq_AZvD2JshmTniBTvrTB_x5alesK_vb76sP-bbTx8266ttboWoUt4gyAZMU4u6kYrb1bx_DY0CpVAK0XTctErVbWVsSQ-p0xnTtpVVBU2VF-ztMXcM_seEMemDixZ7WgT9FDWFFhQGBIojaIOPMWCnx-AOJtxrDno2qvf6aFTPRucuGaWx16f8qTlg-zh0UkjAmxNgIqkiO4N18ZFTdQVlLYl7d-SQbNw5DDpah4PF1gW0Sbfe_W-TfwNs7wZHf37He4x7P4WBTGuuY6FBf56vPx8fJPBK1UX5AA-CrDw</recordid><startdate>20070801</startdate><enddate>20070801</enddate><creator>Fernández-Vega, Luis, MD, PhD</creator><creator>Alfonso, José F., MD, PhD</creator><creator>Rodríguez, Pedro P., MD, PhD</creator><creator>Montés-Micó, Robert, PhD</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20070801</creationdate><title>Clear Lens Extraction with Multifocal Apodized Diffractive Intraocular Lens Implantation</title><author>Fernández-Vega, Luis, MD, PhD ; Alfonso, José F., MD, PhD ; Rodríguez, Pedro P., MD, PhD ; Montés-Micó, Robert, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c445t-be06b0ab949b681c7154990b8088e644bf1ad889d5ac3c3ce4bffaadd5c82b943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Acrylic Resins</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>Humans</topic><topic>Hyperopia - physiopathology</topic><topic>Hyperopia - surgery</topic><topic>Lens Implantation, Intraocular</topic><topic>Lens, Crystalline - surgery</topic><topic>Lenses, Intraocular</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Myopia - physiopathology</topic><topic>Myopia - surgery</topic><topic>Ophthalmology</topic><topic>Ophthalmoscopy</topic><topic>Phacoemulsification</topic><topic>Prospective Studies</topic><topic>Prosthesis Design</topic><topic>Tonometry, Ocular</topic><topic>Treatment Outcome</topic><topic>Visual Acuity - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fernández-Vega, Luis, MD, PhD</creatorcontrib><creatorcontrib>Alfonso, José F., MD, PhD</creatorcontrib><creatorcontrib>Rodríguez, Pedro P., MD, PhD</creatorcontrib><creatorcontrib>Montés-Micó, Robert, PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Ophthalmology (Rochester, Minn.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fernández-Vega, Luis, MD, PhD</au><au>Alfonso, José F., MD, PhD</au><au>Rodríguez, Pedro P., MD, PhD</au><au>Montés-Micó, Robert, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clear Lens Extraction with Multifocal Apodized Diffractive Intraocular Lens Implantation</atitle><jtitle>Ophthalmology (Rochester, Minn.)</jtitle><addtitle>Ophthalmology</addtitle><date>2007-08-01</date><risdate>2007</risdate><volume>114</volume><issue>8</issue><spage>1491</spage><epage>1498</epage><pages>1491-1498</pages><issn>0161-6420</issn><eissn>1549-4713</eissn><coden>OPHTDG</coden><abstract>Purpose To assess efficacy, safety, predictability, and stability after clear lens extraction (CLE) with multifocal diffractive intraocular lens (IOL) implantation. Design Prospective, nonrandomized, masked observational case series (self-controlled). Participants Two hundred twenty-four eyes of 112 consecutive patients after CLE with bilateral AcrySof ReSTOR Natural IOL implantation. Eyes were divided into myopic (mean spherical equivalent [SE], −6.01±2.71 diopters [D]) and hyperopic (mean SE, +3.86±2.52 D) groups. Methods Monocular and binocular uncorrected distance visual acuity (VA), best-corrected distance VA, uncorrected distance near VA, and best distance-corrected near VA were recorded preoperatively and 6 months after surgery. Main Outcomes Measures Efficacy, safety, predictability, and stability. Results At 6 months postoperatively, uncorrected distance VA was 20/25 or better in 100% of the eyes. Efficacy indexes were 0.97 for myopic and 0.96 for hyperopic patients. No eye lost ≥2 lines of best-corrected distance VA; for the myopic group, 10 eyes gained 1 line, and 10 eyes gained ≥2 lines; for the hyperopic group, 20 eyes gained 1 line, and 15 eyes gained ≥2 lines. Safety indexes were 1.05 for myopic and 1.02 for hyperopic patients. All eyes were within ±1.00 D of the desired refraction. No eye lost >2 lines of best distance-corrected near VA; for the myopic group, 10 eyes lost 1 or 2 lines, 15 eyes gained 1 line, and 5 eyes gained 2 lines; for the hyperopic group, 8 eyes lost 1 or 2 lines, 20 eyes gained 1 line, and 16 eyes gained 2 lines. Safety indexes at near were 1.05 for myopic and 1.11 for hyperopic patients. Uncorrected distance near VA was better for hyperopic than myopic patients (0.95±0.08 vs. 0.88±0.15). Efficacy indexes at near were 1.03 for myopic and 1.10 for hyperopic patients. Conclusions Clear lens extraction with multifocal IOL implantation is an effective procedure for correcting ametropia and presbyopia. Safety and efficacy indexes at distance were comparable in myopic and hyperopic patients. However, at near, both indexes were larger for hyperopic patients.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>17350687</pmid><doi>10.1016/j.ophtha.2006.10.058</doi><tpages>8</tpages></addata></record> |
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| subjects | Acrylic Resins Aged Biological and medical sciences Female Humans Hyperopia - physiopathology Hyperopia - surgery Lens Implantation, Intraocular Lens, Crystalline - surgery Lenses, Intraocular Male Medical sciences Middle Aged Miscellaneous Myopia - physiopathology Myopia - surgery Ophthalmology Ophthalmoscopy Phacoemulsification Prospective Studies Prosthesis Design Tonometry, Ocular Treatment Outcome Visual Acuity - physiology |
| title | Clear Lens Extraction with Multifocal Apodized Diffractive Intraocular Lens Implantation |
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