Refractive lens exchange with a multifocal diffractive aspheric intraocular lens

Ferrer-Blasco, Teresa; García‐Lázaro, Santiago; Albarrán-Diego, César; Belda-Salmerón, Lurdes; Montés‐Micó, Robert

doi:10.1590/s0004-27492012000300009

Cited by 5 publications

(3 citation statements)

References 32 publications

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“…A literature review was conducted to identify published LASIK 3, 4, 6-8, 10-14, 16, 20, 22-27, 29, 31-39, 41-50, 57-59 (PRK studies were not included) and intraocular lens studies (clear lens exchange, phakic IOLs) [60][61][62][63][64][65][66][67][68][69][70][71][72][73][74][75][76] reporting results of hyperopic greater than +4.00 D. The main outcome parameters are shown in…”

Section: Literature Reviewmentioning

confidence: 99%

LASIK for the Correction of High Hyperopic Astigmatism With Epithelial Thickness Monitoring

Reinstein¹,

Carp²,

Archer³

et al. 2017

J Refract Surg

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Section: Literature Reviewmentioning

confidence: 99%

LASIK for the Correction of High Hyperopic Astigmatism With Epithelial Thickness Monitoring

Reinstein¹,

Carp²,

Archer³

et al. 2017

J Refract Surg

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“…Hence the improvements in near vision can be offset by these side effects. Diffractive multifocal IOLs have demonstrated good safety, efficacy and predictability in correcting high ametropia and presbyopia in refractive lens exchange,5 but again a large percentage of patients report halos, glare and starburst phenomenon 6…”

Section: Introductionmentioning

confidence: 99%

Clinical evaluation of a multifocal aspheric diffractive intraocular lens

Schmickler¹,

Bautista

Goes³

et al. 2013

Br J Ophthalmol

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“…In light of the advantages and limitations of each approach, determination of the more superior treatment remains controversial (14) . This study compared LRI placement and toric IOL implantation for the treatment of preoperative astigmatism during phacoemulsification using both nonvectorial (predictability, safety, and efficacy indices (15) and vectorial analyses.…”

Section: Treatment Of Astigmatism During Phacoemulsificationmentioning

confidence: 99%

Treatment of astigmatism during phacoemulsification

Freitas¹,

Boteon²,

Carvalho³

et al. 2014

Arquivos Brasileiros De Oftalmologia

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Purpose: To compare the effectiveness of limbal relaxing incisions (LRI) with that of toric intraocular lens (IOL) implantation for the treatment of astigmatism during phacoemulsification using nonvectorial (predictability, safety, and efficacy) and vectorial analyses. Methods: This longitudinal observational case series assessed 62 eyes of 31 consecutive cataract patients with preoperative corneal astigmatism of 0.75-2.50 diopters (D) in both eyes. Patients were randomly assigned to 2 groups: a toric IOL group, which received toric IOLs in both eyes, and an LRI group, which received spherical IOLs associated with LRI placement in both eyes. All patients were evaluated at 1, 3, and 6 months after surgery, when refractive astigmatism analysis was performed using both nonvectorial and Alpins vectorial methods. Outcomes were assessed within each group and compared between groups. Results: The proportion of eyes within ±0.50 D of the intended correction at 3 and 6 months after surgery was 75% and 71.88%, respectively, in the LRI group and 40% and 66.67%, respectively, in the toric IOL group. In the remaining period, the proportion was greater in the toric IOL group. The safety index showed no difference at any time point. The efficacy index at 1 and 3 months after surgery was significantly higher in the toric IOL group (0.43 and 0.44, respectively) than in the LRI group (0.31 and 0.36, respectively). At 6 months after surgery, the status of eyes in the LRI group was as follows: 53.13% were undercorrected, 43.74% achieved the intended correction, and 3.13% were overcorrected. In the toric IOL group, 16.76% eyes were undercorrected, 76.67% achieved the intended correction, and 6.67% were overcorrected. The success rates for astigmatic surgery, astigmatism reduction at the intended axis, and astigmatism corrected were 43%, 62%, and 64%, respectively, in the LRI group and 57%, 81%, and 94%, respectively, in the toric IOL group. Conclusions: Our results suggest that the use of toric IOLs may be advantageous over the use of LRIs for the treatment of astigmatism during phacoemulsification. Although such advantages seem subtle in nonvectorial analyses, they are highlighted in vectorial analyses.

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Refractive lens exchange with a multifocal diffractive aspheric intraocular lens

Abstract: Purpose: To evaluate the safety, efficacy and predictability after refractive lens exchange with multifocal diffractive aspheric intraocular lens implantation. Methods: Sixty eyes of 30 patients underwent bilateral implantation with AcrySof ® ReSTOR ®

Cited by 5 publications

References 32 publications

LASIK for the Correction of High Hyperopic Astigmatism With Epithelial Thickness Monitoring

LASIK for the Correction of High Hyperopic Astigmatism With Epithelial Thickness Monitoring

Clinical evaluation of a multifocal aspheric diffractive intraocular lens

Treatment of astigmatism during phacoemulsification

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