Ante Barisic Ppt

8/2/2019 Ante Barisic Ppt

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RLE with Implantation of

Diffractive and RefractiveIntraocular Lens:

A 5 Years Follow Up

Ante Barii, Nikica Gabri, Iva Dekaris, Nataa Draa, Ivana

Romac, Vlade Glavota, Maja Boha, Branka Juri

University Department of OphthalmologyEye Hospital Svjetlost

Zagreb, Croatia

Dubrovnik Ophthalmology Academy 2011


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Multifocal Intraocular

Lenses Excellent results in cataract surgery

Optimal presbyopia treatment at themoment?

Satisfactory results in hyperopic andpresbyopic patients

Side-effects!Dubrovnik Ophthalmology Academy 2011


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Patients and Methods

310 patients bilateral RLE with Tecnis MFIOL(620 eyes)

230 patients bilateral RLE ReZoom IOL (460eyes)

Binocular UCDVA, BCDVA, UCIVA, UCNVAwere assessed at different distances and contrast

levels spectacle independence, satisfaction, visual

disturbances and need for enhancements wereevaluated



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Results (UCDVA)

0

10

20

30

40

50

60

70

1.0/logMAR 0.0 0.8/logMAR 0.1 0.63/logMAR 0.2

%

ofPatients

BINOCULAR UNCORRECTED DISTANCE VISUAL ACUITY

Tecnis ReZoom



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Results (UCNVA)

0

10

20

30

40

50

60

70

80

90

100

J1 J2 J3 J4 J5

%o

fPatients

BINOCULARUNCORRECTED NEAR VISION ACUITY

Tecnis

ReZoom



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Results (UIDVA)

0

10

20

30

40

50

60

70

1.0/logMAR 0.0 0.8/logMAR 0.1 0.63/logMAR 0.2 0.5/logMAR 0.3

%o

fPatients

BINOCULAR UNCORRECTED INTERMEDIATE VISUAL ACUITY

Tecnis ReZoom



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ResultsPortion of Time Wearing Glasses

0

10

20

30

40

50

60

70

80

90

100

Never Some Half All

%o

fPatients

Portion of Time Wearing Glasses

Tecnis

ReZoom



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Results

Mean BCDVA At Different Contrast Conditions

Photopic

0

0.2

0.4

0.6

0.8

1

1.2

1.4

100% 25% 10%MeanBinocu

larBestCorrectedDistanceVisualAcuity

Contrast Chart Percentage

Tecnis ReZoom

Photopic Condition



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Results

Mean BCDVA At Different Contrast ConditionsMesopic

0

0.2

0.4

0.6

0.8

1

1.2

100% 25% 10%MeanBinocu

larBestCorrectedDistanc

eVisualAcuity

Contrast Chart Percentage

Tecnis ReZoom

Mesopic Condition



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ReZoom Tecnis P Value

UCDVA MEAN 0,92 0,9 *>0.05UCDVA (%) 0.8(logMAR 0.1) 93,47 91,93 *>0.05

HC BCDVA MEAN 1,05 0,986 *>0.05

LC BCDVA(25%) MEAN 0,9 0,8 *>0.05

LC BCDVA(10%) MEAN 0,72 0,66 *>0.05

HC BCDVA MEAN 0,92 0,95 *>0.05

LC BCDVA(25%) MEAN 0,68 0,7 *>0.05LC BCDVA(10%) MEAN 0,5 0,59 *>0.05

HC UCIVA MEAN 0,8 0,76 *>0.05

UCIVA (%) 0.63(logMAR 0.2) 96,44 93,82 *>0.05

LC UCIVA(10%) MEAN 0,5 0,55 *>0.05

UCNVA MEAN /at preffered distance J2.3 J1.13 *


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PATIENT SATISFACTION

Group

ReZoom TecnisWould you choose the

same lens again? Yes/No 93.9%/6.1% 96.8%/3.2%

Overall subjectivesatisfaction 1-10 (10 = completely satisfied) 8.4 9.1

Difficulties in everyday activities

TV


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Conclusion

Tecnis MFIOL gives patients a high rate of spectacle independence

at all distances with a low rate of visual disturbances

ReZoom patients have poorer near vision, an option for patients

who demand good intermediate and far vision Quality of vision and contrast sensitivity under mesopic conditions

is satisfying in both lenses

Residual refractive errors can be efficiently corrected with LASIK or

PRK

A period of neuroadaptation is required for optimization of results



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Thank You for Your Attention!

Ante Barisic Ppt

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