Authors: Col. Assoc.Prof. Jiri Pasta, MD, PhD. Katerina Buusova Smeckova, MD, MBA Jaroslav...

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Authors: Col. Assoc.Prof. Jiri Pasta, MD, PhD. Katerina Buusova Smeckova, MD, MBA Jaroslav Madunicky, MD Eva Vyplasilova , MD Department of Ophthalmology of the First Faculty of Medicine of Charles University and Central Military Hospital, Prague None of the authors has a financial interest on the presented data.

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Transcript of Authors: Col. Assoc.Prof. Jiri Pasta, MD, PhD. Katerina Buusova Smeckova, MD, MBA Jaroslav...

Page 1: Authors: Col. Assoc.Prof. Jiri Pasta, MD, PhD. Katerina Buusova Smeckova, MD, MBA Jaroslav Madunicky, MD Eva Vyplasilova, MD Department of Ophthalmology.

Authors: Col. Assoc.Prof. Jiri Pasta, MD, PhD.Katerina Buusova Smeckova, MD, MBA

Jaroslav Madunicky, MD Eva Vyplasilova , MD

Department of Ophthalmology of the First Faculty of Medicine of Charles University and Central Military

Hospital, Prague

None of the authors has a financial interest on the presented data.

Page 2: Authors: Col. Assoc.Prof. Jiri Pasta, MD, PhD. Katerina Buusova Smeckova, MD, MBA Jaroslav Madunicky, MD Eva Vyplasilova, MD Department of Ophthalmology.

PurposeRetrospective study of 17 patients (25 eyes)

who under came premium IOL implantation since 2007 and consequently a laser correction (PRK) of the residual refractive error (cylindrical and spherical).

Change in the refractive error (Dsf and Dcyl) and uncorrected visual acuity was compared with the results of the patient satisfaction survey.

ASCRS Boston 2010

Page 3: Authors: Col. Assoc.Prof. Jiri Pasta, MD, PhD. Katerina Buusova Smeckova, MD, MBA Jaroslav Madunicky, MD Eva Vyplasilova, MD Department of Ophthalmology.

Setting / Venue17 patients (10 women, 7 men)Mean age: 46 let [23 ; 62 ]Mean Dsf preop: hyperopes: +4,46 Dsf [+1,5; +8,0]

myopes: -7,88 [-14,0; -1,75]Mean Dcyl: -1,2 Dcyl [-3,0;0] preopMean BCVA preop: 0,87 [0,2; 1,0]Mean AR: +4,25 Dsf [-13,5 ;+9,75] -1,21 Dcyl [-

3,25;+3,5]6 patients with light amblyopia, 1 patient with the

senile cataract, 1 patient with the traumatic cataractAll laser corrections were performed on VISX STAR S4

IR.ASCRS Boston 2010

Page 4: Authors: Col. Assoc.Prof. Jiri Pasta, MD, PhD. Katerina Buusova Smeckova, MD, MBA Jaroslav Madunicky, MD Eva Vyplasilova, MD Department of Ophthalmology.

Methods: Prior the premium IOL

implantation and laser treatment BCVA and autorefractometry measurements were performed. Both anterior and posterior segment were evaluated.

Standard cataract / RLE surgery was performed-Infinity phaco, incision 2,2mm, one surgeon, in the case of the higher astigmatism incision in the K max, no relaxation incisions.

Patients were treated with VISX Star S4 IR and PRK method.

Uncorrected visual acuity and autorefractometry measurements were performed 1, 3 and 6 months postoperatively.

Satisfaction was evaluated with a questionnaire. Patients were asked about their vision, night vision problems, overall satisfaction, eye dryness problems, if they would undertake the procedure once again and if they would recommend it to their friend. Patients were asked to list advantages and disadvantages of the procedure.

ASCRS Boston 2010

Page 5: Authors: Col. Assoc.Prof. Jiri Pasta, MD, PhD. Katerina Buusova Smeckova, MD, MBA Jaroslav Madunicky, MD Eva Vyplasilova, MD Department of Ophthalmology.

ASCRS Boston 2010

Page 6: Authors: Col. Assoc.Prof. Jiri Pasta, MD, PhD. Katerina Buusova Smeckova, MD, MBA Jaroslav Madunicky, MD Eva Vyplasilova, MD Department of Ophthalmology.

Patient satisfaction survey I.Has your vision improved after the laser enhancement?

Do you need to wear glasses after the laser enhancement?

ASCRS Boston 2010

Page 7: Authors: Col. Assoc.Prof. Jiri Pasta, MD, PhD. Katerina Buusova Smeckova, MD, MBA Jaroslav Madunicky, MD Eva Vyplasilova, MD Department of Ophthalmology.

Patient satisfaction survey II.Do you have problems with dry eye?After the IOL implantation After the laser

enhancement

ASCRS Boston 2010

Page 8: Authors: Col. Assoc.Prof. Jiri Pasta, MD, PhD. Katerina Buusova Smeckova, MD, MBA Jaroslav Madunicky, MD Eva Vyplasilova, MD Department of Ophthalmology.

ASCRS Boston 2010

Page 9: Authors: Col. Assoc.Prof. Jiri Pasta, MD, PhD. Katerina Buusova Smeckova, MD, MBA Jaroslav Madunicky, MD Eva Vyplasilova, MD Department of Ophthalmology.

Patient satisfaction survey IV.How would you evaluate your overall vision?

How would you evaluate your night vision?

2,7 after IOL

1,5 after bioptics

2,4 after IOL

1,8 after bioptics

ASCRS Boston 20101=the best 5=the worst

Page 10: Authors: Col. Assoc.Prof. Jiri Pasta, MD, PhD. Katerina Buusova Smeckova, MD, MBA Jaroslav Madunicky, MD Eva Vyplasilova, MD Department of Ophthalmology.

Patient satisfaction survey V. What kind of advantages and disadvantages did the laser enhancement brought to you?Advantages Disadvantages

No need for glassesHeadache reductionFreedom in sport

activities

Pain, unpleasant feelingsProlonged recovery, as well

as ability to return completely to working process

Dry eye syndromeDelayed ability to focus,

longer reaction timeAdditional costs

ASCRS Boston 2010

Page 11: Authors: Col. Assoc.Prof. Jiri Pasta, MD, PhD. Katerina Buusova Smeckova, MD, MBA Jaroslav Madunicky, MD Eva Vyplasilova, MD Department of Ophthalmology.

Comparison of possible astigmatism correction means

ASCRS Boston 2010

Page 12: Authors: Col. Assoc.Prof. Jiri Pasta, MD, PhD. Katerina Buusova Smeckova, MD, MBA Jaroslav Madunicky, MD Eva Vyplasilova, MD Department of Ophthalmology.

ConclusionBIOPTICS seems to be safe and

undepreciated alternative to the other astigmatic correction means (glasses, toric contact lenses, astigmatic keratotomy and the toric IOL implantation).

Patient satisfaction is high.

Final vision quality is influenced by the preoperative functional properties of the eye.

ASCRS Boston 2010


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