Patient Outcomes 3 Years Post Bilateral Implantation of an Apodized Diffractive IOL

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Patient Outcomes 3 Years Post Bilateral
Implantation of an Apodized Diffractive IOL

• Robert Kaufer, M.D.

Consultant Alcon Laboratories, Fort Worth
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Purpose

• To report objective and subjective patient
  outcomes three years after bilateral implantation
  of an apodized diffractive multifocal IOL.

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Methods

• 1 Argentine investigative site
• 18 patients
• Surgeons earliest cohort of patients bilaterally
  implanted with AcrySof ReSTOR IOLs
• lt 1 D postoperative astigmatism
• No compromising ocular conditions
• - (package insert Precautions section)
• Provided written consent to participate in
  additional postoperative testing

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Methods

• 3 Year postoperative assessments
• Visual Acuity (UCVA BSCVA)
• - 4m (far),
• - 60cm 50cm (intermediate)
• - Patient preferred (near)
• Questionnaire
• - Spectacle freedom
• - Visual disturbances
• - Improvement of disturbances over time

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Questionnaire

• Do you wear glasses for any activity?
• If yes, please describe.
• Did you notice your vision improve over time?
• Do lights bother you at night?
• If yes, has this improved/lessened over time?
• Would you recommend this surgery to a friend?
• If you could change something about your vision,
  what would it be?
• Do you have any antidotes/story related to your
  new vision?

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Results
Intermediate (60cm)
Intermediate (50cm)
Near (Pt Preferred)
Far (4m)
20/16
20/20
20/25
Snellen
20/30
20/40
20/50
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Results

2 patients require spectacles for some
activities. Both are satisfied with vision.
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Results
One patient would not recommend to a friend.
His/her comment was, The only thing that bothers
me are the incoming lights at night when I drive.
I would change that.. They bothered me also
before the surgery. One patient reported the
surgery did not meet his/her expectations.
His/her comment was, The lights at night are
really bothersome.
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Patient Antidotes/Stories

• Left the OR from the first eye and I could see
  all the numbers on the streets. I couldnt wait
  for the second eye to be operated on. I was
  impacted with all that I could see.
• At the beginning I would always look for my
  glasses before reading (old habit).
• Nothing better than no glasses needed.

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Conclusions

• High level of spectacle freedom (89) MAINTAINED
  for 3 years.
• Visual disturbances LESSEN over time 82 of
  patients.
• Excellent patient SATISFACTION STABILITY over 3
  year period. period.