Clinical results with Diffractive Acritec Multifocal IOL implantation following cataracts and myopic and hyperopic clear lens

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Clinical results with Diffractive Acritec
Multifocal IOL implantation following cataracts
and myopic and hyperopic clear lens

• Margarita Cabanás, MDContributing Authors
  Fernando LLovet, MD, PhD, Jaime Beltrán, MD,
  Rafael Luchena,, MD, Victoria de Rojas MD, PhD,
  Julio Baviera, MD.

Non Financial Interest
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Purpose

• Evaluate visual outcomes and patients
  satisfaction after cataract or clear lens surgery
  with diffractive multifocal Acritec 366D
  implantation.
• Setting Clínica Baviera, Instituto Oftalmológico
  Europeo, Spain.

Non Financial Interest
Margarita Cabanás, MD
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Methods

• 265 patients underwent cataract , myopic or
  hyperopic clear lens extractions in both eyes
  (530 eyes).
• They underwent phacoemulsification with topic
  anaesthesia and implantation an Acritec
  366D diffractive multifocal IOL.
• Shorter time or follow-up were six months.
• Uncorrected and best corrected far, middle and
  near vision were recorded after one, two and
  three months after surgery.
• Contrast sensitivity testing was examined.
• Patients completed a questionnaire about their
  subjective perception of visual function or
  satisfaction test.

Non Financial Interest
Margarita Cabanás, MD
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Results

• Best uncorrected vision were qualified by
  patients like very good and good in 92 of cases
  in far distance, 76 in middle vision and 82 in
  near vision.
• 88 patients didnt notice changes driving at
  night after surgery and 96 achieved good night
  vision.
• Contrast sensitivity test showed profit in all
  the frequencies, without statistically
  significance differences (probably because of
  cataract group).
• 98 of patients were satisfied or very satisfied
  ant 99,3 would underwent same surgery again.

Non Financial Interest
Margarita Cabanás, MD
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Visual Acuity
Post UCVA
Pre CVA
FV monoc FV binoc NV monoc NV binoc MV binoc
FV monoc FV binoc
AVERAGE
Pre CVA
Post UCVA
FV monoc FV binoc
FV monoc FV binoc NV monoc NV binoc MV binoc
AVERAGE
Non Financial Interest
Margarita Cabanás, MD
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Near Visual Acuity
Non Financial Interest
Margarita Cabanás, MD
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Contrast Sensitivity
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Satisfaction Test I
MIDDLE VISION
FAR VISION
NEAR VISION
1. VERY BAD
1. VERY BAD
1. VERY BAD
2. BAD
2. BAD
2. BAD
3. MODERATE
3. MODERATE
3. MODERATE
4. GOOD
4. GOOD
4. GOOD
5. VERY GOOD
5. VERY GOOD
5. VERY GOOD
16,5
30,5
41,5
VERY GOOD
VERY GOOD
VERY GOOD
92
76
82
GOOD
GOOD
GOOD
61,5
59,5
40,5
MODERATE
MODERATE
MODERATE
4,7
21,5
13,1
Non Financial Interest
Margarita Cabanás, MD
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Satisfaction Test II
NIGHT DRIVING
NIGHT VISION
1. QUITS ON DRIVING
1. WORSTER
2. WORST (FEELS UNSAFE)
2. BIT WORST
3. WORST (WITHOUT PROBLEMS)
3. SAME OR BETTER
4. SAME OR BETTER
57,5
SAME OR BETTER
SAME OR BETTER
94
88
96
WORST (without problems)
30,5
BIT WORST
2
WORST (feels unsafe)
10,6
Non Financial Interest
Margarita Cabanás, MD
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Satisfaction Test III
SURGERY SATISFACTION
WOULD GET SURGERY AGAIN ?
1. UNSATISFIED
1. YES
2. BIT SATISFIED
2. NO
3. SATISFIED
4. VERY SATISFIED
VERY SATISFIED
69
99,3
YES
98
29
0,7
SATISFIED
NO
2
BIT SATISFIED
Non Financial Interest
Margarita Cabanás, MD
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Conclusions

• Implantation of Diffractive Multifocal Acritec
  366D, provides good near, middle and distance
  uncorrected vision and offers patients a better
  quality of life.

Non Financial Interest
Margarita Cabanás, MD
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THANK YOU

• mcabanas_at_clinicabaviera.com