Achieving Patient Satisfaction In Refractive Lens Exchange: Could A Mix Provide A Fix?
Published 2022 - 40th Congress of the ESCRS
Reference: PO164 | Type: Free paper | DOI: 10.82333/fxad-wx78
Authors: Mirna Belovari* 1 , Iva Krolo 1 , Derrick Hannan 2 , Stephen Hannan 2 , Ivan Sabol 3
1Optical Express,Zagreb,Croatia, 2Optical Express,Glasgow,United Kingdom, 3Rudjer Boskovic Institute,Zagreb,Croatia
Purpose
To evaluate visual outcomes and patients’ satisfaction after combining two types of intraocular lens (IOL) during refractive lens exchange in patients who came to our clinic with the objective of achieving a refractive solution for presbyopia.
Setting
1Optical Express Group, Zagreb, Croatia and Glasgow, UK, 2Rudjer Boskovic Institute, Zagreb, Croatia
Methods
In this prospective study bilateral lens phacoemulsification with implantation of Tecnis Synergy IOL (ZFR00V) on the non-dominant eye and a Tecnis Eyhance IOL (ICB00) on the dominant eye were performed by the same surgeon. Visual outcomes, including uncorrected distance visual acuity (UDVA), intermediate (UIVA) and near (UNVA) visual acuity, as well as best corrected distance visual acuity (BDVA), distance-corrected intermediate (DIVA) and distance-corrected near visual acuity (DNVA), photic phenomena and patient satisfaction (Optical Express Health and Lifestyle Questionnaire) were assessed pre-op and during the 6 months follow-up period. Exclusion criteria were emmetropic presbyopes, those with any form of ocular pathology, and amblyopia.
Results
Regarding the dominant eyes group (ICB00, N=10) there was a significant improvement of UDVA (from 0.62 to 0.00, p=0.0053), UIVA (from 0.74 to 0.38, p=0.0083), and UNVA (from 0.86 to 0.41, p=0.0135) from preoperative to 6-months postoperative visit. Non-dominant eyes group (ZFR00V, N=10) also showed a significant improvement of UDVA (from 0.64 to 0.05, p=0.0157), UIVA (from 0.79 to 0.38, p=0.0124), and UNVA (from 0.91 to 0.10, p=0.0004) from preoperative to 6-months postoperative visit. Binocular comparison of preoperative to 6-months postoperative values of UDVA (from 0.49 to -0.01, p=0.0051), UIVA (from 0.67 to 0.31, p=0.0083), and UNVA (from 0.76 to 0.10, p=0.0005) showed a significant improvement.
Conclusions
In this study, combination of two different IOLs provided excellent visual performance at distance, intermediate and near, resulting in high levels of patients’ satisfaction and complete spectacle independence in patients for whom distant vision was fairly important.