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Long Term Clinical Outcomes of Refractive Lens Exchange in Moderate     to High Hyperopia

Long Term Clinical Outcomes of Refractive Lens Exchange in Moderate     to High Hyperopia. Frank Goes, BELGIUM frank@goes.be. To Review Long-term Safety and Efficacy of REFRACTIVE LENS EXCHANGE in 515 EYES

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Long Term Clinical Outcomes of Refractive Lens Exchange in Moderate     to High Hyperopia

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  1. Long Term Clinical Outcomes ofRefractive Lens Exchange in Moderate     to High Hyperopia Frank Goes, BELGIUM frank@goes.be Ascrs 2008

  2. To Review Long-term Safety and Efficacy of REFRACTIVE LENS EXCHANGE in 515 EYES Refraction : mean +6.3 D Age : mean 52 years Follow-up : mean 52 months with 185 eyes > 5 years Axl : mean 20.9 mm (range 16.9 - 23.03) GOES EYE CENTRE ANTWERP BELGIUM Ascrs 2008

  3. COMPLICATIONSIntra-operative - None Postoperative- Short Term : No Infection 14 eyes with transient CME Long Term : No retinal detachment in this seriesRetinal Detachment After Uncomplicated RLESeems To Be Inexistent In Moderate - High Hyperopia

  4. 4 TYPES OF MIOLs Number of eyes + 150 TECNIS ZM900 Multifocal IOLs TOTAL = 515 eyes Ascrs 2008

  5. TECNIS ZM150 MULTIFOCAL IOLs • Diffractive principle • Newest generation high-refractive silicone • Safe centration due to CapC haptics Ascrs 2008

  6. OUTCOMES MONOFOCALS 6.29 REFRACTION DPTR. 0.25 Ascrs 2008

  7. RESULTS 365 MONOFOCAL IOLs Excellent Results Also the Bcva improved! REFRACTION Dptr. 20/25 20/200 Ascrs 2008

  8. DISTANCEVA with the TECNIS MIOLUNCORRECTEDBEST CORRECTED 95% patients always free from glasses :only 4 need glasses for PC work 20/20 20/100 Ascrs 2008

  9. Jaeger NEAR VA with the TECNIS MIOLUNCORRECTED DISTANCE CORRECTED 100% patients can read J2 or better without correction Ascrs 2008

  10. NEAR AT 50 CMPC WORK BINOCULAR -AND -DISTANCE CORRECTED Only 6 patients problems 90% at least J3 Ascrs 2008

  11. CONCLUSIONS • CLEAR LENSECTOMY FOR HYPEROPIA IS PREDICTABLE AND EXTREMELY SAFE • Results are acceptable for Monofocal lenses And extremely good for MULTIFOCAL LENSES TYPE TECNIS • The Tecnis ZM900 Multifocal IOL Provides EXCELLENT NEAR- DISTANCE- AND INTERMEDIATE VISION • Is Indicated for correction of aphakia in Cataract Surgery and in Refractive Lens Exchange, i.e. presbyopia frank@goes.be http://www.goes.be Ascrs 2008

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