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1. Comparative Binocular Defocus Curves after Contralateral AcrySof ReSTOR +3/+4 Aspheric and Bilateral ReSTOR +3 Aspheric Implantation Charith Fonseka, M.D.
2. IOL Designs
3. ReSTOR Aspheric +3 (SN6AD1) Utilizes existing ReSTOR Aspheric +4 D platform with identical asphericity, energy distribution profile, and shape factor
Modified add power from +4 D to +3 D
9 diffractive rings vs. 12 diffractive rings
Slightly wider ring spacing to modify the add power
Provides:
1 1.5 lines improvement in intermediate VA
No significant differences in visual disturbances
4. Prospective Study Design Group 1: 21 patients with bilateral IQ ReSTOR +3 D Aspheric IOLs
Group 2: 20 subjects for contralateral IQ ReSTOR group
randomized to receive the IQ ReSTOR +3 D Aspheric IOL in one eye and the IQ ReSTOR +4 D Aspheric IOL in the other eye
Inclusion criteria for both groups
= 70 years old
=1 D astigmatism
No pre-existing conditions that might affect results
Comparative Data
Refractive data
Demographics
Defocus curves
were collected at 6 months postoperatively for bilateral group
will be collected at 6 months postoperatively for contralateral group
5. Preoperative Patient Demographics Contralateral group
Average age: 59 7 years
71% male, 29% female
Average spherical equivalent: 0.8 1.5 D
Average distance BSCVA: 0.2 0.2 logMAR
Bilateral group
Average age: 62 7 years
38% male, 62% female
Average spherical equivalent: 1.2 1.9
Average distance BSCVA: 0.4 0.4 logMAR
6. Mean UCVAs at 3 Months
7. Mean Best Distance-Corrected VAs at3 Months Postoperative
8. BSCVA Binocular Defocus Curvesat 3 Months Postoperative No statistical differences at any vergence
To make valid comparisons, need larger numbers of patients
9. Conclusions Preliminary results with small numbers of patients suggest that implantation of an IQ ReSTOR +3 D IOL contralateral to an IQ ReSTOR +4 D IOL
Provides good visual acuityat near, intermediate, and far distances
Provides visual acuity SIMILAR to that of patients withbilateral IQ ReSTOR +3 D IOLs