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Retrospective Comparison of 3177 Eyes Implanted with Presbyopic IOLs

Retrospective Comparison of 3177 Eyes Implanted with Presbyopic IOLs. Carlos Buznego MD Elizabeth A. Davis MD, FACS Guy M. Kezirian MD, FACS William B. Trattler MD Dr. Buznego is a consultant to Alcon, Allergan , Glaukos , Inspire, Ista , QLTI . Purpose.

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Retrospective Comparison of 3177 Eyes Implanted with Presbyopic IOLs

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  1. Retrospective Comparison of 3177 Eyes Implanted with Presbyopic IOLs Carlos Buznego MD Elizabeth A. Davis MD, FACS Guy M. Kezirian MD, FACS William B. Trattler MD Dr. Buznego is a consultant to Alcon, Allergan, Glaukos, Inspire, Ista, QLTI

  2. Purpose • Compare visual outcomes following cataract surgery with presbyopic IOLs at distance, intermediate and near • TecnisAspheric Multifocal +4 Add • CrystalensAccomodatingHD • RestorAspheric Multifocal +3 Add

  3. SurgiVision® DataLink IOL Edition: Comparison • IOL Results Registry: • Data not collected using a protocol, but reported by surgeons into a registry • Administered by SurgiVision® Consultants, Inc. • Funded by Bausch + Lomb,

  4. Methods: Data Filters • Eyes evaluated: Best case scenario • No prior surgery • “Average” measurements • Mean K’s 41.00 – 46.50 • Axial length range 22 – 26.5 mm • Preop corneal astigmatism ≤ 1.00 D • Postop results screened for best results • Postop spheroequivalent ± 0.50 D • Postop astigmatism ≤ 0.75 D

  5. Methods: Analysis • Used last reported postop exam in the 1-3 month interval • Analysis based on Snellen visual acuities alone • Analysis does not consider visual quality: • Contrast • Glare

  6. Results: IOL Counts

  7. UCVA Distance: Mean Acuities

  8. UCVA Intermediate: Mean Acuities

  9. UCVA Near: Mean Acuities

  10. UCVA Distance

  11. UCVA Intermediate

  12. UCVA Near

  13. Results • At distance, all lenses were equivalent. • At intermediate, Crystalens and Tecnis Multifocal were statiscally better than Restor • At near, Tecnis was better than Restor which was better than Crystalens

  14. Comments and Conclusion • Some sampling bias may be present • N different for each lens • Tecnis eyes contributed by a small number of surgeons • This analysis does not control for pupil size • Pupil size may affect performance of presby-IOL’s • Vision quality not evaluated (glare, mesopic visual function, low contrast acuity, etc.) • Further evaluation is necessary

  15. Thank you.

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