Outcomes of Presbyopic Intraocular Lens Implants ID: 414200

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Outcomes of Presbyopic IOLs
Parag Parekh, MD, MPA Mona Fahmy, OD David R.
Hardten, MD, FACS
Financial Disclosure Dr. HardtenAMO, Allergan,
Addition, Alcon, BL, ESI, Ophtec, Refractec,
Staar, TLC, VISX, VisiJet Dr. Parekh Dr.
Fahmy None
ASCRS Poster ID 414200
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Purpose Methods

• Purpose
• To review the post-operative outcomes of patients
  undergoing presbyopic lens implantation in one or
  both eyes with the ReZoom, ReSTOR or crystalens
  intraocular lens.
•  
• Methods
• A retrospective analysis was performed including
  all Minnesota Eye Consultants patients undergoing
  presbyopic lens placement after cataract surgery
  and/or clear lens extraction between the dates of
  1/1/2004 and 12/31/2006. 

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Results

• Overall Demographics
• 231 eyes of 137 patients
• 42 Males, 58 Females
• Average age 57.8 years
• IOL Breakdown
• ReZoom 86 eyes (37)
• ReSTOR 40 eyes (17)
• crystalens 105 eyes (45)
• Indications for surgery
• Cataract 224 (97)
• Clear lens exchange 6 (2.6)
• IOL Exchange 1 (0.04)

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Results Bilateral ReSTOR

• Demographics
• 36 eyes of 21 patients (6 male, 15 female)
• Average age 57 years
• Indication Cataract
• Additional Surgery
• 12 LASIK
• 2 PRK
• 19 YAG Capsulotomy

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Bilateral ReSTOR Outcomes
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Results Bilateral ReZoom

• Demographics
• 81 eyes of 49 patients (15 male, 34 female)
• Average age 58.4 years
• Indication 79 Cataract, 1 Clear lens exchange, 1
  IOL exchange
• Complications
• 1 PC Tear Anterior Vitrectomy
• 2 Retinal Tears
• 1 Possible BRAO
• 1 Retinal Detachment
• 1 Uveitis
• Additional Surgery
• 4 LASIK
• 1 PRK
• 3 IOL exchange
• 15 YAG Capsulotomy
• 1 Scleral buckle/Vitrectomy for RD, 1 PTK for ABMD

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Bilateral ReZoom Outcomes
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Results Bilateral crystalens

• Demographics
• 102 eyes of 62 patients (33 male, 29 female)
• Average age 56.8 years
• Indication 97 Cataract, 5 Clear lens exchange
• Complications
• 2 CME
• 5 Lens Malposition/Poor Vault
• 1 Capsule Contraction
• 2 Edge Glare
• Additional Surgery
• 17 LASIK
• 5 PRK
• 2 IOL Exchange
• 52 YAG Capsulotomy
• 3 IOL Repositioning
• 1 Piggyback IOL
• 1 CK (conductive keratoplasty)

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Bilateral crystalens Outcomes
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Results Mixed IOL

• Demographics
• 12 eyes of 6 patients (4 male, 2 female)
• Average age 66.3 years
• Indication Cataract
• Mixed IOL Combinations
• 2 ReZoom crystalens
• 3 ReZoom ReSTOR
• 1 ReSTOR crystalens
• Additional Surgery
• 1 LASIK
• 4 YAG Capsulotomy

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Results Mixed IOL Outcomes
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Conclusion

• Presbyopic intraocular lenses offer the
  possibility of functional distance and near
  vision, without the use of glasses in many
  patients.
• Preoperative counseling is important in setting
  appropriate expectations for the procedure, and
  additional effort in the preoperative and
  postoperative period is important in obtaining a
  good result.