Trifocal IOLs. Clinical Evaluation. Alaa Eldanasoury, MD Magrabi Hospitals & Centers
|
|
- Colin Norris
- 5 years ago
- Views:
Transcription
1 Trifocal IOLs Clinical Evaluation Alaa Eldanasoury, MD Magrabi Hospitals & Centers
2 Samos, 1996
3 Athens, 2007
4 Athens, 2009
5 Athens, 2013
6 Athens, 2018
7 Trifocal IOLs Clinical Evaluation Alaa Eldanasoury, MD Magrabi Hospitals & Centers
8 Financial Disclosures Consultant to: Nidek Staar Surgical PhysIOL
9
10
11 At least in my practice Bifocal IOLs were never the standard of care Issues: 1. Poor Intermediate vision. 2. Photic Phenomena. Consequences: 1. Long chair time. 2. Relatively high rate of unsatisfied patients.
12 Multifocal IOLs Bifocals Trifocals EDOF ReStor (Alcon) Tecnis (AMO) Fine Vision (PhysIOL) AT Lisa (Zeiss) PanOptix (Alcon) Symfony (AMO)
13 Fine Vision AT LISA PanOptix Symfony Manufacturer PhysIOL Zeiss Alcon Abbott Concept Trifocal Trifocal Trifocal EDOF Material Hydrophilic/ Hydrophobic Hydrophilic/ hydrophobic surface properties Hydrophobic Hydrophobic Haptic Design Double C loop Plate Haptic C loop C loop Optic Diameter 6.00 mm 6.00 mm 6.00 mm 6.00 mm Diffractive zone 6.00 mm 4.34 mm 4.5 mm - Apodization Yes Non apodized Non apodized Non apodized Asphericity µm µm µm µm
14 Fine Vision AT LISA PanOptix Symfony Available power +6.0 to D 0.00 to D +6.0 to D +5.0 to D Near Add (IOL plane) 3.50 D (40 cm) 3.33 D (40 cm) 3.25 D (40 cm) - Int Add (IOL plane) 1.75 D (80 cm) 1.66 D (80 cm) 2.17 D (60 cm) 1.75 D* Total energy loss 14% 14% 12% - Toric design POD FT 939MP Panoptix Toric ZXT Cylinder (IOL plane) 1.00 to 6.00 D 1.00 to D 1.5 to 6.00 D 1.00 to 3.75 D
15 PODF (PhysIOL)
16
17
18
19 Clinical Evaluation of Trifocal IOLs Interim Results Prospective Study on consecutive patients. 32 patients (64 eyes) 24 patients (48 Eyes) completed the 3 months exam. Inclusion criteria: Bilateral cataract. No ocular co-morbidity. Phacoemulsification with trifocal POD-F / PODFT (PhysIOL) Both eyes treated during the same week Excluded: Patients with high corneal irregularities. Significant dry eyes. Macular pathology. Glaucoma.
20 Clinical Evaluation of Trifocal IOLs: I. Visual Acuity: FINe Uncorrected. Distance corrected. II. Range of pseudoaccommodation: Defocus curve III. Quality of vision: Scatter (OSI, HD Analyzer). Modulation transfer function (cut off ratio). Contract Sensitivity (HACSS, CTS). IV. Patients satisfaction: Subjective questionnaire.
21 I- Evaluation of Visual Acuity Visual acuity testing Clinical Trial Suite (CTS): Eliminate technician bias Sloan letters Randomized Configured for intermediate and near vision testing Generates automated defocus curves
22 I- Evaluation of Visual Acuity Glare Conditions
23 III- Evaluation of Visual Acuity Near (40 cm) & Intermediate Vision (80 cm)
24 Percent of Total Eyes I- Evaluation of Visual Acuity Refractive Outcome at 3 months 48 Eyes 24 patients Refractive outcome - Percentage within Attempted 100% 100% 100% 83% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% MRSE at 3 months
25 Percent of Total Eyes I- Evaluation of Visual Acuity Cumulative UDVA at 3 month (monocular) 48 Eyes of 24 patients Cumulative UDVA 100% 91% 100% 100% 80% 73% 60% 40% 20% 0% 0% 18% 0% UDVA at 3 months
26 Percent of Total Eyes I- Evaluation of Visual Acuity Monocular DCIVA at 80 cm 48 Eyes of 24 patients Cumulative DCIVA - Percentage 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 25% 25% 75% 100% 100% DCIVA at 80 cm
27 Percent of Total Eyes I- Evaluation of Visual Acuity Monocular DCNVA at 40 cm 50 Eyes of 25 patients Cumulative DCNVA at 40 cm 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 63% 100% 100% DCNVA at 40 cm
28 DCVA (LogMAR) II- Evaluation of Range of pseudoaccommodation Defocus Curve <30 YO Monofocal 0.70 Bifocal 0.80 Trifocal Distance Vision Intermediate Vision Near Vision cm 40 cm Defocus (Variable Distance Simulation)
29 DCVA (LogMAR) II- Evaluation of Range of pseudoaccommodation Defocus Curve Trifocal Binocular (3 mo) Trifocal Monocular (1 mo) Distance Vision Intermediate Vision Near Vision cm 40 cm Defocus (Variable Distance Simulation)
30 III- Evaluation of Quality of Vision Clinical Trial Suite Mesopic Contrast Sensitivity with Glare
31 Log Contrast III- Evaluation of Quality of Vision Average Contrast Sensitivity Curve 48 Eyes of 24 3 months 2.50 Mesopic HACSS Trifocal Normal CPD 3 CPD 6 CPD 12 CPD
32 Objective Scatter Measurement
33 Objective Scatter Index
34 PREOP 3 Mo Post PODF
35 PREOP 3 Mo Post PODFT
36
37 IV- Evaluation of Patients Satisfaction Subjective Questionnaire at 3 months All patients are very satisfied or satisfied with FINe vision 12.5% patients reported halos at night. 87.5% patients had non-disturbing photic phenomena when asked. No patients were dissatisfied with vision at any distance. No patients is using spectacles at any distance. All patients would have the same lens again.
38 What we learned so far: Trifocal IOLs give satisfactory far, Intermediate and near vision. Well informed patient. Night vision phenomena remain but the trade-in is very acceptable. Essentials for proper clinical evaluation: Distance corrected Near and Intermediate vision charts / CTS. Defocus curve. Scatter measurement (OSI). Contrast Sensitivity. Tear film assessment.
39 Acknowledgment Cornea & Refractive Surgery Team Magrabi Main Hospital Alaa Eldanasoury, MD Sherif Tolees, MD Ahmed Zaid, MD Carlos Arana, OD Ahmed Qassem, OD Christina Arana, OD Tamer Mabrouk, MBA Marj Aldeguer, RN Mabelle Boco, RN Irish Yabanez, RN Sophia Sorbito, RN Ms. Marwa Abu Elsaoud. Ms. Arwa Bajamal.
40 Thank You!
41 Best candidates for Trifocals Patients with OSI above 1.0 Normal tear film. Hyperopes.
42
43 Missing CTS photos
44
45 Distance beach Intermediate laptop Near iphone
46 DIFFRACTIVE STEPS The IOL curvature determines the power for distant vision
47 I - Surgical Reversal of Presbyopia 1- Silicone Expansion Plug Implant SEP
48 Surgical Reversal of Presbyopia Scleral Spacing Procedure SSP
49 Pseudo-accommodation Corneal Inlays
50 Pseudo-accommodation Accommodative IOL
51 Pseudo-accommodation Vivarte Presbyopic lens Distant Near Distant Courtesy, Prof G. Baikoff
52 Multifocal Cornea Central Myopic Island Courtsey, A. Telandro
53 Kamra
54 DIFFRACTIVE STEPS The diffractive grating is providing the addition For each step, the light focuses at two foci + some lost light energy
55 DIFFRACTIVE STEPS The added power is a function of the step width: The wider the steps, the smaller the addition. The narrower the steps, the higher the addition.
56 DIFFRACTIVE STEPS Energy Distribution is a function of the step height: The lower the steps, the higher the quantity of energy for far vision The higher the steps, the higher the quantity of energy for near vision
57 Objective Scatter Index
58 Average Defocus Curve at 1 month Distance 1 m 66 cm 40 cm 30 cm
59 Objective Evaluation of Accommodation Range
60 Subjective Questionnaire at 3 months How satisfied are you with the far vision? How satisfied are you with near vision? How satisfaction are you with Intermediate vision? Do you experience difficulty at night?
61 COMBINATION OF TWO DIFFRACTIVE STRUCTURES 1 st diffractive structure 2 nd diffractive structure Order 0 FAR VISION Order D Near vision D Intermediate vision Order D Lost light D Near vision Energy gain allowing a significant improvement in intermediate vision while maintaining far and near vision
62
63 Intermediate Vision
64
65 Clinical Outcomes 12 Eyes of 6 patients All had bilateral trifocal POD F IOL (PhysIOL) Both eyes treated within 1 week All had excellent visual potential
66 DIFFRACTIVE STEPS Decreasing step height from the center to the periphery = variable repartition of the energy between far and near vision with respect to the pupil diameter
67 Criteria of an ideal Multifocal Covers the full range of vision No photic phenomena
68 Defocus Curve eye1 eye2 eye3 eye
69 Available Trifocal IOLs Diffractive Apodized Hydrophilic Diffractive Non-apodized Hydophilic with Hydrophobic coat Diffractive Non-apodized Hydrophobic
70 DCVA (LogMAR) Evaluation of accommodative potential Defocus Curve <30 YO 0.6 Monofocal Monofocal Distance Vision Intermediate Vision Near Vision Bifocal Trifocal 1.2 Defocus (Variable Distance Simulation)
71 DCVA (LogMAR) Evaluation of clinical outcomes of Trifocals 2- Defocus Curve (Pseudo-accommodative potential) <30 YO 0.6 Monofocal 0.8 Bifocal 1 Distance Vision >6 m Intermediate Vision 80 cm 60 cm 40 cm Near Vision 1.2 Defocus (Variable Distance Simulation)
72
73
Options for Presbyopia. Choice of Lenses
Options for Presbyopia Multifocal IOL Multifocal IOL s MIX AND MATCH GERMAN CATARACT & REFRACTIVE MEETING Heidleberg 2008 John Chang, MD Director of Guy Hugh Chan Refractive Surgery Centre Hong Kong Sanatorium
More informationAlexandria. Introduction
Alexandria Introduction Trifocal : FineVision (PhysIOL, Lie ge, Belgium ) Fully diffractive IOL Two bifocal diffractive patterns (far/near and far/intermediate vision ) Continuous decrease of the diffractive
More informationComparison of the visual outcomes of abifocal refractive versus atrifocal diffractive IOL
Comparison of the visual outcomes of abifocal refractive versus atrifocal diffractive IOL Jérôme C. VRYGHEM, M.D. Steven HEIREMAN, M.D. Clinique St-Jean, Brussels Brussels Eye Doctors, Brussels Belgium
More informationgo the distance NEW AcrySof IQ ReSTOR +2.5 D It s a wide world. Help your patients and everywhere in between.
NEW AcrySof IQ ReSTOR +2.5 D It s a wide world. Help your patients go the distance and everywhere in between. Now with ACTIVEFOCUS optical design for active-lifestyle patients. Recommend AcrySof IQ ReSTOR
More informationPremium Implant Options for the Cataract Patient. Justin Schweitzer, OD, FAAO Vance Thompson Vision Sioux Falls, South Dakota
Premium Implant Options for the Cataract Patient Justin Schweitzer, OD, FAAO Vance Thompson Vision Sioux Falls, South Dakota Glaukos Bausch and Lomb Alcon Allergan Bio- Tissue TearScience Reichert Trends
More informationExtended Depth Of Focus IOL For Presbyopia Correction
A closer look at Extended Depth Of Focus IOL For Presbyopia Correction Abdallah K. Hassouna, MD, PhD. Professor of Ophthalmology, Ain Shams University Consultant Ophthalmic Surgeon, Al Watany Eye Hospital
More informationFar. Intermediate. Near. The first trifocal
Far Intermediate Near The first trifocal diffractive IOL FINEVISION : Unique Concept Combination of 2 profiles** Profile n 1 Orders Profile n 2 FAR (eg. + 2 D) Order (determinated by curvature of the IOL)
More information4/19/2017 ANATOMY OF THE EYE. THOSE DARN CHEATERS! The Technician s Role in the Care and Management of the Presbyopic Patient
ANATOMY OF THE EYE THOSE DARN CHEATERS! The Technician s Role in the Care and Management of the Presbyopic Patient Nic Jacobs, CCRC, COA, OSA Chu Vision Institute Continuing Education Program for Ophthalmic
More informationSulcoflex Trifocal Supplementary IOL. When expectations and outcomes align. An elegant solution for the correction of presbyopia MADE IN UK
Sulcoflex Trifocal Supplementary IOL When expectations and outcomes align An elegant solution for the correction of presbyopia MADE IN UK We ve been innovating IOLs longer than anyone else. Rayner manufactured
More informationVisual and subjective outcomes after diffractive trifocal lens implantation in clear lens exchange
ARTICLE Visual and subjective outcomes after diffractive trifocal lens implantation in clear lens exchange Reinaldo Cancino, MD 1 ; Francesc Duch-Mestres, MD 2 ; Gregorio Hernández-Anguiano, MD 2 ; Raluca
More informationBilateral Implantation of a Single-Piece Bifocal Diffractive Intraocular Lens in Presbyopic Patients: A Prospective Case Series. John S.M.
ORIGINAL CLINICAL STUDY Bilateral Implantation of a Single-Piece Bifocal Diffractive Intraocular Lens in Presbyopic Patients: A Prospective Case Series John S.M. Chang, MD Purpose: To report visual outcomes
More informationRayOne Trifocal IOL. The preloaded platform that performs again and again MADE IN UK
RayOne Trifocal IOL The preloaded platform that performs again and again MADE IN UK RayOne Trifocal lens Designed to perform again and again, for more patients RayOne Trifocal is the newest member of the
More informationLong-term Experiences Recognize FineVision as the Gold Standard
Insert to November/December 2012 Long-term Experiences Recognize FineVision as the Gold Standard Multifocal IOL What experts are saying about this trifocal lens. Principles and Concept of a Diffractive
More informationVisual Performance After Contralateral Implantation of Multifocal Intraocular Lenses With +3.0 and +4.0 Diopter Additions
ORIGINAL CLINICAL STUDY Visual Performance After Contralateral Implantation of Multifocal Intraocular Lenses With +3.0 and +4.0 Diopter Additions Kunihiko Nakamura, MD, PhD, Hiroko Bissen-Miyajima, MD,
More informationLens and Cataract Surgery Update 2008
efocus Innovation. Leadership. Passion for Perfection PACIFIC V I S I O N I N S T I T U T E Life in Focus Issue 029 415.922.9500 --- www.pacificvision.org December 2008 Lens and Cataract Surgery Update
More informationMyopic Shift after Implantation of a Novel Diffractive Trifocal Intraocular Lens in Korean Eyes
pissn: 1011-8942 eissn: 2092-9382 Korean J Ophthalmol 2018;32(1):16-22 https://doi.org/10.3341/kjo.2017.0060 Original Article Myopic Shift after Implantation of a Novel Diffractive Trifocal Intraocular
More informationProspective study of bilateral mix-andmatch implantation of diffractive multifocal intraocular lenses in Koreans
Yang et al. BMC Ophthalmology (2018) 18:73 https://doi.org/10.1186/s12886-018-0735-0 RESEARCH ARTICLE Open Access Prospective study of bilateral mix-andmatch implantation of diffractive multifocal intraocular
More informationVisual performance of Acrysof ReSTOR compared with a monofocal intraocular lens following implantation in cataract surgery
EXPERIMENTAL AND THERAPEUTIC MEDICINE 5: 277-28, 23 Visual performance of Acrysof ReSTOR compared with a monofocal intraocular lens following implantation in cataract surgery JING JI, XIAOLIN HUANG, XIANQUN
More informationIn all over the world, cataract is the leading cause of
Meta-Analysis Comparison of visual outcomes with implantation of trifocal versus bifocal intraocular lens after phacoemulsification: a Meta-analysis Juan-Juan Yang 1, Qiu-Ping Liu 2, Jing-Ming Li 1, Li
More informationMultifocal Toric Swiss Army Knife For the Cataract and Refractive Surgeon
Multifocal Toric Swiss Army Knife For the Cataract and Refractive Surgeon Leonidas Mavroudis Thessaloniki Orasi Day Case Microsurgery Clinic Athens 2018 Disclaimer : Alcon Leonidas Mavroudis Thessaloniki
More informationWhy I Have Decided to Implant Trifocal IOLs Technology in My Own Eyes
Why I Have Decided to Implant Trifocal IOLs Technology in My Own Eyes Dr Piovella Has the Following Possible Financial Interests or Relationships to disclose. As Consultant: Acufocus Carl Zeiss Meditec
More informationClinical Study Clinical Outcomes after Binocular Implantation of a New Trifocal Diffractive Intraocular Lens
Hindawi Publishing Corporation Journal of Ophthalmology Volume 15, Article ID 962891, 6 pages http://dx.doi.org/1.1155/15/962891 Clinical Study Clinical Outcomes after Binocular Implantation of a New Trifocal
More informationAcrySof ReSTOR Multifocal versus AcrySof SA60AT Monofocal Intraocular Lenses: A Comparison of Visual Acuity and Contrast Sensitivity
AcrySof ReSTOR Multifocal versus AcrySof SA6AT Monofocal Intraocular Lenses: A Comparison of Visual Acuity and Contrast Sensitivity Hassan Hashemi, MD,2 Hamid Reza Nikbin, MD 2 Mehdi Khabazkhoob, MSc 2
More informationClinical Evaluation of Functional Vision of +1.5 Diopters near Addition, Aspheric, Rotational Asymmetric Multifocal Intraocular Lens
pissn: 1011-8942 eissn: 2092-9382 Korean J Ophthalmol 2016;30(5):382-389 http://dx.doi.org/10.3341/kjo.2016.30.5.382 Original Article Clinical Evaluation of Functional Vision of +1.5 Diopters near Addition,
More informationRLE (Refractive Lens Exchange)- Bootcamp. Christopher Blanton, MD April 28,2018
RLE (Refractive Lens Exchange)- Bootcamp Christopher Blanton, MD April 28,2018 Financial Disclosure Paid consultant: Johnson & Johnson, Inc.- Star S4/iFS IntraLase Medical Monitor Integra LifeSciences,
More informationCataracts 20/20: The Optometrist s Role in Pre and Post-Op Care In The Era Of Specialty Lenses
Cataracts 20/20: The Optometrist s Role in Pre and Post-Op Care In The Era Of Specialty Lenses Eric E. Schmidt, O.D., F.A.A.O. Omni Eye Specialists Wilmington, NC schmidtyvision@msn.com Cataract Management
More informationBringing astigmatism AND presbyopia into focus.
Bringing astigmatism AND presbyopia into focus. LONG TERM VISION FOR YOUR PATIENTS FOR YOUR PRACTICE From here on out, it s TRULIGN. Treat astigmatic cataract patients and provide a natural range of vision.
More informationWHAT SETS ACTIVEFOCUS DESIGN APART? THE DIFFERENCE IS IN THE DISTANCE.
WHAT SETS ACTIVEFOCUS DESIGN APART? THE DIFFERENCE IS IN THE DISTANCE. UNCOMPROMISED DISTANCE The ACTIVEFOCUS optic is the only multifocal featuring a central portion 1% dedicated to distance Contrast
More informationPresbyMax Outcomes in Myopia, Hyperopia, Emmetropia and Patients post Lasik
PresbyMax Outcomes in Myopia, Hyperopia, Emmetropia and Patients post Lasik SCHWIND eye-tech-solutions Lunch Symposium Prof. Jorge L. Alió MD, PhD. UNIVERSIDAD MIGUEL HERNÁNDEZ VISSUM INSTITUTO OFTALMOLÓGICO
More informationONES TO WATCH: PREMIUM IOL TECHNOLOGIES
ONES TO WATCH: PREMIUM IOL TECHNOLOGIES These lenses represent areas of major and expanding interest for ophthalmology and the industry. BY JORGE L. ALIÓ, MD, PhD, FEBO COVER FOCUS The use of premium IOLs
More informationThe visual outcome after implantation of the Multifocal Intra Ocular Lens. Dr.Bhargav Dave National Institute of Ophthalmology Pune
The visual outcome after implantation of the Multifocal Intra Ocular Lens Dr.Bhargav Dave National Institute of Ophthalmology Pune 1 The era of cataract surgery has come leaps and bounds since the inception
More informationVisual Outcomes of a Trifocal Aspheric Diffractive Intraocular Lens With Microincision Cataract Surgery
ORIGINAL ARTICLE Visual Outcomes of a Trifocal Aspheric Diffractive Intraocular Lens With Microincision Cataract Surgery Jorge L. Alió, MD, PhD; Raúl Montalbán, MSc; Pablo Peña-García, MSc; Felipe A. Soria,
More informationOptometric Clinical Update 2018
Optometric Clinical Update 2018 What s New @ CHU Y. Ralph Chu, MD Chu Vision Institute 1 SMILE 2017 Chu Vision Institute U.S. LVC Market Impact of ReLEx SMILE ZEISS ReLEx SMILE will grow LVC market First
More informationJuly/August 2016 Sponsored by Oculentis WE ENVISION. YOU SEE. Experience Comfort without compromise
Supplement to July/August 2016 Sponsored by Oculentis WE ENVISION. YOU SEE. Experience Comfort without compromise Modern Presbyopia Correction............................. 3 The Düsseldorf Formula: Changing
More informationIn vitro optical quality measurements of three intraocular lens models having identical platform
Son et al. BMC Ophthalmology (2017) 17:108 DOI 10.1186/s12886-017-0460-0 RESEARCH ARTICLE Open Access In vitro optical quality measurements of three intraocular lens models having identical platform Hyeck
More informationPremium intraocular lenses (IOLs) are the big news in
PRACTICE STRATEGIES Premium intraocular lenses Premium intraocular lenses (IOLs) are the big news in surgical refractive correction today, according to Paul Karpecki, O.D., chair of the American Optometric
More informationZEISS AT LISA tri family
Insert to September 2014 ZEISS AT LISA tri family An innovative trifocal preloaded MICS IOL platform for True Living Vision Sponsored by Carl Zeiss Meditec AG ZEISS AT LISA tri family A virtual roundtable
More informationNot Your Grandfather s Cataract Surgery-Cataract Surgery for 2015 and Beyond
Not Your Grandfather s Cataract Surgery-Cataract Surgery for 2015 and Beyond Jim Owen, OD, MBA, FAAO David I Geffen, OD, FAAO Cataract Surgery Eye Care Still the most common eye surgery performed Aging
More informationClinical Outcomes with a New Model of Extended Depth of Focus Intraocular Lens
Open Journal of Ophthalmology, 2018, 8, 161-170 http://www.scirp.org/journal/ojoph ISSN Online: 2165-7416 ISSN Print: 2165-7408 Clinical Outcomes with a New Model of Extended Depth of Focus Intraocular
More informationMedicem Institute, Kamenné Žehrovice, Czech Republic 2. Medical Dpt., Medicem Prague, Czech Republic
On relationship between lens optical characteristics, preoperative biometric data and clinical outcomes of patients implanted with bioanalogic polyfocal IOL Roman Chaloupka 1, Jiří Kopřiva 2, Vladimír
More informationProspective Study of the New Diffractive Bifocal Intraocular Lens
Eye (1989) 3, 571-575 Prospective Study of the New Diffractive Bifocal Intraocular Lens S. P. B. PERCIVAL Scarborough Summary The visual results of 55 bifocal lens implantations are compared with 55 matched
More informationORIGINAL ARTICLE SUBJECTIVE SATISFACTION AND EVALUATION OF GLARE AND HALOS AFTER MULTIFOCAL IOL IMPLANTATION
SUBJECTIVE SATISFACTION AND EVALUATION OF GLARE AND HALOS AFTER MULTIFOCAL IOL IMPLANTATION Narendra P. Datti 1, K. Kanthamani 2, Tanushree V 3 HOW TO CITE THIS ARTICLE: Narendra P. Datti, K. Kanthamani,
More informationInformed Consent For Cataract Surgery. And/Or Implantation of an Intraocular Lens INTRODUCTION
Informed Consent For Cataract Surgery And/Or Implantation of an Intraocular Lens INTRODUCTION This information is given to you so that you can make an informed decision about having eye surgery. Take as
More informationVision and Aging. Driving (source of independence)
Vision and Aging Driving (source of independence) Reading MORE THAN 28 MILLION AMERICANS OVER THE AGE OF 40 HAVE EYE ABNORMALITIES THAT PUT THEM AT RISK FOR VISION LOSS OR BLINDNESS Myths About Vision
More informationSome previous research has demonstrated that trifocal
Trifocal versus bifocal intraocular lens at 1-year Clinical Research Postoperative visual performance with a bifocal and trifocal diffractive intraocular lens during a 1-year follow-up Peter Mojzis 1,2,
More informationElectronic poster presentations
Electronic poster presentations Cataract Surgery E-00002 Blue-light exposure in an animal model of uveal melanoma B.F. Fernandes, S. Di Cesare, S. Maloney, J.-C. Marshall, W. Dawson, M.N. Burnier, Jr.
More informationThe Crystalens HD TM
The Crystalens HD TM Accommodating the future with vision and clarity Reported highlights from sessions held during the 2009 XXVII ESCRS Congress in Barcelona, Spain A supplement to March 2010 Crystalens
More informationExperience with ARRAY multifocal lenses in a Singapore population
O r i g i n a l A r t i c l e Singapore Med J 2005; 46(11) : 616 Experience with ARRAY multifocal lenses in a Singapore population J C Wang, A W T Tan, R Monatosh, P T K Chew ABSTRACT Introduction: To
More informationPatient-centered and visual quality outcomes of premium cataract surgery: a systematic review
EJO ISSN 1120-6721 Eur J Ophthalmol 2017; 00 (00): 000-000 DOI: 10.5301/ejo.5000978 REVIEW Patient-centered and visual quality outcomes of premium cataract surgery: a systematic review Sophia Y. Wang,
More informationEvaluation of Paired Diffractive Bifocal Iols (Acri.Twin) In Indian Patients of Cataract: Research Paper
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 13, Issue 7 Ver. IV (July. 2014), PP 110-114 Evaluation of Paired Diffractive Bifocal Iols (Acri.Twin)
More informationAbstracts. Edited by Dr. Tahir Mahmood. The association between thyroid problems and glaucoma
Abstracts Edited by Dr. Tahir Mahmood The association between thyroid problems and glaucoma Cross JM, Girkin CA, Owsley C, McGwin Jr G Br J Ophthalmol 2008; 92:1503-5. Primary open angle (OAC) glaucoma
More informationClinical Study Visual Outcomes and Patient Satisfaction after Refractive Lens Exchange with a Single-Piece Diffractive Multifocal Intraocular Lens
Ophthalmology, Article ID 458296, 8 pages http://dx.doi.org/10.1155/2014/458296 Clinical Study Visual Outcomes and Patient Satisfaction after Refractive Lens Exchange with a Single-Piece Diffractive Multifocal
More informationAppendix Table 1. Ophthalmic drugs approved by the US Food and Drug Administration,
SUPPLEMENTARY DATA Appendix Table 1. Ophthalmic drugs approved by the US Food and Drug Administration, 2002-2012 Approval Year Name Indication Pivotal Trial Design Randomized Comparator Masked Post-Approval
More informationEvaluation of long-term visual performance following AcrySof ReSTOR lens implantation
Chinese Medical Journal 2009;122(22):2705-2710 2705 Original article Evaluation of long-term visual performance following AcrySof ReSTOR lens implantation ZHAO Yun-e, LI Jun-hua, ZHU Jun, WANG Dan-dan
More informationSynchrony AIOL Key Features
Synchrony AIOL Key Features Spacers Provide consistent separation distance at emmetropia Prevent lens adhesion Synchrony AIOL Key Features Spring Haptics Bias the system open Provide consistent separation
More informationEXTRACT THE LENS Why I prefer refractive lens exchange for dysfunctional lens syndrome.
EXTRACT THE LENS Why I prefer refractive lens exchange for dysfunctional lens syndrome. BY DANIEL S. DURRIE, MD Dysfunctional lens syndrome as a term has been around for more than 15 years. It was first
More informationRefractive lens exchange with distance-dominant diffractive bifocal intraocular lens implantation
Graefes Arch Clin Exp Ophthalmol (2010) 248:1507 1514 DOI 10.1007/s00417-010-1345-6 REFRACTIVE SURGERY Refractive lens exchange with distance-dominant diffractive bifocal intraocular lens implantation
More informationTITLE: Visual outcomes and subjective experience following bilateral implantation of
Title Page TITLE: Visual outcomes and subjective experience following bilateral implantation of a new diffractive trifocal intraocular lens Amy L. Sheppard, PhD, Sunil Shah, MBBS, Uday Bhatt, MD, Gurpreet
More informationStart with ME. LEAVE A LEGACY OF EXCELLENT OUTCOMES FOR EACH PATIENT S LIFESTYLE. TECNIS MULTIFOCAL FAMILY OF 1-PIECE IOLs
LEAVE A LEGACY OF EXCELLENT OUTCOMES FOR EACH PATIENT S LIFESTYLE. Start with ME. TECNIS MULTIFOCAL FAMILY OF 1-PIECE IOLs INDICATIONS: The TECNIS Multifocal 1-Piece Intraocular Lenses are indicated for
More informationVisual Performance Results after Tetraflex Accommodating Intraocular Lens Implantation
Visual Performance Results after Tetraflex Accommodating Intraocular Lens Implantation Donald R. Sanders, MD, PhD, Monica L. Sanders, BS Purpose: To present the clinical results that demonstrate the efficacy
More informationWhat I Am Doing Now That I Was Not Doing One Year Ago
What I Am Doing Now That I Was Not Doing One Year Ago Michael Rauser, M.D. Loma Linda University Eye Institute Department of Ophthalmology Case Presentation #1 19 y/o female with progressive vision loss
More informationClinical experience of 9,000 small aperture Inlays for presbyopia correction
Clinical experience of 9,000 small aperture Inlays for presbyopia correction Minoru Tomita, MD, PhD Shinagawa LASIK Center, Tokyo, Japan September 7 th, 2012, ISOP meeting in Tokyo, JAPAN 1,060,666 Femto
More informationMEDICAL POLICY SUBJECT: INTRAOCULAR LENS (IOL) IMPLANTS
MEDICAL POLICY SUBJECT: INTRAOCULAR LENS (IOL) PAGE: 1 OF: 7 If a product excludes coverage for a service, it is not covered, and medical policy criteria do not apply. If a commercial product (including
More informationNew Horizons in Presbyopia
12/12/2016 Sondra Black Disclosure Statements: New Horizons in Presbyopia Sondra Black OD Marc Bloomenstein OD Jim Owen OD Consultant to: Acufocus AMO Bausch & Lomb Marc Bloomenstein Disclosure Statements:
More informationPatient outcomes following implantation with a trifocal toric IOL: twelve-month prospective multicentre study
Eye (2019) 33:144 153 https://doi.org/10.1038/s41433-018-0076-5 ARTICLE Patient outcomes following implantation with a trifocal toric IOL: twelve-month prospective multicentre study M. Piovella 1 S. Colonval
More informationJohnS.M.Chang,JackC.M.Ng,VincentK.C.Chan,andAntonyK.P.Law. Department of Ophthalmology, Hong Kong Sanatorium and Hospital, Hong Kong
Hindawi Journal of Ophthalmology Volume 217, Article ID 645954, 12 pages https://doi.org/1.1155/217/645954 Clinical Study Visual Outcomes, Quality of Vision, and Quality of Life of Diffractive Multifocal
More informationVisual Outcome in Senile Cataract with Multifocal and Unifocal Intraocular Lens
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 15, Issue 10 Ver. X (October. 2016), PP 16-22 www.iosrjournals.org Visual Outcome in Senile Cataract
More informationSlide 1. Slide 2. Slide 3. Cataract Surgery: A Look Ahead. Component 1: History. Paul C. Ajamian, O.D., F.A.A.O. UK SECO October, 2013
Slide 1 Cataract Surgery: A Look Ahead Paul C. Ajamian, O.D., F.A.A.O. UK SECO October, 2013 Slide 2 Slide 3 Component 1: History Eye: functional history such as problems with glare/tv/driving at night
More informationMore possibilities after.
Many possibilities during cataract surgery. More possibilities after. Knowing your options can help you focus on the breathtaking experiences still to come. AcrySof IQ IOL Family Advancing CATARACT SURGERY
More informationREFRACTIVE LENS SURGERY: WHEN AND WHY?
REFRACTIVE LENS SURGERY: WHEN AND WHY? Symposium of the Hellenic Society of Intraocular Implant and Refractive Surgery Cairo, 14/3/2018 Pandelis A. Papadopoulos, MD, PhD, FEBO, FEBOS-CR Director, Ophthalmology
More informationLearn Connect Succeed. JCAHPO Regional Meetings 2017
Learn Connect Succeed JCAHPO Regional Meetings 2017 Cataract Surgery in 2017 DARBY D. MILLER, MD MPH CORNEA, CATARACT AND REFRACTIVE SURGERY ASSISTANT PROFESSOR OF OPHTHALMOLOGY MAYO CLINIC FLORIDA Natural
More informationOne-Year Dynamic Range of Visual Outcomes After Laser Anterior Ciliary Excision Procedure
One-Year Dynamic Range of Visual Outcomes After Laser Anterior Ciliary Excision Procedure Mitchell Jackson, MD Co-Authors: AnnMarie Hipsley, DPT, PhD David HK Ma, MD, PhD Financial Disclosure: Author 1
More informationYou can see vivid colours again after cataract management at Sankar Foundation Eye Hospital
The Department of Cataract in our Sankar Foundation is equipped with state-of-the-art operation theatres, surgical microscope phacoemulsification machine and microsurgical instruments. And also the department
More informationManaging residual postoperative error
Managing residual postoperative error Michael Amon Academic Teaching Hospital of St. John Vienna Sigmund Freud Private University Vienna Financial disclosure: Alcon Bausch&Lomb Bayer Johnson&Johnson Morcher
More informationGuide to modern day cataract surgery
Guide to modern day cataract surgery What are Cataracts? What are Cataracts? Cataracts are a natural clouding of the lens of the eye. Cataracts form usually because of age, but there are eye injuries and
More informationGetting Started GUIDE. TECNIS Symfony IOL and TECNIS Symfony TORIC IOL. TECNIS SYMFONY IOL pg 1
Getting Started GUIDE TECNIS Symfony IOL and TECNIS Symfony TORIC IOL TECNIS SYMFONY IOL pg 1 IN THIS GUIDE LENS SPECIFICATIONS pg 3 PREOPERATIVE pg 4-5 TECNIS Symfony IOL combines two complementary and
More informationClinical Pearls. A Quick Guide to Crystalens AO Accommodating Lens
Clinical Pearls A Quick Guide to Crystalens AO Accommodating Lens See better. Live better. 2 3 Crystalens AO is the premium IOL that provides unsurpassed vision quality across a more natural range. As
More informationStability of a Novel Intraocular Lens Design: Comparison of Two Trifocal Lenses
ORIGINAL ARTICLE Stability of a Novel Intraocular Lens Design: Comparison of Two Trifocal Lenses Francisco Poyales, MD; Nuria Garzón, OD, PhD; Jos J. Rozema, PhD; Concepción Romero, MD; Begoña Ortíz de
More informationUntil recently, the treatment of presbyopia
The Future of Accommodating IOLs The ultimate option for lenticular correction of presbyopia is an accommodating IOL. BY I. HOWARD FINE, MD; RICHARD S. HOFFMAN, MD; AND MARK PACKER, MD, FACS Until recently,
More informationCataract and Refractive Surgery Patients: Still Two Different Breeds?
Cataract and Refractive Surgery Patients: Still Two Different Breeds? Fabrizio I. Camesasca, MD Department of Ophthalmology IRCCS Istituto Clinico Humanitas Rozzano Milano, Italy Financial Disclosure I
More informationComparison of two multifocal IOL types short and medium-term visual outcomes
Comparison of two multifocal IOL types short and medium-term visual outcomes AF Dunai, K Kranitz, E Juhasz, G Sandor, T Filkorn, ZZs Nagy Semmelweis University, Department of Ophthalmology Budapest, Hungary
More informationCataract Surgery: Patient Information
Cataract Surgery: Patient Information How do the Eyes Work? As light enters the eye, it first passes through the cornea the clear window of the eye. Because the cornea is curved, the light rays bend (refract).
More informationCATARACT SURGERY GUIDE
CATARACT SURGERY GUIDE Take a Closer Look at your Options Our Cataract Surgeons Dr. Jon Yokubaitis F.A.C.S. Dr. P. Mark Crawford Dr. Virgil Murray, IV Dr. Charles Thompson Dr. Margaret Carter Dr. Marcy
More informationFineVision lets you look at the world with a fresh pair of eyes. Learn how you can enjoy the freedom of vision without spectacles.
FineVision lets you look at the world with a fresh pair of eyes. Learn how you can enjoy the freedom of vision without spectacles. 1 finevision.com.au Iris Optic Nerve Cornea Lens Retina Vision and Ageing
More informationCataract Surgery Patient Information
Cataract Patient Information 1. Within the human eye, there is a normal structure called the lens. In youth, this lens is clear, and light rays pass through and are focused by this lens as well as the
More informationMyopia Control. Financial Disclosures. Prevalence of Myopia 3/31/2019. Importance of Myopia Control. Myopia Control Treatment Options
Financial Disclosures Myopia Control None Katherine Bickle, OD MS FAAO March 31, 2019 Prevalence of Myopia Importance of Myopia Control 42% of the United States population is myopic and 25% of children
More informationStart with ME. LEAVE A LEGACY OF EXCELLENT OUTCOMES FOR PATIENTS WITH ASTIGMATISM. TECNIS TORIC 1-PIECE IOL
LEAVE A LEGACY OF EXCELLENT OUTCOMES FOR PATIENTS WITH ASTIGMATISM. Start with ME. TECNIS TORIC 1-PIECE IOL INDICATIONS: The TECNIS Toric 1-Piece Posterior Chamber Lens is indicated for the visual correction
More information1 Cathedral Eye Clinic, University of Ulster, Academy Street, Belfast, UK.
1 1 CASE REPORT 2 3 Title: Optimised visual outcome after asymmetrical multifocal IOL rotation 4 5 6 Authors: Eric E Pazo MD 1, 2, Olivier Richoz MD PhD 3, Richard McNeely BSc 1, 2, Zachary A Millar 4,
More informationClinical Study Visual Performance after Bilateral Implantation of a Four-Haptic Diffractive Toric Multifocal Intraocular Lens in High Myopes
Journal of Ophthalmology Volume 216, Article ID 53215, 12 pages http://dx.doi.org/1.1155/216/53215 Clinical Study Visual Performance after Bilateral Implantation of a Four-Haptic Diffractive Toric Multifocal
More informationIn the last few decades, cataract surgery and intraocular
Clinical outcomes of a new diffractive multifocal intraocular lens Baha Toygar 1, Ozge Yabas Kiziloglu 1, Okan Toygar 1, Ali Murat Hacimustafaoglu 2 Clinical Research 1 Department of Ophthalmology, Faculty
More informationClinical Study Visual Performance of Tecnis ZM900 Diffractive Multifocal IOL after 2500 Implants: A 3-Year Followup
Ophthalmology Volume 21, Article ID 717591, 8 pages doi:1.1155/21/717591 Clinical Study Visual Performance of Tecnis ZM9 Diffractive Multifocal IOL after 25 Implants: A 3-Year Followup Leonardo Akaishi,
More informationThe pinnacle of refractive performance.
The pinnacle of refractive performance. WaveLight REFRACTIVE PORTFOLIO Advancing REFRACTIVE SURGERY Contoura Vision sets a new standard in LASIK outcomes More than 98% of patients would choose it again.
More informationInformed Consent For Refractive Lens Exchange (RLE) For the Correction of Hyperopia (Farsightedness) Or Myopia (Nearsightedness)
Informed Consent For Refractive Lens Exchange (RLE) For the Correction of Hyperopia (Farsightedness) Or Myopia (Nearsightedness) INTRODUCTION This surgery, called a refractive lens exchange or RLE, involves
More informationSupplement December 2018/ January Focusing on Premium IOL Advances and Best Practices. Supported by an unrestricted educational grant from
Supplement December 2018/ January 2019 Focusing on Premium IOL Advances and Best Practices Supported by an unrestricted educational grant from ESCRS Clinical Survey Data: Maximising Outcomes with Presbyopia
More informationCataract Surgery in Patients with a Previous History of KAMRA Inlay Implantation: A Case Series
Ophthalmol Ther (2017) 6:207 213 DOI 10.1007/s40123-017-0088-4 CASE SERIES Cataract Surgery in Patients with a Previous History of KAMRA Inlay Implantation: A Case Series Majid Moshirfar. Tyler S. Quist.
More informationMultifocalS: A Reference Guide
MultifocalS: A Reference Guide Your complete resource for advanced technology IOL implantation, from patient selection to post-op evaluation For best results, use this comprehensive guide from start to
More informationA Clinical Evaluation of Multifocal versus Monofocal Intraocular Lenses after Cataract Extraction in a Tertiary Care Hospital in India
EUROPEAN ACADEMIC RESEARCH Vol. II, Issue 1/ April 2014 ISSN 2286-4822 www.euacademic.org Impact Factor: 3.1 (UIF) DRJI Value: 5.9 (B+) A Clinical Evaluation of Multifocal versus Monofocal Intraocular
More informationPresby LASIK Topographies
Presby LASIK Topographies SurgiVision Consultants, Inc. DataLink kforum June 1, 2009 Not for Distribution Introduction Case review of presby LASIK procedures performed with the WaveLight Eye Q Laser Presentation
More informationAdvanced Eyecare of Orange County/ Kim T. Doan, M.D.
Patient Information Sheet: Cataract Surgery And/Or Implantation of an Intraocular Lens This information is given to you so that you can prepare for the discussion with your eye surgeon. This document will
More information