Patient Satisfaction and Visual Performance After Bilateral Implantation of Multifocal IOLs: Prospec...
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Patient Satisfaction and Visual Performance After Bilateral Implantation of Multifocal IOLs: Prospective Study. USAMA MOURIS BEBAWY, MB MBCh CLINICAL FELLOW, MCMASTER UNIV No Financial Disclosure GEORGE H.H. BEIKO, B.M.,B.Ch.,FRCSC ST. CATHARINES, CANADA ASSIST PROF, MCMASTER UNIV

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Patient Satisfaction and Visual Performance After Bilateral Implantation of Multifocal IOLs: Prospective Study

USAMA MOURIS BEBAWY, MB MBCh

CLINICAL FELLOW, MCMASTER UNIV

No Financial Disclosure

GEORGE H.H. BEIKO, B.M.,B.Ch.,FRCSC

ST. CATHARINES, CANADA

ASSIST PROF, MCMASTER UNIV

LECTURER, UNIV OF TORONTO

Consultant to AMO


Tecnis tm multifocal multicentre trial evaluation parameters
Tecnis Implantation of Multifocal IOLs: Prospective Study TM Multifocal Multicentre Trial - Evaluation Parameters

  • Goal to enroll 250 patients to be bilaterally implanted with the Tecnis Multifocal IOL, at 25 sites

  • Method:

    • Pre and post-op patient qualitative questionnaires on freedom from glasses at different distances, and on dysphotopic phenomenom

    • Pre and post-op surgeon qualitative and quantitative questionnaires on refraction and uncorrected visual acuity for Far, Intermediate and Near distance

    • Assessments at pre-op, one and six months post-op


Patient selection criteria
Patient Selection Criteria Implantation of Multifocal IOLs: Prospective Study

Male and female adult patients with presbyopia for which bilateral cataract surgery or clear lensectomy and posterior chamber IOL implantation is indicated.

Good candidate for multifocal vision, i.e. motivated, desires spectacle independence and understands the trade-off of improved near vision to possible unwanted visual sensations.

Visual potential of 20/25 or better in each eye after cataract extraction and IOL implantation.

Patient dissatisfaction with their uncorrected or best corrected vision such that they desire surgery.

Naturally dilated pupil size (in dim light) > 3.5 mm (with no dilation medications) for both eyes.

IOL power available for both eyes being treated


Patient exclusion criteria
Patient Exclusion Criteria Implantation of Multifocal IOLs: Prospective Study

Patients with history of prior refractive surgery.

Patient has ocular or systemic disease, or ocular trauma that may confound the outcome; (e.g. uncontrolled diabetes mellitus, prior ocular surgery, recurrent inflammatory conditions, or macular degeneration).

Capsule or zonular abnormalities that may affect postoperative centration or tilt of the lens (e.g. severe pseudoexfoliation syndrome, Marfan’s syndrome).

Pupil abnormalities that prevent pupil from dilating at least 3.5 mm under mesopic/scotopic conditions.

Patients with forme fruste keratoconus or keratoconus.

Patients with visually significant macula or retina disease


Preliminary results as of oct 1 2010
Preliminary Results as of Implantation of Multifocal IOLs: Prospective Study Oct. 1, 2010

  • # of surgeons participating in the trial: 15

    G Beiko BM, BCh, FRCS(C)M Boileau MD, FRCS(C) C Ferremi MD, FRCS(C) M M Gagnon, MD, FRCS(C) L Lalonde MD, FRCS(C) C Menard, MD, FRCS(C) T Nagy, MD, FRCS(C)C Perreault MD, FRCS(C) S Shaver MD, FRCS(C) S Somai MD, FRCS(C)R Swieca MD, FRCS(C) Z Tadrous, MD, FRCS(C) E Tam MD, FRCS(C)B Teboul MD, FRCS(C) D Yan MD, FRCS(C)

  • # of patients having completed pre-op questionnaire: 136

  • # of patients having completed 1 month post-op follow-up: 78

  • # of patients having completed 3 month post-op follow-up: 63


Patient profile
Patient Profile: Implantation of Multifocal IOLs: Prospective Study

Results:


Vision both eyes distance best corrected
Vision, Both Eyes, Implantation of Multifocal IOLs: Prospective Study Distance, Best Corrected:


Vision both eyes intermediate best distance corrected
Vision, Both Eyes, Implantation of Multifocal IOLs: Prospective Study Intermediate, Best Distance Corrected:


Vision both eyes near best distance corrected
Vision, Both Eyes, Implantation of Multifocal IOLs: Prospective Study Near, Best Distance Corrected:


Patient reading distance comfort
Patient Reading Distance Comfort: Implantation of Multifocal IOLs: Prospective Study

Very Comfortable

Very Uncomfortable


Spectacle independence
Spectacle Independence: Implantation of Multifocal IOLs: Prospective Study

Almost Always

Never


Post-op target refraction was achieved and stable to 3 month visit

Hyperopic patients tend to have better uncorrected and distance corrected VA for distance, intermediate and near

Hyperopic patients have more comfortable reading vision and greater spectacle independence

Canadian TecnisTM Multifocal Multicentre Trial


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