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Outcomes of Presbyopic IOLs

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

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Outcomes of Presbyopic IOLs

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  1. Outcomes of Presbyopic IOLs Parag Parekh, MD, MPA Mona Fahmy, OD David R. Hardten, MD, FACS Financial Disclosure: Dr. Hardten—AMO, Allergan, Addition, Alcon, B&L, ESI, Ophtec, Refractec, Staar, TLC, VISX, VisiJet; Dr. Parekh & Dr. Fahmy: None ASCRS Poster ID: 414200

  2. 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. 

  3. 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%)

  4. 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

  5. Bilateral ReSTOR Outcomes

  6. 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

  7. Bilateral ReZoom Outcomes

  8. 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) • 1 Flap lift and scrape for epi ingrowth • 1 ERM Peel and Vitrectomy

  9. Bilateral crystalens Outcomes

  10. 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

  11. Results: “Mixed IOL” Outcomes

  12. 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. 

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