Presbyopia: IOL effective
Howard Larkin
Published: Saturday, April 1, 2017
We’ve got to get it right for these lenses to perform correctlyIn a prospective non-randomised study involving 66 eyes of 35 patients, Dr Lawless implanted non-toric PanOptix IOLs in 28 cataract patients and 38 refractive lens exchange patients. Mean preoperative spherical equivalent was +1.31D ±1.27 ranging from -1.75D to +4.00D, with sphere ranging from -1.50D to +4.00D, and cylinder from -1.50D to 0.00D. Mean follow-up was 4.3 weeks ± 1.4 weeks, ranging from two to nine weeks. Just over three-quarters of eyes were within 0.25D of target spherical equivalent and all within 0.5D, Dr Lawless reported. Mean post-op uncorrected distance visual acuity was 0.04 ±0.12 logMAR, or nearly 20/20, exceeding the pre-op corrected mean of 0.09 ±0.12, or about 20/25. Applying a 30-question validated survey of visual symptoms (McAlinden, IOVS 2010) to 10 patients, Dr Lawless found glare and halo symptoms were much higher than previous reports for spectacle-corrected monofocal IOL recipients at three months’ follow-up, and similar to those reported for previous multifocal IOLs. Nonetheless, Dr Lawless sees the PanOptix IOL as a viable choice for patients seeking spectacle independence, though careful patient selection and surgery are essential. “We’ve got to get it right for these lenses to perform correctly,” he said. Michael Lawless: michael.lawless@visioneyeinstitute.com.au
Latest Articles
From Lab to Life: Corneal Repair Goes Cellular
Long-awaited cellular therapies for corneal endothelial disease enter the clinic.
Balancing Innovation and Safety
Ensuring access to advanced cell therapies amid regulatory overhaul.
With Eyes on Its Future, ESCRS Celebrates Its Past
Winter Meeting offers opportunities to experiment with new concepts and formats.
Best of ESCRS Winter Meeting 2024
Following the New Generation
EDOF IOLs an option for eyes with mild comorbidities, showing potential in mini-monovision strategies.
Refocus on Multifocals
Trifocal IOLs continue to improve as consensus grows regarding indications and contraindications.
Common Myths in Presbyopia Correction
Patient education key to satisfaction with refractive IOLs.
Reversible Multifocality
Two-lens combination offers low-risk spectacle independence for cataract patients and presbyopes.
Managing a Cataract Surgery Refractive Miss
Weighing the pros and cons of options for intraocular intervention.
Unleashing OCT’s Full Potential
Performance of newest tool for corneal evaluation meets or beats older standard technologies.