Binovision A new Approach for Seeing without Glasses fileBinovision – A new Approach for Seeing without Glasses Sylvia Paulig MD WOC Abu Dhabi 2012 · Sylvia Paulig MD Paulig Eye

Binovision – A new

Approach for Seeing

without Glasses

Sylvia Paulig MD

WOC Abu Dhabi 2012 · Sylvia Paulig MD

Paulig Eye Surgery Centre | Office · Berlin/Cottbus

Why did I need the

Light Adjustable Lens?



I, like most of us, was far away

from a precise achievement of

targeted refraction in all cases.

targeted refraction (standard lenses, multifocal lenses)

Courtesy of Preussner, Mainz 2007



• a correction of astigmatism up to 2.00 D

• a correction of residual refractive errors

of up to +/- 2.00 D spherical

post-operatively.

The Light Adjustable

Lens allows



From October 2008 until Jan. 2012,

I have implanted the Light Adjustable

Lens into 183 eyes

28.2.2009 Dr. med. Sylvia Paulig AugenPraxisKlinik Cottbus

with 93 eyes adjusted for distant vision

with 55 eyes adjusted for near vision.

164 eyes are presented here, 4 patients (8 eyes)

are still waiting for the adjustment.

We found 27 eyes with a complicated initial situation like

amblyopia, strabism or AMD (future presentation).



In the 93 eyes adjusted for distant vision,

almost all eyes (86 out of 93), had an UCVA

of 20/20 or better…

Adjustment of Distant Vision (uncorrected)



Distant Vision versus Near Vision (uncorrected )

0,9–1,3

20/20–20/16

0,8

= 20/25

ND IV / J 5 ND III / J 4 ND II / J 3 ND I / J 2

0,6

20/32

0,4

20/50

… those eyes, which had been adjusted for

distant vision, also had excellent results in

near vision in the very same eye.

42

3

26

4

18





Adjustment of Near Vision (uncorrected)

1 3 5 7 9 11 13 15 17 19 21 23 25 27 29 31 33 35 37 39 41 43 45 47 49 51 53 55 57

eye

ND I / J2

ND II / J3

ND III / J4

ND IV / J5

ND V / J6

ND VI / J8

ND VII / J9

ND VIII / J10

…in the 55 eyes adjusted for near

vision, almost all eyes achieved

NIEDEN I / JAEGER 2.

Near Vision versus Distant Vision (uncorrected)

0,9–1,3

20/20–20/16

0,8

=20/25

ND IV / J 5

ND III / J 4

ND II / J 3

ND I / J 2

0,6

20/32

0,4

20/50

ND V / J 6

ND VI / J 8

ND VII / J 9

… and the eyes, which had been adjusted

for near vision, showed exciting results in

distant vision in the very same eye.

24

1

17 11



1 1

40–50

eye

60

80

100

140

200

400

800

… and different from MONOVISION,

my LAL patients had great stereoscopic

vision. (These are our last 37 patients)

arc

seco

nd

s



Stereoscopic Vision Titmus-Test

The LAL seems to

create Asphericity



Defocus Curves

0

20

40

60

80

100

120

140

0 -1 -2 -3 -4 -5 -6

Vis

ion

in

%

Diopter Defocus = Vision in distance of x cm

LAL 1 LAL 2 Multifocal IOL 1 Multifocal IOL 2 Monofocal IOL

5 m 100 cm 50 cm 33 cm 25 cm 20 cm 16,7 cm

Vis

ion

in

%

… different from the multifocal and standard IOLs,

the defocus curves of the LALs indicate asphericity,

repeatability and are superior to standard IOLs at

all distances.



iTrace demonstrates good Depth

Perception of Calhoun LAL

With a large aperture (Iris) a sharp image depends

on the optimized curvature (asphericity) of the lens.

Iris Lens Macula

Large Pupil

Retinal spot pattern

Circle of confusion

(Zerstreukreis) focal area

which is perceived as

focussed and clear

Large depth of field



Ray Tracing Aberrometry (Tracey

iTrace) was done before and after

Light Adjustment.



Patient 1: prior to 1st adjustment



Patient 1: after 1st adjustment



Patient 1: after lock-in



Patient 2: pre-OP









Patient 2: 2 weeks after lock-in









Patient 3: 10 days after lock-in









Patient 4: 2 weeks after lock-in



Why BINOVISION?

28.2.2009 Dr. med. Sylvia Paulig AugenPraxisKlinik Cottbus

After implanting the first lenses,

without glasses our patients noticed

• good reading, intermediate and distant vision

• good stereoscopic vision

• very good depth perception

• excellent quality of vision (patient reports).



BINOVISION is seeing

without Glasses by

Modification of Asphericity

of the LAL

• Adequate near, intermediate and distant vision

in the same eye without glasses

• Stereoscopic binocular vision at all distances

(near, intermediate and distance)

• superior vision compared to that provided by

other lens based and refractive methods

presently used



In our clinic we use the possibility of

modification of asphericity of the LAL

as a highly satisfying alternative for

patients who desire presbyopia

correction and seeing without glasses.



LAL offers the most valuable

possibilities for our patients and

Binovision with the LAL is the

pink of perfection.



___________

BINOVISION

The answer we’ve been

all waiting for.

Seeing without Glasses



Thank You!

Paulig Augenklinik | Praxis

Bahnhofstraße 60, 03046 Cottbus

Fon +49 355 4949720

Friedrichstraße 89, 10117 Berlin

Fon +49 30 81305112

www.paulig-augenklinik.de



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Binovision A new Approach for Seeing without Glasses fileBinovision – A new Approach for Seeing without Glasses Sylvia Paulig MD WOC Abu Dhabi 2012 · Sylvia Paulig MD Paulig Eye