Non Financial Interest

Clinical results with Diffractive Clinical results with Diffractive Acritec Multifocal IOL implantation Acritec Multifocal IOL implantation

following cataracts and myopic following cataracts and myopic and hyperopic clear lensand hyperopic clear lens

Margarita Cabanás, MDMargarita Cabanás, MDContributing Authors:Contributing Authors: Fernando LLovet, MD, PhD, Fernando LLovet, MD, PhD, Jaime Beltrán, MD, Rafael Luchena,, MD, Victoria Jaime Beltrán, MD, Rafael Luchena,, MD, Victoria

de Rojas MD, PhD, Julio Baviera, MD.de Rojas MD, PhD, Julio Baviera, MD.Non Financial Interest

PurposePurpose

Evaluate visual outcomes and patients Evaluate visual outcomes and patients satisfaction after cataract or clear lens surgery satisfaction after cataract or clear lens surgery

with diffractive multifocal Acritec 366D with diffractive multifocal Acritec 366D implantation. implantation.

Setting:Setting: Clínica Baviera, Instituto Oftalmológico Europeo, Spain. Clínica Baviera, Instituto Oftalmológico Europeo, Spain.

Margarita Cabanás, MDMargarita Cabanás, MD

Non Financial Interest

MethodsMethods 265 patients underwent cataract , myopic or hyperopic clear lens 265 patients underwent cataract , myopic or hyperopic clear lens

extractions in both eyes (530 eyes).extractions in both eyes (530 eyes).

They underwent phacoemulsification with topic anaesthesia and They underwent phacoemulsification with topic anaesthesia and implantation an Acritec 366D diffractive multifocal IOL.implantation an Acritec 366D diffractive multifocal IOL.

Shorter time or follow-up were six months. Shorter time or follow-up were six months.

Uncorrected and best corrected far, middle and near vision were recorded Uncorrected and best corrected far, middle and near vision were recorded after one, two and three months after surgery. after one, two and three months after surgery.

Contrast sensitivity testing was examined. Contrast sensitivity testing was examined.

Patients completed a questionnaire about their subjective perception of Patients completed a questionnaire about their subjective perception of visual function or satisfaction test.visual function or satisfaction test.



ResultsResults Best uncorrected vision were qualified by patients like very Best uncorrected vision were qualified by patients like very

good and good in 92% of cases in far distance, 76% in middle good and good in 92% of cases in far distance, 76% in middle vision and 82% in near vision.vision and 82% in near vision.

88% patients didn’t notice changes driving at night after 88% patients didn’t notice changes driving at night after surgery and 96% achieved good night vision. surgery and 96% achieved good night vision.

Contrast sensitivity test showed profit in all the frequencies, Contrast sensitivity test showed profit in all the frequencies, without statistically significance differences (probably without statistically significance differences (probably because of cataract group). because of cataract group).

98% of patients were satisfied or very satisfied ant 99,3 would 98% of patients were satisfied or very satisfied ant 99,3 would underwent same surgery again.underwent same surgery again.



VL mono VL bino VL mono VL bino VC mono VC bino VI bino

TOTAL N 530 157 234 125 120 124 100

PROMEDIO 0,78 0,94 0,81 0,94 3,00 2,25 6,13DS 0,23 0,09 0,21 0,14 2,34 1,11 1,77

MAX 1 1 1 1 1 1 2

MIN 0,03 0,55 0,15 0,3 13 5 10

PREOP CON CORR POSTOP SIN CORRECCIÓN

VL mono VL bino VL mono VL bino VC mono VC bino VI bino

PROMEDIO 0,78 0,94 0,81 0,94 3,00 2,25 6,13DS 0,23 0,09 0,21 0,14 2,34 1,11 1,77MAX 1 1 1 1 1 1 2MIN 0,03 0,55 0,15 0,3 13 5 10

PREOP CON CORR POSTOP SIN CORRECCIÓNPre CVAPre CVA Post UCVAPost UCVA

AVERAGE

AVERAGE

FV monocFV monoc FV binocFV binoc NV monocNV monoc NV binocNV binoc MV binocMV binoc

FV monocFV monoc FV binocFV binoc NV monocNV monoc NV binocNV binoc MV binocMV binocFV monocFV monoc FV binocFV binoc

FV monocFV monoc FV binocFV binoc

Visual AcuityVisual Acuity


Post UCVAPost UCVAPre CVAPre CVA


AGUDEZA VISAL CERCA BINOCULAR

J1 39 31,45% 93,55%J2 34 27,42%

J3 43 34,68%

J4 0 0,00%

J5 8 6,45%

TOTAL124

Near Visual AcuityNear Visual Acuity

Margarita Cabanás, MDMargarita Cabanás, MDNon Financial Interest

ContrastContrast SensitivitySensitivityPre Post

FAR VISION MIDDLE VISION NEAR VISION

1. VERY BAD

2. BAD

3. MODERATE

4. GOOD

5. VERY GOOD

1. VERY BAD

2. BAD

3. MODERATE

4. GOOD

5. VERY GOOD

1. VERY BAD

2. BAD

3. MODERATE

4. GOOD

5. VERY GOOD

VERY GOOD 30,5% VERY GOOD 41,5%VERY GOOD16,5%

GOOD 61,5% GOOD 40,5%GOOD 59,5%

MODERATE 4,7% MODERATE 13,1%MODERATE 21,5%

92 % 76 % 82 %

Satisfaction Test ISatisfaction Test I

Margarita Cabanás, MDMargarita Cabanás, MDNon Financial Interest

NIGHT DRIVING NIGHT VISION

1. QUITS ON DRIVING

2. WORST (FEELS UNSAFE)

3. WORST (WITHOUT PROBLEMS)

4. SAME OR BETTER

1. WORSTER

2. BIT WORST

3. SAME OR BETTER

SAME OR BETTER 57,5%SAME OR BETTER 94%

WORST (without problems) 30,5% BIT WORST 2%

WORST (feels unsafe) 10,6%

88% 96%

Satisfaction Test IISatisfaction Test II



SURGERY SATISFACTION WOULD GET SURGERY AGAIN ?

1. UNSATISFIED

2. BIT SATISFIED

3. SATISFIED

4. VERY SATISFIED

1. YES

2. NO

VERY SATISFIED 69% YES 99,3%

SATISFIED 29% NO 0,7%

BIT SATISFIED 2%

98 %

Satisfaction Test IIISatisfaction Test III



ConclusionsConclusions

Implantation of Diffractive Multifocal Acritec Implantation of Diffractive Multifocal Acritec 366D, provides good near, middle and distance 366D, provides good near, middle and distance uncorrected vision; and offers patients a better uncorrected vision; and offers patients a better

quality of life. quality of life. Margarita Cabanás, MDMargarita Cabanás, MD


THANK YOUTHANK YOU

[email protected]@clinicabaviera.com

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Non Financial Interest