Post on 28-Mar-2015
Fernando Llovet, MD, PhD.Fernando Llovet, MD, PhD.Contributing Authors: Margarita Cabanás, MD; Contributing Authors: Margarita Cabanás, MD; Jaime Beltrán, MD; Julio Ortega-Usobiaga, MD; Jaime Beltrán, MD; Julio Ortega-Usobiaga, MD; Clara Martín-Reyes, MD; Victoria De Rojas, MD, Clara Martín-Reyes, MD; Victoria De Rojas, MD,
PhD; Julio Baviera, MDPhD; Julio Baviera, MD
Two Years clinical study of Two Years clinical study of Diffractive Multifocal Acritec 366 Diffractive Multifocal Acritec 366
IOL implantation in 530 eyesIOL implantation in 530 eyes
Non Financial Interest
Purpose
To report on postoperative safety and efficacy outcomes with the diffractive
Acritec 366D implantation after cataract or clear lens surgery.
Setting: Clínica Baviera, Instituto Oftalmológico Europeo, Spain
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CLÍNICA BAVIERA. Instituto Oftalmológico Europeo
Material & MethodBilateral phacomeulsification between 06/06 - 03/08 (six
months min. follow up)30 eyes of 265 patients, 101 males and 164 females, Age from 45,6 to 64,4 Diagnosis of cataract in 280 eyes, myopic clear lens in 14 eyes and
hyperopic clear lens in 236 eyes. Diffractive Acritec 366D were implanted in all eyes. Safety, efficacy, predictability and complications were analyzed.
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CLÍNICA BAVIERA. Instituto Oftalmológico Europeo
FEMALE 55 ± 9.3 (35,78)
55 ± 9.4 (34,78)
MEN 56 ± 9.6 (34,77)
DISTRIBUTION BY GENDER (n patients)
MEN 101
FEMALE 164
DISTRIBUTION BY AGE
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CLÍNICA BAVIERA. Instituto Oftalmológico Europeo
MYOPIC CL
HYPEROPIC CL
280
14
236
DISTRIBUTION ACCORDING TO DIAGNOSIS
CATARACT
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CLÍNICA BAVIERA. Instituto Oftalmológico Europeo
SPHERE CILINDER EE SPHERE CILINDER EE
AVERAGE -3,39 -0,98 -3,88 3,64 -0,89 3,19SD 2,72 0,81 2,72 2,24 0,95 2,20MAX -0,25 0 -0,5 12,5 0 11,87MIN -12 -4 -12,75 0 -5,75 -2,87
HYPEROPIA (n = 458)
REFRACTIVE DISTRIBUTION (n = 530)
MYOPIA (n = 72)
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ResultsThe mean far uncorrected visual acuity (UCVA) was 0,81
monocular and 0,94 binocular; mean near UCVA J3 monocular and J2,5 binocular; mean
intermediate binocular UCVA J6,13.Intraoperative complications: zonular dialysis with vitreous
loss in one eye, iris dehiscence in one eye. Postoperative complications: Macular cystoid edema 1 eye,
run out 1 eye and 78 posterior capsular opacification (PCO) with YAG capsulotomy were described.
Global efficacy index 0,94, cataracts group 1, clear lens group 0,91.
Global safety index 1,10 cataract group 1,15 and clear lens group 1,06.
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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 CORRECCIÓN
FV monoc FV binoc NV monoc NV binoc MV binoc
FV monoc FV binoc NV monoc NV binoc MV binocFV monoc FV binoc
FV monoc FV binoc
Visual AcuityVisual Acuity
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AVERAGE
AVERAGE
Preop BSCVAPreop BSCVA Postop UCVAPostop UCVA
Preop BSCVAPreop BSCVA Postop UCVAPostop UCVA
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 Near UCVAUCVA
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CLÍNICA BAVIERA. Instituto Oftalmológico Europeo
11
11
7862(Yag )
PCO
POST-SURGICAL COMPLICATIONS
CYSTOID MACULAR EDEMA
ZONULAR DESINSERTION WITH VITREOUS LOSS
INTRASURGICAL COMPLICATIONS
RELOCATION
IRIS MINIMAL DESINSERTION
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Conclusions
This study shows Difractive Multifocal Acritec implantation to be a safety and effective
method of refractive surgery in cataracts and myopic or hyperopic clear lens.
However longer follow up is considered necessary.
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THANK YOU
CLÍNICA BAVIERA. Instituto Oftalmológico Europeo.
Non Financial Interest