Successful Restoration of Visual Acuity with an Extended Range of Vision Intraocular Lens after Multifocal Laser Ablation

Sondra Black, Sondra Black

Abstract

As our baby boomer population is aging and developing cataracts, so are our post-LASIK patients. These patients underwent LASIK surgery as they wished to be spectacle-free and are hoping to remain so after intraocular lens (IOL) surgery. Unfortunately, very little information is available regarding the suitability of presbyopia correcting IOLs for post-LASIK patients. This case represents successful implantation of an extended range of vision IOL in a 59-year-old patient who underwent multifocal ablation excimer laser surgery 12 years before. Emmetropia was targeted for the dominant eye and -0.5 D for the fellow eye. The 13 month follow-up after bilateral implantation of the TECNIS Symfony IOL revealed an uncorrected visual acuity of 20/25 for distance, 20/20 for intermediate and 20/16 for near. The patient is very happy and did not report any visual symptoms when asked. This successful case should encourage surgeons to consider implanting an extended range of vision IOLs in post-LASIK patients.

Keywords: Extended range of vision; LASIK; Multifocal laser ablation; TECNIS Symfony; Visual outcome.

Conflict of interest statement

Dr. Black reports grants from Visx during the conduct of the study.

Figures

Fig. 1.
Fig. 1.
Central steepening of the cornea after multifocal ablation in the right (a) and left (b) eye.

References

    1. Khor WB, Afshari NA. The role of presbyopia-correcting intraocular lenses after laser in situ keratomileusis. Curr Opin Ophthalmol. 2013;24:35–40.
    1. Alfonso JF, Madrid-Costa D, Poo-Lopez A, Montes-Mico R. Visual quality after diffractive intraocular lens implantation in eyes with previous myopic laser in situ keratomileusis. J Cataract Refract Surg. 2008;34:1848–1854.
    1. Fernandez-Vega L, Madrid-Costa D, Alfonso JF, et al. Optical and visual performance of diffractive intraocular lens implantation after myopic laser in situ keratomileusis. J Cataract Refract Surg. 2009;35:825–832.
    1. Alfonso JF, Fernandez-Vega L, Baamonde B, et al. Refractive lens exchange with spherical diffractive intraocular lens implantation after hyperopic laser in situ keratomileusis. J Cataract Refract Surg. 2009;35:1744–1750.
    1. Alfonso JF, Fernandez-Vega L, Baamonde B, et al. Visual quality after diffractive intraocular lens implantation in eyes with previous hyperopic laser in situ keratomileusis. J Cataract Refract Surg. 2011;37:1090–1096.
    1. Alió JL, Chaubard JJ, Caliz A, Sala E, Patel S. Correction of presbyopia by technovision central multifocal LASIK (presbyLASIK) J Refract Surg. 2006;22:453–460.
    1. Pinelli R, Ortiz D, Simonetto A, Bacchi C, Sala E, Alió JL. Correction of presbyopia in hyperopia with a center-distance, paracentral-near technique using the Technolas 217z platform. J Refract Surg. 2008;24:494–500.
    1. El Danasoury AM, Gamaly TO, Hantera M. Multizone LASIK with peripheral near zone for correction of presbyopia in myopic and hyperopic eyes: 1-year results. J Refract Surg. 2009;25:296–305.
    1. Uthoff D, Pölzl M, Hepper D, Holland D. A new method of cornea modulation with excimer laser for simultaneous correction of presbyopia and ametropia. Graefes Arch Clin Exp Ophthalmol. 2012;250:1649–1661.
    1. Ryan A, O'Keefe M. Corneal approach to hyperopic presbyopia treatment: six-month outcomes of a new multifocal excimer laser in situ keratomileusis procedure. J Cataract Refract Surg. 201;39:1226–1233.
    1. Jackson WB, Tuan KM, Mintsioulis G. Aspheric wavefront-guided LASIK to treat hyperopic presbyopia: 12-month results with the VISX platform. J Refract Surg. 2011;27:519–529.
    1. TECNIS Symfony DFU, Z310939 Rev.: 03 Revision Date March 10, 2014.
    1. Weeber HA, Piers PA. Theoretical performance of intraocular lenses correcting both spherical and chromatic aberration. J Refract Surg. 2012;28:48–52.
    1. Artal P, Manzanera S, Piers P, Weeber H. Visual effect of the combined correction of spherical and longitudinal chromatic aberrations. Opt Express. 2010;18:1637–1648.
    1. Cochener B. Discussion of clinical outcomes with an ERV IOL. Cataract Refract Surg Today Eur April. 2016:35–37.

Source: PubMed

Szponzorok és közreműködők

Egészségi állapot

Kábítószer-beavatkozások

3
Iratkozz fel