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Automated Perimetry
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TJ-CEO 2009 , Vol 4 , Num 1
Turkish Abstract Abstract PDF Similar Articles Mail to Author
The Results of the Zeiss-AcriLisa 366 D Multifocal Intraocular Lenses Implantation Operations with Biaxial Microincisional Cataract Surgery Tehnique
İzzet CAN1, Tamer TAKMAZ2, Gülizar SOYUGELEN3, Şenay AŞIK NACAROĞLU3
1Ankara Atatürk Eğ. ve Arş. Hastanesi, 2. Göz Kliniği Şefi, Ankara, Doç. Dr.
2Ankara Atatürk Eğ. ve Arş. Hastanesi, 2. Göz Kliniği Başasistanı, Ankara, Op. Dr.
3Ankara Atatürk Eğ. ve Arş. Hastanesi, 2. Göz Kliniği, Ankara, Asist. Dr.
Purpose: To evaluate the results of the B-MICS operation with the usage of aspheric, diffractive-refractive multifocal Zeiss-AcriLisa 366 D IOLs which can be implanted through a 1.8 mm incision.
Materials and Methods: Twenty-seven eyes of the 17 patients were operated with the B-MICS technique and Zeiss-AcriLisa 366 D multifocal IOLs were implanted through 1.8 mm incisions. The mean age of the patients was 48.6±14.2 and mean follow up time was 14.7±5.0 months. Operations were made bilaterally in 10 patients and unilaterally in 7 patients. Four eyes of 2 patients were intervened for RLE and in 2 cases, LRI were combined to the surgery. Patients were evaluated for their far, near and intermediate distance visual gains, quality of vision and SIA.
Results: Patient’s postoperative mean monocular uncorrected visual acuities were for far, near and intermediate distances; 0.78±0.17, J1.15±0.46, J4.0±1.33 and best corrected visual acuities were 0.99±0.05, J1.09±0.27. J3.0±1.50 while mean binocular uncorrected visual acuities were 0.98±0.05, J1.07±0.27, J2.4±1.52 respectively. Mean contrast sensitivity measurements were 1.54±0.33, 1.62±0.28, 1.28±0.36, 0.93±0.30 without glare and 1.33±0.28, 1.53±0.29, 1.15±0.32 and 0.84±0.35 with glare for 3, 6, 12, 18 cpd respectively at the 90th postoperative day. The final measured average incision width was 1.93±0.18 mm and SIA was calculated as 0.18x90 with the vectorial analyses method. Both near and far spectacle independence rates were 100%postoperatively.
Conclusion: When Zeiss-AcriLisa 366 D intraocular lenses are implanted by using B-MICS technique, with the contribution of the advantages of this technique to avoid astigmatism, expected results from multifocal lenses can be obtained in terms of functionality, efficacy and safety.
Keywords : Biaxial microincisional cataract surgery, surgical presbyopia treatment, multifocal intraocular lenses, surgical induced astigmatism, contrast sensitivity
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