This content is only available for ASCRS Members
This content from the 2020 ASCRS Virtual Annual Meeting is only available to ASCRS members. To log in, click the teal "Login" button in the upper right-hand corner of this page.
Filed Under
Cataract
Refractive
post-refractive surgery
refractive outcomes
toric IOL
EDOF
extended depth of focus IOL
monofocal IOL
2020 paper presentation
Purpose
Use a patient questionnaire and multivariate regression analysis to compare functional visual outcomes and patient satisfaction of post LASIK patients having received multifocal, EDOF, and monofocal intraocular lenses.
Results
All pts were either very sat or sat, but a sig greater % were very sat in the MULTI & EDOF cohorts: (MULTI 28/4, EDOF 9/2, MONO 4/9). Regression revealed that near visual function variables explained greater pt sat in the MULTI (+3.25) vs EDOF & MONO cohorts including UCNVA p=.001, UCIVA p=.04, reading acuity p=.014, reading speed-WPM p=.05, glasses use-near p=.0014, reading newspaper p=.002. EDOF outperformed MONO for working on a computer p=.039. Contrast sens was sig less for MULTI vs both EDOF p=.05 and MONO p=.009. All 61 post LASIK eyes revealed sig greater HOAs vs a cohort of 350 nonpost LASIK presbyopic IOL eyes: RMS p=.009, coma p=.038, trefoil p=.049, and sph aberration p=.011.
Conclusion
1)Multifocal IOLs achieved high levels of pt satisfaction in post LASIK patients despite lower scores for contrast sens and HOAs 2) Regression revealed that numerous variables related to uncorrected near visual function explained the high levels of pt satisfaction 3) Halo, glare, and starburst did not contribute sig to scores for pt satisfaction
Use a patient questionnaire and multivariate regression analysis to compare functional visual outcomes and patient satisfaction of post LASIK patients having received multifocal, EDOF, and monofocal intraocular lenses.
Results
All pts were either very sat or sat, but a sig greater % were very sat in the MULTI & EDOF cohorts: (MULTI 28/4, EDOF 9/2, MONO 4/9). Regression revealed that near visual function variables explained greater pt sat in the MULTI (+3.25) vs EDOF & MONO cohorts including UCNVA p=.001, UCIVA p=.04, reading acuity p=.014, reading speed-WPM p=.05, glasses use-near p=.0014, reading newspaper p=.002. EDOF outperformed MONO for working on a computer p=.039. Contrast sens was sig less for MULTI vs both EDOF p=.05 and MONO p=.009. All 61 post LASIK eyes revealed sig greater HOAs vs a cohort of 350 nonpost LASIK presbyopic IOL eyes: RMS p=.009, coma p=.038, trefoil p=.049, and sph aberration p=.011.
Conclusion
1)Multifocal IOLs achieved high levels of pt satisfaction in post LASIK patients despite lower scores for contrast sens and HOAs 2) Regression revealed that numerous variables related to uncorrected near visual function explained the high levels of pt satisfaction 3) Halo, glare, and starburst did not contribute sig to scores for pt satisfaction
View More Presentations from this Session
This presentation is from the session "SPS-110 Post Refractive Surgery - IOL Calculations" from the 2020 ASCRS Virtual Annual Meeting held on May 16-17, 2020.