Binocular and Monocular Implantation of Small-Aperture Intraocular Lenses in Cataract Surgery.

Abstract

PURPOSE:

To compare the clinical outcomes with the extended depth of focus small-aperture intraocular lens (IOL) (IC-8; AcuFocus, Irvine, CA) for presbyopia compensation when implanted monocularly or binocularly.

METHODS:

Visual outcomes, defocus curve, patient satisfaction, and visual symptoms during a 6-month follow-up were evaluated in 11 patients (contralateral group) implanted monocularly with this IOL and with an aspheric monofocal IOL in the fellow eye (myopic target) and 6 patients (bilateral group) implanted bilaterally with the IC-8 IOL (dominant eye with plano target, fellow eye with myopic target).

RESULTS:

Bilateral implantation of the IC-8 IOL resulted in an extended range of focus, with better intermediate and near vision. Monocular implantation of the IC-8 IOL resulted in a significantly higher overall satisfaction score and lower halo score.

CONCLUSIONS:

Bilateral implantation of the IC-8 IOL resulted in an extended range of focus, with better intermediate and near vision than monocular implantation of this IOL. [J Refract Surg. 2018;34(9):629-631.].

• Authors: H Burkhard Dick, Matthias Elling, Tim Schultz
• Journal: Journal of refractive surgery (Thorofare, N.J. : 1995) (J Refract Surg) Vol. 34 Issue 9 Pg. 629-631 (Sep 01 2018) ISSN: 1938-2391 [Electronic] United States
• PMID: 30199568 (Publication Type: Case Reports, Comparative Study, Journal Article)
• Copyright: Copyright 2018, SLACK Incorporated.

Topics

• Aged
• Female
• Humans
• Lens Implantation, Intraocular
• Lenses, Intraocular
• Male
• Middle Aged
• Patient Satisfaction
• Phacoemulsification (methods)
• Presbyopia (surgery)
• Prospective Studies
• Prosthesis Design
• Pseudophakia (physiopathology)
• Vision, Binocular (physiology)
• Vision, Monocular (physiology)
• Visual Acuity (physiology)