Transcript Clinical results with Difractive Acritec Multifocal IOL

Clinical results with Diffractive
Acritec Multifocal IOL implantation
following cataracts and myopic and
hyperopic clear lens
Margarita Cabanás, MD
Contributing Authors: Fernando LLovet, MD, PhD,
Jaime Beltrán, MD, Rafael Luchena,, MD, Victoria
de Rojas MD, PhD, Julio Baviera, MD.
Non Financial Interest
Purpose
Evaluate visual outcomes and patients
satisfaction after cataract or clear lens surgery
with diffractive multifocal Acritec 366D
implantation.
Setting: Clínica Baviera, Instituto Oftalmológico Europeo, Spain.
Non Financial Interest
Margarita Cabanás, MD
Methods

265 patients underwent cataract , myopic or hyperopic clear lens
extractions in both eyes (530 eyes).

They underwent phacoemulsification with topic anaesthesia and
implantation an Acritec 366D diffractive multifocal IOL.

Shorter time or follow-up were six months.

Uncorrected and best corrected far, middle and near vision were recorded
after one, two and three months after surgery.

Contrast sensitivity testing was examined.

Patients completed a questionnaire about their subjective perception of
visual function or satisfaction test.
Non Financial Interest
Margarita Cabanás, MD
Results

Best uncorrected vision were qualified by patients like very
good and good in 92% of cases in far distance, 76% in middle
vision and 82% in near vision.

88% patients didn’t notice changes driving at night after
surgery and 96% achieved good night vision.

Contrast sensitivity test showed profit in all the frequencies,
without statistically significance differences (probably because
of cataract group).

98% of patients were satisfied or very satisfied ant 99,3 would
underwent same surgery again.
Non Financial Interest
Margarita Cabanás, MD
Visual Acuity
Pre CVA
Post UCVA
PREOP CON CORR
VL mono
FV monoc
TOTAL
AVERAGE
PROMEDIO
DS
MAX
MIN
N
VL
FVbino
binoc
POSTOP SIN CORRECCIÓN
VL mono
FV monoc
VCNV
mono
monoc
VCNV
bino
binoc
VI
bino
MV
binoc
530
157
234
125
120
124
100
0,78
0,94
0,81
0,94
3,00
2,25
6,13
0,23
1
0,03
0,09
1
0,55
0,21
1
0,15
0,14
1
0,3
2,34
1
13
1,11
1
5
1,77
2
10
Pre CVA
Post UCVA
PREOP CON CORR
VL mono
FV monoc
AVERAGE
PROMEDIO
DS
MAX
MIN
VL binoc
bino
FV
VL
FVbino
binoc
POSTOP SIN CORRECCIÓN
VL mono
FV monoc
VLbinoc
bino
FV
VC
NVmono
monoc
VCNV
bino
binoc
VI
bino
MV
binoc
0,78
0,94
0,81
0,94
3,00
2,25
6,13
0,23
1
0,03
0,09
1
0,55
0,21
1
0,15
0,14
1
0,3
2,34
1
13
1,11
1
5
1,77
2
10
Non Financial Interest
Margarita Cabanás, MD
Near Visual Acuity
AGUDEZA VISAL CERCA BINOCULAR
J1
TOTAL
124
39
31,45%
J2
J3
J4
J5
34
43
0
8
93,55%
27,42%
34,68%
0,00%
6,45%
Non Financial Interest
Margarita Cabanás, MD
Pre
Contrast Sensitivity
Post
Satisfaction Test I
MIDDLE VISION
FAR VISION
NEAR VISION
1. VERY BAD
1. VERY BAD
1. VERY BAD
2. BAD
2. BAD
2. BAD
3. MODERATE
3. MODERATE
3. MODERATE
4. GOOD
4. GOOD
4. GOOD
5. VERY GOOD
5. VERY GOOD
5. VERY GOOD
VERY GOOD 30,5%
VERY GOOD
16,5%
92 %
GOOD
MODERATE
61,5%
4,7%
VERY GOOD 41,5%
76 %
GOOD
MODERATE
59,5%
21,5%
82 %
GOOD
40,5%
MODERATE
13,1%
Non Financial Interest
Margarita Cabanás, MD
Satisfaction Test II
NIGHT DRIVING
NIGHT VISION
1. QUITS ON DRIVING
1. WORSTER
2. WORST (FEELS UNSAFE)
2. BIT WORST
3. WORST (WITHOUT PROBLEMS)
3. SAME OR BETTER
4. SAME OR BETTER
SAME OR BETTER 57,5%
SAME OR BETTER 94%
88%
WORST (without problems) 30,5%
WORST (feels unsafe)
96%
BIT WORST
2%
10,6%
Non Financial Interest
Margarita Cabanás, MD
Satisfaction Test III
SURGERY SATISFACTION
WOULD GET SURGERY AGAIN ?
1. UNSATISFIED
1. YES
2. BIT SATISFIED
2. NO
3. SATISFIED
4. VERY SATISFIED
VERY SATISFIED
69%
YES
99,3%
98 %
SATISFIED
BIT SATISFIED
29%
NO
0,7%
2%
Non Financial Interest
Margarita Cabanás, MD
Conclusions
Implantation of Diffractive Multifocal Acritec
366D, provides good near, middle and distance
uncorrected vision; and offers patients a better
Non Financial Interest
quality of life.
Margarita Cabanás, MD
THANK YOU
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