Long-term follow-up of a multifocal apodized diffractive intraocular lens after cataract surgery

Vries, Niels E. de; Webers, Carroll A.B.; Montés‐Micó, Robert; Tahzib, Nayyirih G.; Cheng, Yanny Y. Y.; Brabander, John de; Hendrikse, Fred; Nuijts, Rudy M.M.A.

doi:10.1016/j.jcrs.2008.05.030

Cited by 69 publications

(63 citation statements)

References 30 publications

(45 reference statements)

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“…Our analysis is subject to the following limitations: (1) no model can replace real longitudinal data, but the feasibility and economics of such a survey may be questioned; (2) we hypothesized that the prevalence rate of spectacle independence remains constant until death, whereas available information on the efficacy of ReSTOR and other multifocal IOLs does not cover many years; [39][40][41][42] (3) the external validity of our spectacle cost survey could be challenged as ophthalmologists were not selected at random, but the cost structure was consistent with national statistics; 33 (4) we fully costed savings from avoided refraction visits after ReSTOR, which may be disputed as refraction could be a marginal reason for ophthalmic visits. However, avoided visits were not a major component of ReSTOR savings.…”

Section: Resultsmentioning

confidence: 99%

Lifetime costs and effectiveness of ReSTOR compared with a monofocal IOL and Array-SA40 in the Netherlands

Vries

Laurendeau

Lafuma

et al. 2009

Eye

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Purpose To estimate the lifetime cost consequences for society and the National Health Service (NHS) of bilateral monofocal (SI40NB) or multifocal (ReSTOR or Array-SA40) intraocular lense (IOL) implantation after cataract surgery. Setting Public hospital in the Netherlands. Methods A Markov model simulated three cohorts of patients followed 69 until 100 years of age, or death. Spectacle independence rates for each IOL were adjusted to the results of a randomized clinical trial that compared monofocal and multifocal Array-SA40 IOL implants, together with a prospective cohort of patients implanted with ReSTOR. Adjustment was performed using the propensity score method in a multivariate analysis. Resource consumption was estimated from a dedicated Dutch survey. Dutch unit costs were applied to spectacles, cataract surgery, IOLs, visits to ophthalmologists, optometrists, transport, and spectacle cleaning materials. Cost discounted at 4% and undiscounted economic results were calculated. Results Spectacle independence rates were 86.0% for ReSTOR, 8.7% for monofocal IOLs, and 8.5% for Array-SA40. Patients lived without needing spectacles for 12.9 years after ReSTOR, for 1.4 years after monofocal IOLs, and 1.3 years after Array-SA40. ReSTOR patients bought 6.4 fewer pairs of spectacles than monofocal patients. Lifetime discounted cost consequences for the society were ReSTOR h3969, monofocal IOLs h4123, and Array-SA40 h5326. Corresponding costs for the NHS were h2415, h2555, and h2556, respectively. Conclusions ReSTOR IOLs provided higher levels of spectacle independence than monofocal SI40NB or multifocal Array-SA40 IOLs resulting in savings, compared to a monofocal, over the period modelled of h315 for society and h140 for the NHS.

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Section: Resultsmentioning

confidence: 99%

Lifetime costs and effectiveness of ReSTOR compared with a monofocal IOL and Array-SA40 in the Netherlands

Vries

Laurendeau

Lafuma

et al. 2009

Eye

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“…Many studies [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] have evaluated distance and near visual acuity after hybrid multifocal IOL implantation (Tables 1 and 2). In most of these studies, average monocular distance visual acuity (VA) and corrected for distance near vision (NV) after multifocal IOL implantation were better than 0.1 logMAR (about 6/7.5), with most eyes maintaining or improving both VA and distance corrected near vision.…”

Section: Distance Intermediate and Near Visual Acuitymentioning

confidence: 99%

“…Many studies 20,24,26,27,29,30,32,[35][36][37][38]40,[42][43][44][45][46][47][48][49][50] have measured the CSF after hybrid multifocal IOL implantation. It has been suggested that CSF under photopic and mesopic conditions, after multifocal IOL implantation, must be lower than that obtained after monofocal IOL implantation, but still within the normal range.…”

Section: Contrast Sensitivitymentioning

confidence: 99%

Visual and optical performance with hybrid multifocal intraocular lenses

Madrid-Costa

Cerviño

Ferrer-Blasco

et al. 2010

Clinical and Experimental Optometry

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During the past years, the wish to become independent of spectacles has been growing among cataract and presbyopic patients due to many factors, such as the increase in near visual demands, the aesthetic need for a spectacle-free image and ageing of refractive surgery patients, among others. This review assesses recently published studies that analyse visual and optical performance through different metrics of eyes implanted with multifocal intraocular lenses (IOLs), particularly hybrid IOL designs. The published evidence suggests that hybrid multifocal IOLs provide very good outcomes in a number of visual and optical performance parameters. Patients implanted with this type of IOL obtain a satisfactory full range of visual functions, including patients of particular characteristics such as highly ametropic or post-LASIK.

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“…58 IOLs have taken advantage of diffractive optics. 59 Whereas a smooth convex surface of a lens produces one sharp point of focus for the image, diffractive lenses by way of a stepped design on the lens surface diffract the light resulting in two focal points. The central zone of the lens is apodised, whereby the diffractive step heights are gradually reduced and blended towards the periphery.…”

Section: Iols For Presbyopiamentioning

confidence: 99%

Advances in cataract surgery

Ashwin

Shah

Wolffsohn

2009

Clinical and Experimental Optometry

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Cataract surgery is a technique described since recorded history, yet it has greatly evolved only in the latter half of the past century. The development of the intraocular lens and phacoemulsification as a technique for cataract removal could be considered as the two most significant strides that have been made in this surgical field. This review takes a comprehensive look at all aspects of cataract surgery, starting from patient selection through the process of consent, anaesthesia, biometry, lens power calculation, refractive targeting, phacoemulsification, choice of intraocular lens and management of complications, such as posterior capsular opacification, as well as future developments. As the most common ophthalmic surgery and with the expanding range of intraocular lens options, optometrists have an important and growing role in managing patients with cataract.

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Long-term follow-up of a multifocal apodized diffractive intraocular lens after cataract surgery

Abstract: Cataract surgery with the AcrySof ReSTOR SA60D3 IOL provided good, stable distance and near visual acuities over a 3-year follow-up, leading to low spectacle independence and high patient satisfaction.

Cited by 69 publications

References 30 publications

Lifetime costs and effectiveness of ReSTOR compared with a monofocal IOL and Array-SA40 in the Netherlands

Lifetime costs and effectiveness of ReSTOR compared with a monofocal IOL and Array-SA40 in the Netherlands

Visual and optical performance with hybrid multifocal intraocular lenses

Advances in cataract surgery

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