Prospective functional and clinical comparison of bilateral ReZoom and ReSTOR intraocular lenses in patients 70 years or younger

Chang, David F.

doi:10.1016/j.jcrs.2007.12.053

Cited by 76 publications

(80 citation statements)

References 13 publications

(21 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…1 In refractive MIOLs, halo or glare symptoms are more prominent than in diffractive MIOLs because of light scattering at the transitional zone between the distant and near focus of the MIOL. 2 In addition, the near visual acuity (VA) when using refractive MIOLs tends to depend on pupil size because of the near focus zone of the MIOL being concentrically allocated.…”

Section: Introductionmentioning

confidence: 99%

Implantation of refractive multifocal intraocular lens with a surface-embedded near section for cataract eyes complicated with a coexisting ocular pathology

Ouchi

Kinoshita

2015

Eye

View full text Add to dashboard Cite

Purpose To evaluate the postoperative outcomes of cataract eyes complicated with coexisting ocular pathologies that underwent implantation of a refractive multifocal intraocular lens (MIOL) with a surfaceembedded near section. Methods LENTIS MPlus (Oculentis GmbH) refractive MIOLs were implanted in 15 eyes with ocular pathologies other than cataract (ie, six high-myopia eyes with an axial length longer than 28 mm, two fundus albipunctatus eyes, two branch retinal-vein occlusion eyes, four glaucoma eyes (one with high myopia), and two keratoconus eyes). Uncorrected or corrected distance and near visual acuity (VA) (UDVA, UNVA, CDVA, and CNVA), contrast sensitivity, and defocus curve were measured at 1 day and 6 months postoperatively, and each patient completed a 6-month postoperative questionnaire regarding vision quality and eyeglass use. Results Thirteen eyes (87%) registered 0 or better in CDVA and 12 eyes (73%) registered better than 0 in CNVA. Contrast sensitivity in the eyes of all patients was comparable to that of normal healthy subjects. No patient required eyeglasses for distance vision, but three patients (20%) required them for near vision. No patient reported poor or very poor vision quality. Conclusion With careful case selection, sectorial refractive MIOL implantation is effective for treating cataract eyes complicated with ocular pathologies.

show abstract

Section: Introductionmentioning

confidence: 99%

Implantation of refractive multifocal intraocular lens with a surface-embedded near section for cataract eyes complicated with a coexisting ocular pathology

Ouchi

Kinoshita

2015

Eye

View full text Add to dashboard Cite

show abstract

“…Researchers have noted these factors, and some studies have analyzed the governing factors for patient satisfaction after implantation of multifocal IOLs. [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] Causes associated with photic phenomena noted in previous studies have included IOL decentration, retained lens fragment, posterior capsular opacification, dry-eye syndrome, uncorrected visual acuity (UCVA), use of spectacles for distance purposes, postoperative astigmatism, and postoperative spherical equivalent. 9,21 However, none of the studies in published literature have evaluated the role of misalignment between the visual axis and the pupillary axis, or the angle kappa, as a specific predictor for patient symptoms.…”

Section: Introductionmentioning

confidence: 99%

Predictive factor and kappa angle analysis for visual satisfactions in patients with multifocal IOL implantation

Prakash

Agarwal

et al. 2011

Eye

100

View full text Add to dashboard Cite

Purpose To evaluate the visual acuity and quality-related satisfaction of patients implanted with a refractive design multifocal intraocular lens (IOL), and evaluate the factors predicting it including angle kappa. Setting Dr Agarwal's Eye Hospital and Eye Research Centre, Chennai. Methods In this prospective trial, 50 eyes of 44 consecutive patients were included. All patients underwent phacoemulsification with multifocal IOL implantation (Rezoom IOL, Abbott Medical Optics). The preoperative and postoperative assessment included slit lamp biomicroscopy, uncorrected visual acuity (UCVA), best-corrected visual acuity (BCVA) and kappa angle assessment. At 1 year, 37 patients (43 eyes), who finished follow-up, were asked to rate their symptoms on a graded questionnaire (0-5 for five queries). Results The decimal scores for UCVA and BCVA were 0.38 ± 0.21 and 0.47 ± 0.17 (preoperative), and 0.75 ± 0.22 and 0.99 ± 0.11 (postoperative), respectively. Symptom scores were haloes 0.98 ± 1.7, glare 0.69 ± 1.48, blurred distance 1.0 ± 1.7, intermediate 1.34 ± 1.6, near 1.06±1.8. On regression analysis haloes depended on angle kappa and distance UCVA (R 2 ¼ 0.26, P ¼ 0.029), and glare on angle kappa (R 2 ¼ 0.26, P ¼ 0.033). Poor satisfactions with distance, intermediate, and near vision were linked with distance UCVA (R 2 ¼ 0.17, P ¼ 2.3 Â 10 À4 ), distance UCVA (R 2 ¼ 0.1, P ¼ 0.04), and near UCVA (R 2 ¼ 0.12, P ¼ 0.03), respectively. The strongest predictor, however, for overall visual discomfort was distance UCVA (R 2 ¼ 0.1, P ¼ 0.04).Conclusions Our study suggests that there may be a role of misalignment between the visual and pupillary axis (angle kappa) in the occurrence of photic phenomenon after refractive multifocal IOL implantation.

show abstract

“…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

View full text Add to dashboard Cite

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.

show abstract

Prospective functional and clinical comparison of bilateral ReZoom and ReSTOR intraocular lenses in patients 70 years or younger

Cited by 76 publications

References 13 publications

Implantation of refractive multifocal intraocular lens with a surface-embedded near section for cataract eyes complicated with a coexisting ocular pathology

Implantation of refractive multifocal intraocular lens with a surface-embedded near section for cataract eyes complicated with a coexisting ocular pathology

Predictive factor and kappa angle analysis for visual satisfactions in patients with multifocal IOL implantation

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

Contact Info

Product

Resources

About