PowerPoint-presentatie

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Preliminary Results after Cataract Surgery with
the Aspheric Acrysof ReSTOR IOL to Correct
Presbyopia
R.M.M.A. Nuijts1, N.E. De Vries, and J. De
Brabander
1Author receives travel expenses from ALCON
Meeting of the ASCRSChicago 8-10 February 2007
University Hospital Maastricht The Netherlands
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AcrySof ReSTOR Model SN60D3

• Apodized diffractive structure 3.6 mm center
• Refractive in periphery
• Incorporates 4.0 add at lens plane equaling 3.2
  at spectacle plane

1.3 micron step
larger steps more light to near at
center smaller steps more light to distance at
edge
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AcrySof Aspheric IOL Design
Symmetric Biconvex
Symmetric Biconvex
AnteriorApodizedDiffractiveOptic
6.0 mm
6.0 mm
PosteriorAspheric Optic
Anterior Aspheric Optic
SN60WF
SN6AD3
The ReSTOR Aspheric IOL (SN6AD3) is designed with
negative spherical aberration
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Patients and Methods

• Prospective study aspheric ReSTOR
• 15 patients, 30 eyes with cataract
• Bilateral implantation within 2 weeks
• 8-14 weeks follow-up
• Mean age 67 8.0 years (range 52-81)
• Comparison with historical standard ReSTOR
  (SN60D3) group

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Outcome Measures

• Patients were examined monocularly and
  binocularly
• ETDRS visual acuity charts
• logMAR visual acuity transferred to Snellen UCDVA
  and BCDVA
• Near visual acuity transformed into Snellen
  values
• Contrast sensitivity CSV-1000

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Refractive OutcomeComparative data
Standard ReSTOR () Aspheric ReSTOR ()
Number of eyes 65 30
Mean SE (D) 0.06 0.28 0.14 0.49
SE 1.0 D () 100 100
Mean Refractive Astigmatism (D) -0.78 0.62 -0.86 0.60
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Uncorrected Distance VA Aspheric vs Standard
ReSTOR
1.25
1.0
0.89
0.85
0.8
0.79
0.68
0.63
0.5
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Monocular Near VAStandard vs Aspheric ReSTOR
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Aspheric vs. Standard ReSTOR IOL Monocular
Mesopic Contrast Sensitivity
Clinical Significance ? 0.3 log units at 2 or
more Spatial Frequencies
P0.04
P0.001
Vector Vision CSV-1000
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Use of SpectaclesAspheric ReSTOR IOL

• Reading glasses 0/15
• Distance glasses 0/15
• 3/30 eyes scheduled for LASEK
• Computer glasses 2/15

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Adverse Effects

• 3/30 eyes scheduled for YAG capsulotomy
• 3/30 eyes scheduled for LASEK
• 1/30 re-operated for decentration
• 1/30 IOL exchange for postoperative ametropia
• No disturbing glare or halos

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Conclusions

• Preliminary data of the aspheric ReSTOR IOL
  (SN6AD3)
• Provides excellent near and distant VA
• Mean monocular UCNVA 0.96
• No glasses for near or distant vision
• 2/15 patients computer glasses
• No disturbing glare or halos
• Higher contrast sensitivity as compared to
  standard ReSTOR