Long-term visual outcomes after Crystalens® HD intraocular lens implantation

Alexandra E Karavitaki, Ioannis G Pallikaris, Sophia I Panagopoulou, George A Kounis, George Kontadakis, George D KymionisInstitute of Vision and Optics, University of Crete, Crete, GreecePurpose: Our purpose was to evaluate the long-term visual outcomes after bilateral implantation of Crystalens&a...

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Autores principales: Karavitaki AE, Pallikaris IG, Panagopoulou SI, Kounis GA, Kontadakis G, Kymionis GD
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Publicado: Dove Medical Press 2014
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spelling oai:doaj.org-article:293c15fc2ee544dfb59558d3742265fd2021-12-02T05:03:08ZLong-term visual outcomes after Crystalens® HD intraocular lens implantation1177-5483https://doaj.org/article/293c15fc2ee544dfb59558d3742265fd2014-05-01T00:00:00Zhttp://www.dovepress.com/long-term-visual-outcomes-after-crystalensreg-hd-intraocular-lens-impl-a16842https://doaj.org/toc/1177-5483 Alexandra E Karavitaki, Ioannis G Pallikaris, Sophia I Panagopoulou, George A Kounis, George Kontadakis, George D KymionisInstitute of Vision and Optics, University of Crete, Crete, GreecePurpose: Our purpose was to evaluate the long-term visual outcomes after bilateral implantation of Crystalens® HD (Bausch and Lomb, Inc.) accommodative intraocular lenses.Methods: In this study, 25 patients (50 eyes) who underwent cataract surgery and bilateral Crystalens HD accommodative intraocular lens implantation were included. The Crystalens HD lens was implanted in the bag in both eyes, without any intra- or postoperative complications. The visual parameters measured before and after surgery were: uncorrected distance visual acuity, corrected distance visual acuity (CDVA) (using the Early Diabetic Retinopathy Study [EDTRS] logMAR charts), uncorrected intermediate visual acuity, and uncorrected near visual acuity using a Birkhäuser reading chart, at a distance of 66 cm and 33 cm for intermediate and near vision, respectively, directly illuminated by a lamp of 60 watts. After surgery, the patients were evaluated at 1, 3, 6, 12, 24, and 36 months.Results: The mean age was 68.70±7.1 (range: 54 to 83) years. The mean follow-up was 42.72±0.49 (range: 42.33 to 43.27) months. The uncorrected distance visual acuity improved from 0.56±0.41 (range: 0 to 2) preoperatively to 0.19±0.13 (range: 0 to 0.38) (logMAR scale) at the last follow-up visit, and the CDVA improved from 0.17±0.18 (range: 0 to 0.7) preoperatively to 0.05±0.05 (range: −0.02 to 0.22) at the last follow-up visit. No eyes lost lines of CDVA during the follow-up period, while 54% of patients gained one or more lines of CDVA. The uncorrected intermediate and near visual acuity was J2 or better in 71% and 69% of our patients, respectively.Conclusion: Crystalens HD implantation seems to provide an improvement in visual acuity for far, intermediate, and near distances.Keywords: presbyopia, accommodationKaravitaki AEPallikaris IGPanagopoulou SIKounis GAKontadakis GKymionis GDDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 937-943 (2014)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Karavitaki AE
Pallikaris IG
Panagopoulou SI
Kounis GA
Kontadakis G
Kymionis GD
Long-term visual outcomes after Crystalens® HD intraocular lens implantation
description Alexandra E Karavitaki, Ioannis G Pallikaris, Sophia I Panagopoulou, George A Kounis, George Kontadakis, George D KymionisInstitute of Vision and Optics, University of Crete, Crete, GreecePurpose: Our purpose was to evaluate the long-term visual outcomes after bilateral implantation of Crystalens® HD (Bausch and Lomb, Inc.) accommodative intraocular lenses.Methods: In this study, 25 patients (50 eyes) who underwent cataract surgery and bilateral Crystalens HD accommodative intraocular lens implantation were included. The Crystalens HD lens was implanted in the bag in both eyes, without any intra- or postoperative complications. The visual parameters measured before and after surgery were: uncorrected distance visual acuity, corrected distance visual acuity (CDVA) (using the Early Diabetic Retinopathy Study [EDTRS] logMAR charts), uncorrected intermediate visual acuity, and uncorrected near visual acuity using a Birkhäuser reading chart, at a distance of 66 cm and 33 cm for intermediate and near vision, respectively, directly illuminated by a lamp of 60 watts. After surgery, the patients were evaluated at 1, 3, 6, 12, 24, and 36 months.Results: The mean age was 68.70±7.1 (range: 54 to 83) years. The mean follow-up was 42.72±0.49 (range: 42.33 to 43.27) months. The uncorrected distance visual acuity improved from 0.56±0.41 (range: 0 to 2) preoperatively to 0.19±0.13 (range: 0 to 0.38) (logMAR scale) at the last follow-up visit, and the CDVA improved from 0.17±0.18 (range: 0 to 0.7) preoperatively to 0.05±0.05 (range: −0.02 to 0.22) at the last follow-up visit. No eyes lost lines of CDVA during the follow-up period, while 54% of patients gained one or more lines of CDVA. The uncorrected intermediate and near visual acuity was J2 or better in 71% and 69% of our patients, respectively.Conclusion: Crystalens HD implantation seems to provide an improvement in visual acuity for far, intermediate, and near distances.Keywords: presbyopia, accommodation
format article
author Karavitaki AE
Pallikaris IG
Panagopoulou SI
Kounis GA
Kontadakis G
Kymionis GD
author_facet Karavitaki AE
Pallikaris IG
Panagopoulou SI
Kounis GA
Kontadakis G
Kymionis GD
author_sort Karavitaki AE
title Long-term visual outcomes after Crystalens® HD intraocular lens implantation
title_short Long-term visual outcomes after Crystalens® HD intraocular lens implantation
title_full Long-term visual outcomes after Crystalens® HD intraocular lens implantation
title_fullStr Long-term visual outcomes after Crystalens® HD intraocular lens implantation
title_full_unstemmed Long-term visual outcomes after Crystalens® HD intraocular lens implantation
title_sort long-term visual outcomes after crystalens® hd intraocular lens implantation
publisher Dove Medical Press
publishDate 2014
url https://doaj.org/article/293c15fc2ee544dfb59558d3742265fd
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AT panagopoulousi longtermvisualoutcomesaftercrystalensreghdintraocularlensimplantation
AT kounisga longtermvisualoutcomesaftercrystalensreghdintraocularlensimplantation
AT kontadakisg longtermvisualoutcomesaftercrystalensreghdintraocularlensimplantation
AT kymionisgd longtermvisualoutcomesaftercrystalensreghdintraocularlensimplantation
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