Extended depth of focus lens implantation after radial keratotomy

Brandon J Baartman,1 Kayla Karpuk,1 Bradley Eichhorn,2 Tanner J Ferguson,2 Ramu G Sudhagoni,3 John P Berdahl,1 Vance M Thompson11Vance Thompson Vision, Sioux Falls, SD, USA; 2University of South Dakota School of Medicine, Vermillion, SD, USA; 3Public Health Department, School of Health Sciences, Uni...

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Autores principales:	Baartman BJ, Karpuk K, Eichhorn B, Ferguson TJ, Sudhagoni RG, Berdahl JP, Thompson VM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	Radial Keratotomy Cataract Intraocular Lens Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/b8313f5c764b46a5b92bc3cfa91d5561
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spelling	oai:doaj.org-article:b8313f5c764b46a5b92bc3cfa91d55612021-12-02T06:41:04ZExtended depth of focus lens implantation after radial keratotomy1177-5483https://doaj.org/article/b8313f5c764b46a5b92bc3cfa91d55612019-07-01T00:00:00Zhttps://www.dovepress.com/extended-depth-of-focus-lens-implantation-after-radial-keratotomy-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Brandon J Baartman,1 Kayla Karpuk,1 Bradley Eichhorn,2 Tanner J Ferguson,2 Ramu G Sudhagoni,3 John P Berdahl,1 Vance M Thompson11Vance Thompson Vision, Sioux Falls, SD, USA; 2University of South Dakota School of Medicine, Vermillion, SD, USA; 3Public Health Department, School of Health Sciences, University of South Dakota, Vermillion, SD, USAPurpose: To identify the visual performance of radial keratotomy (RK) patients that have undergone cataract surgery with implantation of an extended depth of focus (EDOF) intraocular lens (IOL).Design: Retrospective chart review with questionnaire.Methods: Medical charts of patients with a history of RK that had undergone phacoemulsification with implantation of the Tecnis Symfony IOL (J&J Vision) were reviewed. Data collected included preoperative demographics, number of RK incisions, pupil size, and preoperative visual acuity and manifest refraction. Primary outcome measures of the study included postoperative uncorrected distance visual acuity (UCVA) and manifest refraction spherical equivalent (SE) at each follow-up visit. Secondary outcomes included results from a telephone questionnaire assessing visual performance and satisfaction.Results: Twenty-four eyes of 12 patients were included. UCVA improved from an average Snellen equivalent 20/73 preoperatively to 20/33 at an average final follow-up of 6 months (P=0.0011), while average manifest SE improved from +1.68 D to −0.18 D (P<0.0001). At final follow-up, 15 of 24 eyes (62.5%) were at or within 0.5 D of target refraction, while 20 of 24 eyes (83.3%) were at or within 1.0 D. In total, 79% of eyes (19 of 24) had UCVA of 20/40 or better at distance. In the survey, 78% of patients reported satisfaction with their vision after surgery and 44% of patients reported being spectacle free for all tasks.Conclusions: An EDOF lens implant can produce good visual outcomes and satisfaction in patients with a history of RK.Keywords: radial keratotomy, cataract, intraocular lensBaartman BJKarpuk KEichhorn BFerguson TJSudhagoni RGBerdahl JPThompson VMDove Medical PressarticleRadial KeratotomyCataractIntraocular LensOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 1401-1408 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Radial Keratotomy Cataract Intraocular Lens Ophthalmology RE1-994
spellingShingle	Radial Keratotomy Cataract Intraocular Lens Ophthalmology RE1-994 Baartman BJ Karpuk K Eichhorn B Ferguson TJ Sudhagoni RG Berdahl JP Thompson VM Extended depth of focus lens implantation after radial keratotomy
description	Brandon J Baartman,1 Kayla Karpuk,1 Bradley Eichhorn,2 Tanner J Ferguson,2 Ramu G Sudhagoni,3 John P Berdahl,1 Vance M Thompson11Vance Thompson Vision, Sioux Falls, SD, USA; 2University of South Dakota School of Medicine, Vermillion, SD, USA; 3Public Health Department, School of Health Sciences, University of South Dakota, Vermillion, SD, USAPurpose: To identify the visual performance of radial keratotomy (RK) patients that have undergone cataract surgery with implantation of an extended depth of focus (EDOF) intraocular lens (IOL).Design: Retrospective chart review with questionnaire.Methods: Medical charts of patients with a history of RK that had undergone phacoemulsification with implantation of the Tecnis Symfony IOL (J&J Vision) were reviewed. Data collected included preoperative demographics, number of RK incisions, pupil size, and preoperative visual acuity and manifest refraction. Primary outcome measures of the study included postoperative uncorrected distance visual acuity (UCVA) and manifest refraction spherical equivalent (SE) at each follow-up visit. Secondary outcomes included results from a telephone questionnaire assessing visual performance and satisfaction.Results: Twenty-four eyes of 12 patients were included. UCVA improved from an average Snellen equivalent 20/73 preoperatively to 20/33 at an average final follow-up of 6 months (P=0.0011), while average manifest SE improved from +1.68 D to −0.18 D (P<0.0001). At final follow-up, 15 of 24 eyes (62.5%) were at or within 0.5 D of target refraction, while 20 of 24 eyes (83.3%) were at or within 1.0 D. In total, 79% of eyes (19 of 24) had UCVA of 20/40 or better at distance. In the survey, 78% of patients reported satisfaction with their vision after surgery and 44% of patients reported being spectacle free for all tasks.Conclusions: An EDOF lens implant can produce good visual outcomes and satisfaction in patients with a history of RK.Keywords: radial keratotomy, cataract, intraocular lens
format	article
author	Baartman BJ Karpuk K Eichhorn B Ferguson TJ Sudhagoni RG Berdahl JP Thompson VM
author_facet	Baartman BJ Karpuk K Eichhorn B Ferguson TJ Sudhagoni RG Berdahl JP Thompson VM
author_sort	Baartman BJ
title	Extended depth of focus lens implantation after radial keratotomy
title_short	Extended depth of focus lens implantation after radial keratotomy
title_full	Extended depth of focus lens implantation after radial keratotomy
title_fullStr	Extended depth of focus lens implantation after radial keratotomy
title_full_unstemmed	Extended depth of focus lens implantation after radial keratotomy
title_sort	extended depth of focus lens implantation after radial keratotomy
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/b8313f5c764b46a5b92bc3cfa91d5561
work_keys_str_mv	AT baartmanbj extendeddepthoffocuslensimplantationafterradialkeratotomy AT karpukk extendeddepthoffocuslensimplantationafterradialkeratotomy AT eichhornb extendeddepthoffocuslensimplantationafterradialkeratotomy AT fergusontj extendeddepthoffocuslensimplantationafterradialkeratotomy AT sudhagonirg extendeddepthoffocuslensimplantationafterradialkeratotomy AT berdahljp extendeddepthoffocuslensimplantationafterradialkeratotomy AT thompsonvm extendeddepthoffocuslensimplantationafterradialkeratotomy
_version_	1718399774430855168

Extended depth of focus lens implantation after radial keratotomy

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