Retreatments after multifocal intraocular lens implantation: an analysis

Kjell Gunnar Gundersen,1 Sarah Makari,2 Steffen Ostenstad,1 Rick Potvin2 1Ifocus Eye Clinic, Haugesund, Norway; 2Science in Vision, Akron, NY, USA Purpose: To determine the incidence and etiology of required retreatment after multifocal intraocular lens (IOL) implantation and to evaluate the metho...

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Autores principales:	Gundersen KG, Makari S, Ostenstad S, Potvin R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Piggyback IOL Sulcoflex toric STAAR symptoms astigmatism Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/cd663fe5ef5b460ca8556a9bc73b8b69
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spelling	oai:doaj.org-article:cd663fe5ef5b460ca8556a9bc73b8b692021-12-02T04:06:31ZRetreatments after multifocal intraocular lens implantation: an analysis1177-5483https://doaj.org/article/cd663fe5ef5b460ca8556a9bc73b8b692016-03-01T00:00:00Zhttps://www.dovepress.com/retreatments-after-multifocal-intraocular-lens-implantation-an-analysi-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Kjell Gunnar Gundersen,1 Sarah Makari,2 Steffen Ostenstad,1 Rick Potvin2 1Ifocus Eye Clinic, Haugesund, Norway; 2Science in Vision, Akron, NY, USA Purpose: To determine the incidence and etiology of required retreatment after multifocal intraocular lens (IOL) implantation and to evaluate the methods and clinical outcomes of retreatment.Patients and methods: A retrospective chart review of 416 eyes of 209 patients from one site that underwent uncomplicated cataract surgery with multifocal IOL implantation. Biometry, the IOL, and refractive data were recorded after the original implantation, with the same data recorded after retreatment. Comments related to vision were obtained both before and after retreatment for retreated patients.Results: The multifocal retreatment rate was 10.8% (45/416 eyes). The eyes that required retreatment had significantly higher residual refractive astigmatism compared with those who did not require retreatment (1.21±0.51 D vs 0.51±0.39 D, P<0.01). The retreatment rate for the two most commonly implanted primary IOLs, blended bifocal (10.5%, 16/152) and bilateral trifocal (6.9%, 14/202) IOLs, was not statistically significantly different (P=0.12). In those requiring retreatment, refractive-related complaints were most common. Retreatment with refractive corneal surgery, in 11% of the eyes, and piggyback IOLs, in 89% of the eyes, was similarly successful, improving patient complaints 78% of the time.Conclusion: Complaints related to ametropia were the main reasons for retreatment. Residual astigmatism appears to be an important determinant of retreatment rate after multifocal IOL implantation. Retreatment can improve symptoms for a high percentage of patients; a piggyback IOL is a viable retreatment option. Keywords: piggyback IOL, Sulcoflex, toric, STAAR, symptoms, astigmatismGundersen KGMakari SOstenstad SPotvin RDove Medical PressarticlePiggyback IOLSulcoflextoricSTAARsymptomsastigmatismOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2016, Iss Issue 1, Pp 365-371 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Piggyback IOL Sulcoflex toric STAAR symptoms astigmatism Ophthalmology RE1-994
spellingShingle	Piggyback IOL Sulcoflex toric STAAR symptoms astigmatism Ophthalmology RE1-994 Gundersen KG Makari S Ostenstad S Potvin R Retreatments after multifocal intraocular lens implantation: an analysis
description	Kjell Gunnar Gundersen,1 Sarah Makari,2 Steffen Ostenstad,1 Rick Potvin2 1Ifocus Eye Clinic, Haugesund, Norway; 2Science in Vision, Akron, NY, USA Purpose: To determine the incidence and etiology of required retreatment after multifocal intraocular lens (IOL) implantation and to evaluate the methods and clinical outcomes of retreatment.Patients and methods: A retrospective chart review of 416 eyes of 209 patients from one site that underwent uncomplicated cataract surgery with multifocal IOL implantation. Biometry, the IOL, and refractive data were recorded after the original implantation, with the same data recorded after retreatment. Comments related to vision were obtained both before and after retreatment for retreated patients.Results: The multifocal retreatment rate was 10.8% (45/416 eyes). The eyes that required retreatment had significantly higher residual refractive astigmatism compared with those who did not require retreatment (1.21±0.51 D vs 0.51±0.39 D, P<0.01). The retreatment rate for the two most commonly implanted primary IOLs, blended bifocal (10.5%, 16/152) and bilateral trifocal (6.9%, 14/202) IOLs, was not statistically significantly different (P=0.12). In those requiring retreatment, refractive-related complaints were most common. Retreatment with refractive corneal surgery, in 11% of the eyes, and piggyback IOLs, in 89% of the eyes, was similarly successful, improving patient complaints 78% of the time.Conclusion: Complaints related to ametropia were the main reasons for retreatment. Residual astigmatism appears to be an important determinant of retreatment rate after multifocal IOL implantation. Retreatment can improve symptoms for a high percentage of patients; a piggyback IOL is a viable retreatment option. Keywords: piggyback IOL, Sulcoflex, toric, STAAR, symptoms, astigmatism
format	article
author	Gundersen KG Makari S Ostenstad S Potvin R
author_facet	Gundersen KG Makari S Ostenstad S Potvin R
author_sort	Gundersen KG
title	Retreatments after multifocal intraocular lens implantation: an analysis
title_short	Retreatments after multifocal intraocular lens implantation: an analysis
title_full	Retreatments after multifocal intraocular lens implantation: an analysis
title_fullStr	Retreatments after multifocal intraocular lens implantation: an analysis
title_full_unstemmed	Retreatments after multifocal intraocular lens implantation: an analysis
title_sort	retreatments after multifocal intraocular lens implantation: an analysis
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/cd663fe5ef5b460ca8556a9bc73b8b69
work_keys_str_mv	AT gundersenkg retreatmentsaftermultifocalintraocularlensimplantationananalysis AT makaris retreatmentsaftermultifocalintraocularlensimplantationananalysis AT ostenstads retreatmentsaftermultifocalintraocularlensimplantationananalysis AT potvinr retreatmentsaftermultifocalintraocularlensimplantationananalysis
_version_	1718401459499827200

Retreatments after multifocal intraocular lens implantation: an analysis

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