Enhancement-procedure outcomes in patients implanted with the Precisight multicomponent intraocular lens

Harvey S Uy,1,2 Carolina Tesone-Coelho,3 Harilaos Ginis4 1Peregrine Eye and Laser Institute, Makati, Philippines; 2Department of Ophthalmology and Visual Sciences, University of the Philippines, Manila, Philippines; 3Department of Research and Development, InfiniteVision Optics, Strasbourg, France;...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Uy HS, Tesone-Coelho C, Ginis H
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	Residual refractive error cataract piggyback lens multicomponent intraocular lens intraocular lens exchange pseudophakic ammetropia Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/f72f2167b7404b268ce9d2970faba846
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:f72f2167b7404b268ce9d2970faba846
record_format	dspace
spelling	oai:doaj.org-article:f72f2167b7404b268ce9d2970faba8462021-12-02T02:47:49ZEnhancement-procedure outcomes in patients implanted with the Precisight multicomponent intraocular lens1177-5483https://doaj.org/article/f72f2167b7404b268ce9d2970faba8462019-01-01T00:00:00Zhttps://www.dovepress.com/enhancement-procedure-outcomes-in-patients-implanted-with-the-precisig-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Harvey S Uy,1,2 Carolina Tesone-Coelho,3 Harilaos Ginis4 1Peregrine Eye and Laser Institute, Makati, Philippines; 2Department of Ophthalmology and Visual Sciences, University of the Philippines, Manila, Philippines; 3Department of Research and Development, InfiniteVision Optics, Strasbourg, France; 4Research Department, Athens Eye Hospital, Athens, Greece Purpose: Eyes that have undergone phacoemulsification with implantation of a multicomponent intraocular lens (MCIOL) may further undergo an enhancement procedure for correction of residual refractive errors. The enhancement procedure is accomplished by exchanging the front lens used in the primary surgery with another lens containing the correct dioptric power. We evaluated the efficacy and safety of enhancement procedures among eyes that received an MCIOL.Methods: A total of 25 eyes that had undergone phacoemulsification with implantation of an MCIOL were found to have a residual error of refraction (spherical equivalent ≥0.75 D) 3 months after primary cataract surgery, and underwent further enhancement surgery. The main study outcomes were uncorrected and corrected distance visual acuity, subjective refraction, anterior-chamber depth, pachymetry, and endothelial cell count.Results: There was a statistically significant improvement in uncorrected distance visual acuity of approximately two lines after enhancement surgery (0.20±0.20–0.02±0.08 logMAR, P<0.001) and a significant decrease in residual spherical equivalent from 1.3±1.1 D to 0±0.38 D (P<0.001). There were no statistically significant changes in pre- and postenhancement corrected distance visual acuity, anterior-chamber depth, pachymetry, or keratometry. There was a statistically significant decrease (2.6%) in endothelial cell count (P<0.01), which could have been endothelial equilibration from the primary procedure. All enhancement surgeries were uneventful, and no major complications were observed.Conclusion: The MCIOL-enhancement procedure demonstrates statistical and clinical improvement in uncorrected distance visual acuity and correction of postoperative refractive errors. The Precisight IOL may be a useful choice for patients with high risk of having significant residual refractive errors after primary cataract surgery. Keywords: residual refractive error, cataract, piggyback lens, multicomponent intraocular lens, intraocular lens exchange, pseudophakic emmetropiaUy HSTesone-Coelho CGinis HDove Medical PressarticleResidual refractive errorcataractpiggyback lensmulticomponent intraocular lensintraocular lens exchangepseudophakic ammetropiaOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 107-114 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Residual refractive error cataract piggyback lens multicomponent intraocular lens intraocular lens exchange pseudophakic ammetropia Ophthalmology RE1-994
spellingShingle	Residual refractive error cataract piggyback lens multicomponent intraocular lens intraocular lens exchange pseudophakic ammetropia Ophthalmology RE1-994 Uy HS Tesone-Coelho C Ginis H Enhancement-procedure outcomes in patients implanted with the Precisight multicomponent intraocular lens
description	Harvey S Uy,1,2 Carolina Tesone-Coelho,3 Harilaos Ginis4 1Peregrine Eye and Laser Institute, Makati, Philippines; 2Department of Ophthalmology and Visual Sciences, University of the Philippines, Manila, Philippines; 3Department of Research and Development, InfiniteVision Optics, Strasbourg, France; 4Research Department, Athens Eye Hospital, Athens, Greece Purpose: Eyes that have undergone phacoemulsification with implantation of a multicomponent intraocular lens (MCIOL) may further undergo an enhancement procedure for correction of residual refractive errors. The enhancement procedure is accomplished by exchanging the front lens used in the primary surgery with another lens containing the correct dioptric power. We evaluated the efficacy and safety of enhancement procedures among eyes that received an MCIOL.Methods: A total of 25 eyes that had undergone phacoemulsification with implantation of an MCIOL were found to have a residual error of refraction (spherical equivalent ≥0.75 D) 3 months after primary cataract surgery, and underwent further enhancement surgery. The main study outcomes were uncorrected and corrected distance visual acuity, subjective refraction, anterior-chamber depth, pachymetry, and endothelial cell count.Results: There was a statistically significant improvement in uncorrected distance visual acuity of approximately two lines after enhancement surgery (0.20±0.20–0.02±0.08 logMAR, P<0.001) and a significant decrease in residual spherical equivalent from 1.3±1.1 D to 0±0.38 D (P<0.001). There were no statistically significant changes in pre- and postenhancement corrected distance visual acuity, anterior-chamber depth, pachymetry, or keratometry. There was a statistically significant decrease (2.6%) in endothelial cell count (P<0.01), which could have been endothelial equilibration from the primary procedure. All enhancement surgeries were uneventful, and no major complications were observed.Conclusion: The MCIOL-enhancement procedure demonstrates statistical and clinical improvement in uncorrected distance visual acuity and correction of postoperative refractive errors. The Precisight IOL may be a useful choice for patients with high risk of having significant residual refractive errors after primary cataract surgery. Keywords: residual refractive error, cataract, piggyback lens, multicomponent intraocular lens, intraocular lens exchange, pseudophakic emmetropia
format	article
author	Uy HS Tesone-Coelho C Ginis H
author_facet	Uy HS Tesone-Coelho C Ginis H
author_sort	Uy HS
title	Enhancement-procedure outcomes in patients implanted with the Precisight multicomponent intraocular lens
title_short	Enhancement-procedure outcomes in patients implanted with the Precisight multicomponent intraocular lens
title_full	Enhancement-procedure outcomes in patients implanted with the Precisight multicomponent intraocular lens
title_fullStr	Enhancement-procedure outcomes in patients implanted with the Precisight multicomponent intraocular lens
title_full_unstemmed	Enhancement-procedure outcomes in patients implanted with the Precisight multicomponent intraocular lens
title_sort	enhancement-procedure outcomes in patients implanted with the precisight multicomponent intraocular lens
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/f72f2167b7404b268ce9d2970faba846
work_keys_str_mv	AT uyhs enhancementprocedureoutcomesinpatientsimplantedwiththeprecisightmulticomponentintraocularlens AT tesonecoelhoc enhancementprocedureoutcomesinpatientsimplantedwiththeprecisightmulticomponentintraocularlens AT ginish enhancementprocedureoutcomesinpatientsimplantedwiththeprecisightmulticomponentintraocularlens
_version_	1718402199909826560

Enhancement-procedure outcomes in patients implanted with the Precisight multicomponent intraocular lens

Ejemplares similares