March 30, 2011
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Apodized diffractive multifocal IOL improves outcomes after bilateral implantation

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SAN DIEGO — Patients had increased visual outcomes for both near and distance vision when implanted with an apodized diffractive multifocal IOL in both eyes, according to a presenter here.

Harvey J. Reiser, MD, presented findings from a review of 116 consecutive patients implanted with the ReSTOR +3.0 add IOL (Alcon) during the American Society of Cataract and Refractive Surgery meeting. Patients were part of either a distance vision group (208 eyes) or a near vision group (205 eyes); 43 patients underwent limbal relaxing incisions at the time of cataract surgery.

"Uncorrected distance acuity in the individual eyes, I thought, was quite good, all being 20/40 or better. But honestly, 20/40 when you're trying to get spectacle independence is OK, but not great," Dr. Reiser said. "That's where things prompted me to take a [further] look."

A review of individual eyes showed 40% of eyes achieved 20/20 or better; however, when the lens was implanted in the second eye, patients' uncorrected distance improved, with 87% of eyes reaching 20/20.

Similarly, patients' uncorrected near vision was considered very good, with 77% of eyes achieved J1, among the individual eye results; however, results improved even further when both eyes were implanted, with 94% reaching J1.

  • Disclosure: Dr. Reiser does research and is a speaker for Alcon. He is also a consultant to Alcon.