September 20, 2005
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Benefits of ReStor include better uncorrected vision, surgeon says

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NEW YORK — The Alcon Acrysof ReStor IOL improves image quality at all distances while minimizing visual disturbances, according to one surgeon who has implanted the lens.

Robert J. Cionni, MD, told attendees here at the Ocular Surgery News Symposium about his experiences with the apodized diffractive presbyopia-correcting IOL.

The ReStor has a number of “unique qualities,” Dr. Cionni said, including its apodized diffractive optic area, which features a precise reduction in diffractive step heights from the center to the periphery of the 3.6-mm-diameter central region.

The lens is inserted after routine cataract extraction, Dr. Cionni said. The lens is easier to insert than the eyeonics crystalens as there is no need to create a small capsulorrhexis, he said. There is also no need to dilate the eye preoperatively or postoperatively, he said.

Dr. Cionni said that in his clinical experience with the lens in 43 eyes, 27 (63%) achieved a postoperative uncorrected visual acuity of 20/20 or better, and 23 eyes (53%) had UCVA of better than 20/20.

Educating patients preoperatively about the visual characteristics of the ReStor is important, Dr. Cionni said. Patients should be reminded that “no artificial lens will perform as well as the lenses we were born with,” he said. They should be told that reading distance with the IOL may be closer than what they are used to. Dr. Cionni recommended not telling patients that they might not have to wear spectacles postoperatively.