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ReSTOR rates high on quality of life improvement

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ROME — Patients who are bilaterally implanted with an accommodating IOL report a high level of appreciation for the implant, according to a study presented here.

Richard B. Packard, MD, FRCS, FRCOphth, described his experience with Alcon’s AcrySof ReSTOR lens here at the OSN Rome Symposium.

“The vast majority of patients are able to read without glasses and only a few need them for intermediate tasks,” Dr. Packard said. “Night vision disturbances are minimal and, above all, almost all of these patients would recommend [the ReSTOR] to friends and relations.”

He said he has implanted the IOL in 240 patients since October 2003. He sent a questionnaire to 40 patients with a follow-up of more than 1 year to investigate their response to “real life” with the IOL. Patients were asked to rate their visual comfort in a series of daily activities on a scale of 1 (low) to 7 (high), and were asked about their spectacle use. Other study topics included driving comfort in daytime and night time conditions, glare and halos.

“The results for near and distance vision approached 7 in bright light and were also acceptable for dim light,” Dr. Packard said.

The majority of the patients could manage “very well” without reading glasses, and of the 30 patients who use the computer, only five said they wear glasses specifically for that purpose. Patients who play cards — representing a high percentage of the group — reported “absolutely no problem” playing without spectacles, Dr. Packard said.

Patients were very happy with their driving vision during the day and at night, he said. The vast majority felt they had no significant problems with glare or halos. Six patients reported some night vision disturbances, which was not deemed serious enough for them to stop driving at night.

Of the 40 patients, 35 said they would recommend the lens, Dr. Packard said.

The OSN Rome Symposium is a meeting held jointly by Ocular Surgery News, the Italian Society of Ophthalmology, the Italian Association of Cataract and Refractive Surgeons and the International Society of Refractive Surgery/American Academy of Ophthalmology.