Bilateral TECNIS MF versus customized TECNIS MF Re

Bilateral TECNIS MF versus customized TECNIS MF – Re. Zoom HOW TO ACHIEVE SPECTACLE INDEPENDENCE Frank Goes, MD Director and Senior Eye Surgeon Goes Eye Centre (Antwerp, Belgium) Financial interests travel support CZM AMO

Patient Selection is Crucial Strong desire for spectacle independence Perfectionists - demanding and hypercritical patients - should be excluded Patients should be ready to accept optical compromises (Caution with patients with too many concerns about possible side effects) Cataract patients are less demanding Hyperopic patients are most strongly motivated to reduce spectacle dependence

GOLDEN RULE: Underpromise & Overdeliver MORE pre-OP counseling time = LESS post-OP counseling time NEVER promise to be free of spectacles Patients will be more independent with Multifocals and most of the time they are spectacle free

Tecnis ZM 900 Full diffractive posterior surface Wavefront-designed prolate anterior surface Newest generation Silicone. Acrylic Safe centration due to C haptics Near addition +4 D Performance is Pupil Independent

Re. Zoom Multizonal Refractive principle with 5 zones Balanced View Optics for near, intermediate and distance vision Hydrophobic acrylate Opti. Edge design Near addition +3, 5 D

6 Months Study Results 95 Patients receiving MIOLs (190 eyes) Group 1: 54 Patients receiving bilateral TECNIS MF Group 2: 41 Patients receiving TECNIS / Re. Zoom => How to Custom. Match MIOLs ? Determine dominant eye Perform exact biometry! First surgery in dominant eye - Re. Zoom , if major activities are distance dominant - TECNIS , if major activities are near dominant

Distance Vision post-OP versus pre-OP Bilateral TECNIS MEAN VA 1. 1 SD 0, 16 TECNIS / Re. Zoom MEAN VA 1. 2 SD 0, 09

Near Monocular Vision (Distance Corrected) 90% TECNIS EYES COULD READ J 1 45% Re. Zoom EYES COULD READ J 1

Intermediate 60 cm Monocular Vision (Distance Corrected) MEAN TECNIS J 6, 7 MEAN Re. Zoom J 4, 5 41% TECNIS COULD READ J 5 83 % Re. Zoom COULD READ J 5 Reading of Newspaper Text

IS THERE SUCH A THING AS A FREE LUNCH ? Escrs Barcelona 200!

OUTCOMES: % OF TIME WITHOUT SPECTACLES 100% 90%

CONCLUSION Mixing a Re. Zoom with a TECNIS enhances the quality of Vision and Spectacle Independence In the group of 41 patients with customized approach all were free of spectacles Important patient complaints were minimal (3/41) and improved over time