Clinical results with Diffractive Acritec Multifocal IOL implantation

Clinical results with Diffractive Acritec Multifocal IOL implantation following cataracts and myopic and hyperopic clear lens Margarita Cabanás, MD Contributing Authors: Fernando LLovet, MD, Ph. D, Jaime Beltrán, MD, Rafael Luchena, , MD, Victoria de Rojas MD, Ph. D, Julio Baviera, MD. Non Financial Interest

Purpose Evaluate visual outcomes and patients satisfaction after cataract or clear lens surgery with diffractive multifocal Acritec 366 D implantation. Setting: Clínica Baviera, Instituto Oftalmológico Europeo, Spain. Non Financial Interest Margarita Cabanás, MD

Methods n n n 265 patients underwent cataract , myopic or hyperopic clear lens extractions in both eyes (530 eyes). They underwent phacoemulsification with topic anaesthesia and implantation an Acritec 366 D diffractive multifocal IOL. Shorter time or follow-up were six months. Uncorrected and best corrected far, middle and near vision were recorded after one, two and three months after surgery. Contrast sensitivity testing was examined. Patients completed a questionnaire about their subjective perception of visual function or satisfaction test. Non Financial Interest Margarita Cabanás, MD

Results ü ü Best uncorrected vision were qualified by patients like very good and good in 92% of cases in far distance, 76% in middle vision and 82% in near vision. 88% patients didn’t notice changes driving at night after surgery and 96% achieved good night vision. Contrast sensitivity test showed profit in all the frequencies, without statistically significance differences (probably because of cataract group). 98% of patients were satisfied or very satisfied ant 99, 3 would underwent same surgery again. Non Financial Interest Margarita Cabanás, MD

Visual Acuity Pre CVA FV monoc FV binoc Post UCVA FV monoc FV binoc NV monoc NV binoc MV binoc AVERAGE Pre CVA FV monoc FV binoc Post UCVA FV monoc FV binoc NV monoc AVERAGE Non Financial Interest Margarita Cabanás, MD

Near Visual Acuity Non Financial Interest Margarita Cabanás, MD

Pre Contrast Sensitivity Post

Satisfaction Test I MIDDLE VISION FAR VISION NEAR VISION 1. VERY BAD 2. BAD 3. MODERATE 4. GOOD 5. VERY GOOD 30, 5% VERY GOOD 16, 5% 92 % GOOD MODERATE 61, 5% 4, 7% VERY GOOD 41, 5% 76 % GOOD MODERATE 59, 5% 21, 5% 82 % GOOD 40, 5% MODERATE 13, 1% Non Financial Interest Margarita Cabanás, MD

Satisfaction Test II NIGHT DRIVING NIGHT VISION 1. QUITS ON DRIVING 1. WORSTER 2. WORST (FEELS UNSAFE) 2. BIT WORST 3. WORST (WITHOUT PROBLEMS) 3. SAME OR BETTER 4. SAME OR BETTER 57, 5% SAME OR BETTER 94% 88% WORST (without problems) 30, 5% WORST (feels unsafe) 96% BIT WORST 2% 10, 6% Non Financial Interest Margarita Cabanás, MD

Satisfaction Test III SURGERY SATISFACTION WOULD GET SURGERY AGAIN ? 1. UNSATISFIED 1. YES 2. BIT SATISFIED 2. NO 3. SATISFIED 4. VERY SATISFIED 69% YES 99, 3% 98 % SATISFIED BIT SATISFIED 29% NO 0, 7% 2% Non Financial Interest Margarita Cabanás, MD

Conclusions Implantation of Diffractive Multifocal Acritec 366 D, provides good near, middle and distance uncorrected vision; and offers patients a better Non Financial Interest quality of life. Margarita Cabanás, MD

THANK YOU mcabanas@clinicabaviera. com