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Maan alkharashi, Marino Discepola; Initial Results and Patient Satisfaction After ReSTOR Multifocal TORIC Intraocular Lens Implantation. Invest. Ophthalmol. Vis. Sci. 2013;54(15):2983.
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To evaluate the uncorrected visual acuity (UCVA) for far and near after bilateral AcrySof IQ ReSTOR Multifocal Toric IOL implantation and compare it with pre-operative best corrected visual acuity (BCVA), to measure the amount of post-operative residual astigmatism, to evaluate patient satisfaction and the need and frequency of spectacle wear for near, intermediate and distance vision pre and post operatively and to asses the quality of vision post operatively and possible visual disturbances.
A retrospective study that involved chart review and patient interviews of 15 consecutive patients (30 eyes) all had bilateral ReSTOR Multifocal Toric IOL implantation and follow-up 1 day, 1 week and 1 month post-operatively. We studied the near and distance visual acuity, corrected and uncorrected. Refraction Pre and Post operatively and the K reading and position of IOL were studied.
15 patients all had bilateral ReSTOR Multifocal Toric IOL implantation with no complications except for tear in anterior capsule in one eye. Their age ranged from 56-83 years and the mean was 67 years. The mean distance UCVA 1 month post-operatively was 0.1 logMAR while the mean distance BCVA pre-operatively was 0.3 logMAR. 73% of patients had near UCVA of 20/25 or better 1 month postoperatively. About 50% of the original astigmatism was eliminated with an average residual cylinder of 0.79. All subjects were using glasses, either for distance, near or both preoperatively. Post-operatively, 14 (93%) of patients never use spectacles for near, intermediate or far. 73% of patients reported a high satisfaction score (8 or above out of 10 on the satisfaction scale).
ReSTOR Multifocal TORIC IOL resulted in excellent postoperative uncorrected visual acuity (UCVA) for both far and near. The lens was able to eliminate almost half of the corneal astigmatism, we noted that the higher the amount of cylinder; the more effective it is. The lens resulted in high (93%) spectacles independence for far, intermediate and near. Patients with ReSTOR Toric IOL experienced very mild post-operative visual disturbances (e.g.: glare, halo) which did not significantly affect patient satisfaction (average 8.3/10).
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