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C. O. Pierrottet, G. Savaresi, C. Savaresi, N. Orzalesi; Expanded Indication of the Rehabilitative IOL-Vip® Procedures for Binocular and Pseudophakic Low Vision Patients. Invest. Ophthalmol. Vis. Sci. 2007;48(13):3569.
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© ARVO (1962-2015); The Authors (2016-present)
To report the results of the binocular implant of the IOL-Vip® (Intra Ocular Lenses for Visually Impaired People) system and of the implant of the new IOL-Vipp® (Intra Ocular Lenses for Visually Impaired Pseudophakic People) system.
: 23 low vision patients underwent implantation of the already reported (IOVS (Suppl.) 319-B516, 14, 2006) IOL-Vip® system in the second eye. 10 myopic pseudo-phakic patients with severe central low vision underwent monocular implant of the new IOL-Vipp® system superimposed to a previously implanted standard in the bag IOL. The IOL-Vipp® system consists of a negative biconcave IOL to be implanted in the sulcus and a positive biconvex IOL to be implanted in the anterior chamber. The dedicated rehabilitative training program (IOVS (Suppl) 2010-B821, 82, 2004) was followed by all the patients.
Binocularly implanted patients reported a remarkable visual improvement (from a mean preop visual acuity of 1,3 logMAR to a mean postop visual acuity of 0,72 logMAR in the first eye and from 0,86 logMAR to 0,5 logMAR in the second eye) with no troubles of binocular vision after an average follow-up of 36 months. The IOL-Vipp® implanted patients improved from hand motion (HM) in 4 casesand a mean preop visual acuity of1,2 logMAR in six cases, to HM in one case and a mean postop visual acuity of1,08 logMAR in nine cases, respectively. Tolerance and safety were excelent with both implant procedures which also induced improvement of a questionnaire recorded quality of life.
Expanding the indication of the IOL-Vip® monocular intraocular telescope to a binocular implant or to pseudophakia confirms the good results already reported with this procedure in cases of low vision due to macular pathology.
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