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Clinical Outcomes after Presbyopic Correcting Intraocular Lens Surgery in Patients with Prior...

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Clinical Outcomes after Presbyopic Correcting Intraocular Lens Surgery in Patients with Prior Keratorefractive Surgery at UTSW Medical Center: A Retrospective Review ASCRS April 4-9, 2008 Adam Fedyk, MD
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Page 1: Clinical Outcomes after Presbyopic Correcting Intraocular Lens Surgery in Patients with Prior Keratorefractive Surgery at UTSW Medical Center: A Retrospective.

Clinical Outcomes after Presbyopic Correcting Intraocular

Lens Surgery in Patients with Prior Keratorefractive Surgery at

UTSW Medical Center:  A Retrospective Review

ASCRSApril 4-9, 2008

Adam Fedyk, MD

Page 2: Clinical Outcomes after Presbyopic Correcting Intraocular Lens Surgery in Patients with Prior Keratorefractive Surgery at UTSW Medical Center: A Retrospective.

Disclosure: Adam R. Fedyk, MD, has no significant financial interests or relationships to disclose.

Page 3: Clinical Outcomes after Presbyopic Correcting Intraocular Lens Surgery in Patients with Prior Keratorefractive Surgery at UTSW Medical Center: A Retrospective.

Introduction

Page 4: Clinical Outcomes after Presbyopic Correcting Intraocular Lens Surgery in Patients with Prior Keratorefractive Surgery at UTSW Medical Center: A Retrospective.

ReSTOR IOL

Page 5: Clinical Outcomes after Presbyopic Correcting Intraocular Lens Surgery in Patients with Prior Keratorefractive Surgery at UTSW Medical Center: A Retrospective.

Purpose

Page 6: Clinical Outcomes after Presbyopic Correcting Intraocular Lens Surgery in Patients with Prior Keratorefractive Surgery at UTSW Medical Center: A Retrospective.

Methods

Page 7: Clinical Outcomes after Presbyopic Correcting Intraocular Lens Surgery in Patients with Prior Keratorefractive Surgery at UTSW Medical Center: A Retrospective.

Methods

Page 8: Clinical Outcomes after Presbyopic Correcting Intraocular Lens Surgery in Patients with Prior Keratorefractive Surgery at UTSW Medical Center: A Retrospective.

Demographics

Page 9: Clinical Outcomes after Presbyopic Correcting Intraocular Lens Surgery in Patients with Prior Keratorefractive Surgery at UTSW Medical Center: A Retrospective.

Postoperative Visual Acuity(prior Lasik or PRK)

Page 10: Clinical Outcomes after Presbyopic Correcting Intraocular Lens Surgery in Patients with Prior Keratorefractive Surgery at UTSW Medical Center: A Retrospective.

Postoperative Procedures(prior PRK or Lasik)

Page 11: Clinical Outcomes after Presbyopic Correcting Intraocular Lens Surgery in Patients with Prior Keratorefractive Surgery at UTSW Medical Center: A Retrospective.

Visual Acuity Outcomes(prior PRK/Lasik)

Postoperative Visual AcuitiesPostoperative Visual Acuities

Page 12: Clinical Outcomes after Presbyopic Correcting Intraocular Lens Surgery in Patients with Prior Keratorefractive Surgery at UTSW Medical Center: A Retrospective.

Previous Lasik/PRK vs No KRS

*Control data from clean group of ReSTOR patients 2005-06

Page 13: Clinical Outcomes after Presbyopic Correcting Intraocular Lens Surgery in Patients with Prior Keratorefractive Surgery at UTSW Medical Center: A Retrospective.

Visual Acuity Outcomes(prior RK)

Postoperative Visual AcuitiesPostoperative Visual Acuities

Page 14: Clinical Outcomes after Presbyopic Correcting Intraocular Lens Surgery in Patients with Prior Keratorefractive Surgery at UTSW Medical Center: A Retrospective.

Conclusions

Page 15: Clinical Outcomes after Presbyopic Correcting Intraocular Lens Surgery in Patients with Prior Keratorefractive Surgery at UTSW Medical Center: A Retrospective.

Conclusions

Page 16: Clinical Outcomes after Presbyopic Correcting Intraocular Lens Surgery in Patients with Prior Keratorefractive Surgery at UTSW Medical Center: A Retrospective.

Acknowledgments

• Mentor: Vinod Mootha, MD• Critiquer: Chip Fagadau, MD• Wayne Bowman, MD• James P. McCulley, MD• Weeb Arey, MD• Mike Molai, OD

Page 17: Clinical Outcomes after Presbyopic Correcting Intraocular Lens Surgery in Patients with Prior Keratorefractive Surgery at UTSW Medical Center: A Retrospective.

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intraocular lenses. J Cataract Refract Surg 2004;30:1454-1460.• Pineda-Fernandez A, Jaramillo J, Celis V, Vargas J, DiStacio M, Galindez A, and Del Valle M. Refractive outcomes after

bilateral multifocal intraocular lens implantation. J Cataract Refract Surg 2004;30:685-688.• Montes-Mico R, Espana E, Bueno I, Charman WN, and Menezo JL. Visual performance with multifocal intraocular lenses.

Ophthalmology 2004;111:85-96.• Leyland M and Zinicola E. Multifocal versus intraocular lenses in cataract surgery. Ophthalmology 2003;110:1789-1798.• Claoue C. Functional vision after cataract removal with multifocal and accommodating intraocular lens implantation. J

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1994;100:1131-1139.• Chiam P, Chan JH, Aggarwal RK, Kasaby S. ReSTOR intraocular lens implantation in cataract surgery: quality of vision. J

Cataract Refract Surg 2006;32:1459-1463.• Souza CE, Muccioli C, Soriano ES, Chalita MR, Oliveira F, Freitas LL, Meire LP, Tamaki C, Belfort R. Visual performance of

AcrySof ReSTOR apodized diffractive IOL: a prospective comparative trial. Am J Ophthalmology 2006;141:827.• Blaylock JF, Zhaomin S, Vickers C. Visual and refractive status at different focal distances after implantation of the ReSTOR

multifocal intraocular lens. J Cataract Refract Surg 2006;32:1464-1473.• History and development of the apodized diffractive intraocular lens. J Cataract Refract Surg 2006;32:849-858.


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