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Author Spotlight: Advancements in Refractive Surgical Correction for Presbyopia and Exploring Postoperative Visual Acuity
Published on: September 20, 2024
Patient Reported Outcomes and Visual Acuity After Bilateral Implantation of a Next Generation Presbyopia Correcting
Alexander G Hacopian1, Phillip B Brunson1, Brad Hall2
1Mann Eye Institute, Houston, TX, USA.
Purpose:
To evaluate 3-month postoperative outcomes for bilateral implantation of a next generation presbyopia correcting intraocular lens (IOL).
Methods:
This was a single center, ambispective study of visual outcomes after successful bilateral cataract surgery (with presbyopia-correcting intent) and TECNIS Odyssey implantation. Subjects were assessed 3 months postoperatively during a single visit. Clinical evaluations included measurement of visual acuities at distance, intermediate, near, and extreme near, and administration of the assessment of intraocular lens implant symptoms (AIOLIS) and ocular surface disease index (OSDI) questionnaires.
Results:
A total of 40 subjects completed the study. Mean photopic binocular uncorrected visual acuities at 6 m, 66 cm, 40 cm, and 33 cm were -0.05 ± 0.06, 0.02 ± 0.12, 0.04 ± 0.10, and -0.02 ± 0.07 logMAR, respectively. The most commonly reported dysphotopsias (percentage of subjects experiencing them "Always") were halos at 32% (13/40), glare at night at 30% (12/40), and rings or spiderwebs at 18% (7/40). However, only 0% (0/40), 5% (2/40), and 2% (1/40) of subjects were "Extremely" bothered by halos, glare at night, and rings or spiderwebs, respectively. In addition, 80% (36/40) of subjects reported needing glasses "Not at all" or "A little of the time", and 100% (40/40) of subjects were satisfied with their vision.
Conclusion:
The results of this study suggest excellent visual outcomes at distance, intermediate, near, and extreme near, high spectacle independence, and high patient satisfaction with bilateral Odyssey implantation.
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