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Visual and refractive outcomes in hyperopic pseudophakic patients implanted with the Acri.LISA 366D multifocal intraocular lens. Am J Ophthalmol. 2009 Aug;148(2):214-220.e1. doi: 10.1016/j.ajo.2009.02.036. Epub 2009 May 9.

Fernández-Vega L1, Alfonso JF, Baamonde B, Madrid-Costa D, Montés-Micó R, Lozano J. Author information:  1Fernández-Vega Ophthalmological Institute, School of Medicine, University of Oviedo, Oviedo, Spain.

Abstract PURPOSE: To assess the visual quality after bilateral implantation of the Acri.LISA 366D intraocular lens (IOL; Carl Zeiss Meditec, Jena, Germany) in patients with hyperopia.

DESIGN: Prospective, nonrandomized study.

METHODS: One hundred and seventy eyes of 85 patients had bilateral implantation of the Acri.LISA 366D IOL. The patients were divided into 2 groups: low to moderate hyperopia (IOL power, 21 to 24.5 diopters [D]) and high hyperopia (IOL power, 25 to 36 D). Monocular and binocular best spectacle-corrected visual acuity (BSCVA), best distance-corrected near visual acuity (BCNVA), binocular best distance-corrected intermediate visual acuity (VA), and distance contrast sensitivity (CSF) under photopic (85 cd/m(2)) and mesopic (5 cd/m2) conditions were determined.

RESULTS: At the 6-month postoperative visit, there were no statistically significant differences in monocular and binocular BSCVA (P = .06 and P = .09, respectively). Monocular and binocular BCNVA were comparable between both groups (P = .24 and P = .42, respectively). The mean binocular best distance-corrected intermediate VA changed significantly as a function of the distance of the test (P < .01) in both groups, and there were no statistically significant differences between groups at any distance. Differences were not found between groups in binocular CSF under mesopic and photopic conditions.

CONCLUSIONS: Bilateral implantation of the Acri.LISA 366D in patients with high hyperopia provided a satisfactory full-range of vision comparable with that obtained in patients with low to moderate hyperopia. PMID: 19427618 [PubMed - indexed for MEDLINE]


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