Clinical outcomes after femtosecond laser assisted cataract surgery with implantation of the tecnis symfony intraocular lens

AIM: To evaluate the clinical outcomes in terms of vision across distances(near, intermediate and far), contrast sensitivity and subjective patient satisfaction after femtosecond laser-assisted cataract surgery(FLACS)with implantation of an extended range of vision(ERV)intraocular lens(IOL).<p>...

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Main Authors: Ji-Lin Tan, Yan Qin, Shi-Man Yuan, Hao Du, Xia-Lu Liu, Jian Ye
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2019-02-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2019/2/201902002.pdf
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author Ji-Lin Tan
Yan Qin
Shi-Man Yuan
Hao Du
Xia-Lu Liu
Jian Ye
author_facet Ji-Lin Tan
Yan Qin
Shi-Man Yuan
Hao Du
Xia-Lu Liu
Jian Ye
author_sort Ji-Lin Tan
collection DOAJ
description AIM: To evaluate the clinical outcomes in terms of vision across distances(near, intermediate and far), contrast sensitivity and subjective patient satisfaction after femtosecond laser-assisted cataract surgery(FLACS)with implantation of an extended range of vision(ERV)intraocular lens(IOL).<p>METHODS: Forty patients(55 eyes)underwent bilateral or monocular FLACS with implantation of the ERV IOL Tecnis Symfony(Johnson & Johnson Vision)were enrolled. Uncorrected distance(UDVA), intermediate(UIVA)and near visual acuities(UNVA)were evaluated at 3mo after surgery, as well the defocus curve, contrast sensitivity, patient satisfaction and spectacle independence.<p>RESULTS:No severe complications occurred. All eyes showed a central position of the IOL in the capsular bag without tilting at 3mo after surgery. 3mo postoperative mean logMAR visual acuity at 5 m, 67 cm and 40 cm were -0.04 ±0.08, -0.17±0.22, 0.37±0.17, respectively. All patients obtained satisfactory UDVA and UIVA, as well as functional UNVA, meeting the needs of daily life. Spectacle independence rate was 94.55%. Contrast sensitivity results did not differ from those obtained with monofocal aspheric lenses. Likewise, no moderate and severe photic phenomena were reported. Mean patient satisfaction scores with distance, intermediate and near vision were 9.0, 9.0, and 7.0, respectively.<p>CONCLUSION: FLACS with implantation of the ERV IOL TECNIS Symfony provides a successful visual restoration at far, intermediate distance and a functional-range near vision acuity, with minimal level of disturbing photic phenomena, and high rates of spectacle independence and patient satisfaction.
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spelling doaj.art-a8cf0272916d4d088062d4716f8f34252022-12-22T00:52:10ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232019-02-0119218819310.3980/j.issn.1672-5123.2019.2.02Clinical outcomes after femtosecond laser assisted cataract surgery with implantation of the tecnis symfony intraocular lensJi-Lin Tan0Yan Qin1Shi-Man Yuan2Hao Du3Xia-Lu Liu4Jian Ye5Chongqing Aier Mega Eye hospital, Chongqing 400060, ChinaChongqing Aier Mega Eye hospital, Chongqing 400060, ChinaChongqing Aier Mega Eye hospital, Chongqing 400060, ChinaChongqing Aier Mega Eye hospital, Chongqing 400060, ChinaChongqing Aier Mega Eye hospital, Chongqing 400060, ChinaDepartment of Ophthalmology, Daping Hospital of Army Medical University, Chongqing 400016, ChinaCo-first authors: Ji-Lin Tan and Yan QinAIM: To evaluate the clinical outcomes in terms of vision across distances(near, intermediate and far), contrast sensitivity and subjective patient satisfaction after femtosecond laser-assisted cataract surgery(FLACS)with implantation of an extended range of vision(ERV)intraocular lens(IOL).<p>METHODS: Forty patients(55 eyes)underwent bilateral or monocular FLACS with implantation of the ERV IOL Tecnis Symfony(Johnson & Johnson Vision)were enrolled. Uncorrected distance(UDVA), intermediate(UIVA)and near visual acuities(UNVA)were evaluated at 3mo after surgery, as well the defocus curve, contrast sensitivity, patient satisfaction and spectacle independence.<p>RESULTS:No severe complications occurred. All eyes showed a central position of the IOL in the capsular bag without tilting at 3mo after surgery. 3mo postoperative mean logMAR visual acuity at 5 m, 67 cm and 40 cm were -0.04 ±0.08, -0.17±0.22, 0.37±0.17, respectively. All patients obtained satisfactory UDVA and UIVA, as well as functional UNVA, meeting the needs of daily life. Spectacle independence rate was 94.55%. Contrast sensitivity results did not differ from those obtained with monofocal aspheric lenses. Likewise, no moderate and severe photic phenomena were reported. Mean patient satisfaction scores with distance, intermediate and near vision were 9.0, 9.0, and 7.0, respectively.<p>CONCLUSION: FLACS with implantation of the ERV IOL TECNIS Symfony provides a successful visual restoration at far, intermediate distance and a functional-range near vision acuity, with minimal level of disturbing photic phenomena, and high rates of spectacle independence and patient satisfaction.http://ies.ijo.cn/cn_publish/2019/2/201902002.pdfcataractextended range of vision IOLFLACSTecnis Symfonymultifocal IOLglarepresbyopia
spellingShingle Ji-Lin Tan
Yan Qin
Shi-Man Yuan
Hao Du
Xia-Lu Liu
Jian Ye
Clinical outcomes after femtosecond laser assisted cataract surgery with implantation of the tecnis symfony intraocular lens
Guoji Yanke Zazhi
cataract
extended range of vision IOL
FLACS
Tecnis Symfony
multifocal IOL
glare
presbyopia
title Clinical outcomes after femtosecond laser assisted cataract surgery with implantation of the tecnis symfony intraocular lens
title_full Clinical outcomes after femtosecond laser assisted cataract surgery with implantation of the tecnis symfony intraocular lens
title_fullStr Clinical outcomes after femtosecond laser assisted cataract surgery with implantation of the tecnis symfony intraocular lens
title_full_unstemmed Clinical outcomes after femtosecond laser assisted cataract surgery with implantation of the tecnis symfony intraocular lens
title_short Clinical outcomes after femtosecond laser assisted cataract surgery with implantation of the tecnis symfony intraocular lens
title_sort clinical outcomes after femtosecond laser assisted cataract surgery with implantation of the tecnis symfony intraocular lens
topic cataract
extended range of vision IOL
FLACS
Tecnis Symfony
multifocal IOL
glare
presbyopia
url http://ies.ijo.cn/cn_publish/2019/2/201902002.pdf
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