Evaluation of Visual Acuity Results and Reading Performance With Salzburg Reading Desk After Implantation of Diffractive Trifocal IOL

Attia, Mary

Evaluation of Visual Acuity Results and Reading Performance With Salzburg Reading Desk After Implantation of Diffractive Trifocal IOL

Sunday, April 27, 2014: 8:46 AM

Room 150 (Boston Convention and Exhibition Center)

Mary Safwat Aziz Attia, MD, University Clinic, Heidelberg, Heidelberg, Germany

Florian T. Kretz, MD, University Ophthalmology Hospital, Heidelberg, Germany

Ramin Khoramnia, MD, David J Apple International Laboratory for Ocular Pathology and International Vision Correction Research Centre (IVCRC), Department of Ophthalmology, University of Heidelberg, Heidelberg, Germany

Anna Fitting, MSc, University of Heidelberg, Heidelberg, Germany

Katharina Linz, MD, University of Heidelberg, 69120 Heidelberg, Germany

Gerd U. Auffarth, MD, David J Apple International Laboratory for Ocular Pathology and International Vision Correction Research Centre, University of Heidelberg, Heidelberg, Germany

Narrative Responses:

Purpose
Longterm clinical evaluation of a trifocal, diffractive intraocular lens (MIOL) including evaluation of the reading performance using the Salzburg Reading Desk.

Methods
In a long-term retrospective and prospective study patients undergoing cataract surgery received the trifocal Micro-F MIOL (PhysIOL) with a +3.5 D addition for near and a +1.75 addition for intermediate vision. 11 patients (21 eyes) have been enrolled in this ongoing study so far. Follow-up examinations included uncorrected and corrected distance visual acuity (UDVA, CDVA), uncorrected and distance corrected near (UNVA, DCNVA) and uncorrected and distance corrected intermediate visual acuity (UIVA, DCIVA). Bilateal uncorrected and corrected reading acuity, reading speed and smallest log-scaled print size at the preferred near and intermediate distance were evaluated using the Salzburg Reading Desk.

Results
Median UDVA was 0.06 logMAR (range: 0.42 to -0.12 logMAR ) and median CDVA was -0.08 logMAR (range: 0.10 to -0.18 logMAR). Median UNVA was 0.14 logMAR (range: 0.34 to -0.04 logMAR) and median DCNVA was 0.06 logMAR (range: 0.30 to -0.10 logMAR). Median UIVA was 0.02 logMAR (range: 0.28 to -0.08 logMAR) and median DCIVA was -0.06 logMAR (range: 0.22 to -0.16 logMAR). The distance corrected reading acuity examination at intermediate distance on the SRD resulted in a median of 0.18 logMAR (range: 0.44 to 0.09 logMAR).

Conclusion
The Micro-F trifocal, diffractive MIOL provides good postoperative functional results regarding far, intermediate and near vision with a high percentage of spectacle independence and patient satisfaction. Especially the functional results for intermediate distance are advantageous for the patients in daily life.