Comparison of Refractive Outcomes After Diffractive Multifocal IOL Implantation: Femtosecond Laser Versus Conventional Phacoemulsification

Friday, April 25, 2014
KIOSKS (Boston Convention and Exhibition Center)
Marco Rios, MD, IDEO, Maracaibo, Zulia, Venezuela
Nathali Alvarez, MD, IDEO, Instituto Docente de Especialidades Oftalmologicas, Maracaibo, Zulia, Venezuela
Mary C. Oliveros, MD, Instituto Docente de Especialidades Oftalmologicas, IDEO, Maracaibo, Venezuela
Aletzaida M. Chirguita, MD, Instituto Docente de Especialidades Oftalmologicas, IDEO, Maracaibo, Venezuela

Narrative Responses:

Purpose
To compare refractive outcomes with diffractive multifocal IOL (MF-IOL) between femtosecond laser and conventional phacoemulsification.

Methods
115 consecutive eyes undergoing femtosecond laser cataract surgery (group 1) and 150 eyes underwent conventional phacoemulsification cataract surgery (group 2). Both group had implantation of MF-IOL, ReSTOR (Alcon Laboratories Inc) +3.00-diopter (D) add, lens power was determined with the IOLMaster  (Carl Zeiss Meditec AG), between July 2012 and July 2013. Refractive parameters were collected pre- and postoperatively at 1 and 3 months.

Results
Mean postoperative spherical equivalent refraction was 0.12±0.25 D and 0.45±0.73 D in the groups 1 and 2, respectively. Six eyes of group 2 had residual refractive error. No eyes in either group had surgical complications.

Conclusion
Femtosecond laser cataract surgery provides more accurate results than conventional surgery and reduces the risk of residual refractive errors.