Overcoming Biometry Errors Using UV-Light-Adjustable IOL

Monday, April 20, 2015: 3:31 PM
Room 5B (San Diego Convention Center)
John F. Doane, MD

Purpose
To report on cases of refractive surprises after surgery and the final outcome obtained by utilizing the Light Adjustable Lens.

Methods
Eyes with corneal cylinder 0.75-2.00D undergoing cataract surgery are implanted with the Light Adjustable Lens (LAL: Calhoun Vision). Adjustment of lens power to correct residual spherical error and astigmatism is done 17-21 days post-op, followed by an optional second adjustment, and then two treatments to lock in the lens power. The goal was to reduce all residual astigmatism to ≤ 0.50D.

Results
In 15 eyes, final MRSE outcomes after light treatments on a light adjustable IOL are more than twice as accurate than predicted MRSE outcomes utilizing advanced biometry systems. Case reports on the LAL will be presented.

Conclusion
A light adjustable IOL allows surgeons to overcome refractive misses attributed to advanced biometry systems.