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J Cataract Refract Surg. 2010 Nov;36(11):1815-21. doi: 10.1016/j.jcrs.2010.05.021.

Apodized diffractive intraocular lens implantation after laser in situ keratomileusis with or without subsequent excimer laser enhancement.

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  • 1University of Texas Southwestern Medical Center, Department of Ophthalmology, Dallas, TX, USA.

Abstract

PURPOSE:

To evaluate the long-term refractive and visual outcomes of apodized diffractive multifocal intraocular lens (IOL) implantation after myopic laser in situ keratomileusis (LASIK) with or without subsequent excimer laser enhancement.

SETTING:

University of Texas Southwestern Medical Center at Dallas, Texas, USA.

DESIGN:

Comparative case series.

METHODS:

This study comprised consecutive patients who had implantation of an AcrySof ReSTOR multifocal IOL after previous LASIK. Included were eyes that had refractive surgery enhancement with a Visx Star S4 excimer laser for residual refractive error correction and eyes that had neodymium:YAG (Nd:YAG) capsulotomy.

RESULTS:

Of the 49 eyes (38 patients), 21 (42.9%) had laser enhancement and 25 (51.0%) had an Nd:YAG capsulotomy. The mean follow-up was 14.2 months ± 7.23 (SD) (range 9 to 29 months). Although the uncorrected distance visual acuity (UDVA) was significantly worse in eyes with enhancement than in those with no enhancement at 1 month and 6 months (P<.05), there was no significant difference in UDVA between the 2 groups at the last follow-up (P>.05). At the last follow-up, 36 (73.5%) of the 49 eyes had a UDVA of 20/25 or better and an uncorrected near visual acuity of Jaeger 1 or better concurrently; 46 eyes (93.9%) were within ±1.00 diopter (D) of emmetropia, and 41 (83.7%) were within ±0.50 D.

CONCLUSION:

Apodized diffractive multifocal IOL implantation and excimer laser enhancement in eyes with previous myopic LASIK provided good results.

Copyright © 2010 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

PMID:
21029886
[PubMed - indexed for MEDLINE]
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