The Effects of Laser Refractive Surgery for Correcting Residual Refractive Error after Implantation of ReSTOR(R) Multifocal IOL.
10.3341/jkos.2012.53.12.1742
- Author:
Sung In KIM
1
;
Suk Jin KIM
;
Jae Yoon OH
;
Kyu Hong PAK
;
Sug Jae KANG
Author Information
1. Department of Ophthalmology, Saevit Eye Hospital, Goyang, Korea. glaucoma@hanmail.net
- Publication Type:Original Article
- Keywords:
Astigmatism;
LASIK;
Multifocal intraocular lens;
PRK;
ReSTOR(R)
- MeSH:
Astigmatism;
Cataract;
Eye;
Humans;
Keratomileusis, Laser In Situ;
Laser Therapy;
Lasers, Excimer;
Lenses, Intraocular;
Medical Records;
Photorefractive Keratectomy;
Refractive Errors;
Refractive Surgical Procedures;
Retrospective Studies;
Visual Acuity
- From:Journal of the Korean Ophthalmological Society
2012;53(12):1742-1748
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the clinical effects of excimer laser refractive surgery on eyes with residual refractive error after implantation of ReSTOR(R) multifocal intraocular lenses. METHODS: We retrospectively reviewed the medical records of 10 eyes of 6 patients who had undergone cataract surgery with implantation of multifocal intraocular lenses. Photorefractive keratectomy (PRK) (5 eyes) and laser-assisted in situ keratomileusis (LASIK) (5 eyes) was performed on 10 eyes with residual refractive error. RESULTS: After cataract surgery and before laser surgery, the mean spherical equivalent (SE) was -0.34 +/- 0.89 D and the mean astigmatism was 2.08 +/- 0.55 D. Six months after laser surgery, the mean SE was -0.33 +/- 0.30 D (p = 0.354) and the mean astigmatism was 0.23 +/- 0.28 D. The changes in astigmatism between paired preoperative and postoperative values were statistically significant (p < 0.0001). At 6 months after surgery, uncorrected distance visual acuity significantly improved to 0.11 +/- 0.10 (log MAR) (p < 0.0001) There were no significant changes in the best corrected distance visual acuity and uncorrected near visual acuity (p = 0.073, p = 0.100). CONCLUSIONS: On the basis of predictability and stability, excimer laser surgery appears to be a clinically useful procedure to correct residual refractive error after implantation of ReSTOR(R) multifocal intraocular lenses.
