DGII 2008

Comparison of Aspheric ReSTOR and Tecnis multifocal IOL

Dongho Lee MD, PhD

Yonsei eye center, Seoul, South Korea

No Financial Interest

2009 ASCRS

Patients

10 cataract patients 20 eyes 58.6 yr (48 ~ 72) 7 M : 4 F Preop SE + 0.86 +/- 0.46 D (0 ~ +2.00) Add 2.35 +/- 0.20 D (+2.00 ~ +2.75) Bilateral cataract extraction Aspheric ReSTOR in one eye Tecnis MF in the other eye

2009 ASCRS

Distance spectacle corrected VA

54

9 910 10

0

2

4

6

8

10

15 20 25

Distance Snellen Visual Acuity (20/_) p = 0.46

ReSTOR

Tecnis

2009 ASCRS

Distance corrected near VA

6

910 10 10 10

0

1

2

3

4

5

6

7

8

9

10

J1 J2 J3

Distance Corrected Near Visual Acuity p = 0.08

ReSTOR

Tecnis

2009 ASCRS

Contrast sensitivity

2009 ASCRS

Night visual symptoms

0 0

9

8

1

2

0 00

1

2

3

4

5

6

7

8

9

none mild moderate severe

ReSTOR

Tecnis

2009 ASCRS

Patient preference - Far

4 4

2

0

1

2

3

4

5

ReSTOR Equal Tecnis

% o

f e

ye

s

2009 ASCRS

Patient preference - near

0

5 5

0

1

2

3

4

5

6

ReSTOR Equal Tecnis

% o

f eye

s

2009 ASCRS

Use of galsses

90%

10% 0%

none sometimes always

2009 ASCRS

Patient satisfaction

7

9

3

10 0

0

2

4

6

8

10

verysatisfied

somewhatsatisfied

notsatisfied

ReSTOR

Tecnis

2009 ASCRS

Would you recommend ?

89

21

0

2

4

6

8

10

yes no

ReSTOR

Tecnis

2009 ASCRS

Conclusion

ReSTOR and Tecnis MF IOLs both showed good distance and near visual acuity

Contrast sensitivity decreased below normal range in both groups

Night visual symptoms were mild in most cases Patients prefer ReSTOR for distance vision and Tecnis for near

vision Patient satisfaction was very high in both groups, slightly more

in Tecnis Aspheric design seems to be more ideal for improving

satisfaction