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Klinische Ergebnisse nach Implantation einer neuen segmentalen refraktiven Multifokallinse

Clinical results after implantation of a new segmental refractive multifocal intraocular lens

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Zusammenfassung

Hintergrund

Evaluierung der klinischen Ergebnisse einer Intraokularlinse (IOL) mit segmentaler multifokaler Optik und einer Nahaddition von + 3,0 dpt im Rahmen einer CE-Zulassungsstudie.

Patienten und Methoden

In einer multizentrischen Studie wurden 134 Augen von 79 Patienten mit einem mittleren Alter von 68 ± 12 Jahren mit der LENTIS Mplus LS-312 MF IOL (Oculentis) versorgt. Die Multifokalität wird über einen Fernteil und einen segmentförmigen Nahteil erreicht. Drei Monate postoperativ wurden unkorrigierter und bestkorrigierter Fernvisus (UCDVA bzw. BCDVA), Nahvisus (UCNVA bzw. BCNVA), Kontrastsehen und Patientenzufriedenheit mittels eines Fragebogens bestimmt.

Ergebnisse

Die IOLs wurden sowohl unilateral als auch bilateral komplikationslos implantiert. Drei Monate postoperativ (n = 86 Augen) wurden folgende mittlere Visuswerte erhoben (logMAR): UCDVA = 0,05, BCDVA = − 0,01, UCNVA = 0,09 und BCNVA = 0,02. Die Kontrastsensitivität (n = 25 Augen) lag im Normbereich. Spontan berichteten von 66 befragten Patienten 10,6 % über Halos und 3 % über Blendung (Glare).

Schlussfolgerung

Das neue innovative Multifokallinsenprinzip zeigt sehr gute funktionelle Ergebnisse mit einer hohen Patientenzufriedenheit.

Abstract

Background

The aim of the study was a clinical evaluation of an intraocular lens (IOL) with a segmental multifocal optic design and near addition of + 3.0 D as part of a CE approval study.

Patients and methods

In a multicenter study the LENTIS Mplus LS-312 MF IOL (Oculentis) was implanted in 134 eyes of 79 patients with a mean age of 68 ± 12 years. The multifocality is achieved by implementation of a distance part and a segmented near sector. Three months after surgery, uncorrected and best corrected distance visual acuity (UCDVA and BCDVA, respectively), near visual acuity (UCNVA and BCNVA, respectively), contrast vision and patient satisfaction (questionnaire) were evaluated.

Results

The IOLs were implanted uneventfully either unilaterally or bilaterally and 3 months postoperatively (n = 86 eyes) the following mean visual acuities were obtained (logMAR): UCDVA = 0.05, BCDVA = − 0.01, UCNVA = 0.09 and BCNVA = 0.02. Contrast sensitivity (n = 25 eyes) was within normal limits. Of the 66 questioned patients 10.6 % spontaneously reported halos and 3 % glare.

Conclusion

This new innovative multifocal IOL concept showed very good functional results as well as high patient satisfaction.

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Interessenkonflikt

Die korrespondierende Autorin weist für sich und ihre Koautoren auf folgende Beziehungen hin: Das Forschungszentrum in Heidelberg wurde unterstützt von Oculentis mit Forschungsgeldern, Vortragshonoraren sowie Reisekostenerstattungen.

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Authors and Affiliations

  1. International Vision Correction Research Centre (IVCRC), Univ.-Augenklinik Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Deutschland

    B.C. Thomas, G.U. Auffarth &  T.M. Rabsilber

  2. Szpital Wojewódzki Poznań, Poznań, Polen

    R. Philips

  3. Krajská nemocnice Pardubice, Pardubice, Tschechische Republik

    J. Novák, J. Blazek & H. Adamkova

Authors
  1. B.C. Thomas
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  2. G.U. Auffarth
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  3. R. Philips
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  4. J. Novák
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  5. J. Blazek
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  6. H. Adamkova
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  7. T.M. Rabsilber
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Corresponding author

Correspondence to T.M. Rabsilber.

Additional information

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Dieses Manuskript basiert auf einem Vortrag, gehalten auf dem DOG-Kongress 2009.

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Thomas, B., Auffarth, G., Philips, R. et al. Klinische Ergebnisse nach Implantation einer neuen segmentalen refraktiven Multifokallinse. Ophthalmologe 110, 1058–1062 (2013). https://doi.org/10.1007/s00347-013-2810-5

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  • DOI: https://doi.org/10.1007/s00347-013-2810-5

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