The Effects of Laser Refractive Surgery for Correcting Residual Refractive Error after Implantation of ReSTOR(R) Multifocal IOL.

Kim, Sung In; Kim, Suk Jin; Oh, Jae Yoon; Pak, Kyu Hong; Kang, Sug Jae

doi:2012.53.12.1742

J Korean Ophthalmol Soc > Volume 53(12); 2012 > Article

Original Article

Journal of the Korean Ophthalmological Society 2012;53(12):1742-1748.
DOI: https://doi.org/10.3341/jkos.2012.53.12.1742 Published online December 15, 2012.

The Effects of Laser Refractive Surgery for Correcting Residual Refractive Error after Implantation of ReSTOR(R) Multifocal IOL.

Sung In Kim, Suk Jin Kim, Jae Yoon Oh, Kyu Hong Pak, Sug Jae Kang

¹Department of Ophthalmology, Saevit Eye Hospital, Goyang, Korea. glaucoma@hanmail.net
²Anyang Seoul Eye Clinic, Anyang, Korea.

레스토^Ⓡ 다초점 인공수정체 삽입술 후 잔여굴절이상에 대한 레이저 굴절교정수술 효과

김성인¹⋅김숙진¹⋅오재윤²⋅박규홍¹⋅강석재¹

Department of Ophthalmology, Saevit Eye Hospital¹, Goyang, Korea
Anyang Seoul Eye Clinic², Anyang, Korea

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.

Key Words: Astigmatism;LASIK;Multifocal intraocular lens;PRK;ReSTOR(R)