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• W101097097 abstract "<h4>PURPOSE</h4><p>To investigate the use of wavefront-guided LASIK after multifocal intraocular lens (IOL) implantation to correct residual ametropia and higher order aberrations. </p> <h4>METHODS</h4><p>In a prospective, nonrandomized case series, wavefront-guided LASIK was performed in 27 eyes (19 patients) after multifocal IOL implantation (Tecnis diffractive IOL, n=20; ReSTOR diffractive IOL, n=4; ReZoom refractive IOL, n=3) using the VISX STAR S4 IR excimer laser. Visual acuity, manifest refraction, and wavefront error were examined pre- and 3 months postoperatively.</p> <h4>RESULTS</h4><p>In the Tecnis group, results before (after) LASIK were: sphere +1.06±0.77 diopters (D) (–0.03±0.28 D; <i>P</i>=.0001), cylinder –1.13±0.73 D (–0.14±0.25 D; <i>P</i>=.00004), distance uncorrected visual acuity (UCVA) 20/45±0.09 (20/29±0.16; <i>P</i>=.00004), near UCVA 20/30±0.24 (20/25±0.16; <i>P</i>=.001), and higher order aberrations (4-mm pupil) 0.14±0.05 µm (0.18±0.03 µm; <i>P</i>=.02). Distance and near best spectacle-corrected visual acuity (BSCVA) did not change. In the ReSTOR group, results before (after) LASIK were: sphere +0.75±0.56 D (+0.13±0.22 D), cylinder –1.50±0.47 D (–0.13±0.22 D), distance UCVA 20/40±0.07 (20/26±0.07), near UCVA 20/44±0.05 (20/25±0.0), and higher order aberrations (4-mm pupil) 0.14±0.03 µm (0.20±0.02 µm). Distance and near BSCVA did not change. In the ReZoom group, results before (after) LASIK were: sphere +0.08±1.20 D (0.00 D), cylinder –0.83±0.120 D (0.00 D), distance UCVA 20/40±0 (20/25±0), near UCVA 20/60±0.09 (20/150±0.18), and higher order aberrations (4-mm pupil) 0.43±0.04 µm (0.39±0.03 µm). Patients lost one line of distance BSCVA and two lines of near BSCVA. </p> <h4>CONCLUSIONS</h4><p>Wavefront-guided LASIK is safe and effective in diffractive multifocal IOLs to correct residual refractive error, but higher order aberrations did not improve. It is not recommended in refractive multifocal IOLs, as these cannot be measured reliably with current wavefront sensors. [<cite>J Refract Surg</cite>. 2008;24:274-279.]</p> <h4>ABOUT THE AUTHORS</h4> <p>From FreeVis LASIK Center, University of Heidelberg, Medical Faculty Mannheim, Germany (Jendritza, Knorz); and Eye Services, Bourne End, United Kingdom (Morton).</p> <p>Dr Knorz is a consultant of AMO Inc, Santa Ana, Calif. Dr Jendritza and Mr Morton have no financial interest in the materials presented herein.</p> <p>Presented in part at the American Academy of Ophthalmology Annual Meeting; November 11-14, 2006; Las Vegas, Nev.</p> <p>Correspondence: Bettina B. Jendritza, MD, FreeVis LASIK Zentrum, Klinikum Mannheim, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim, Germany. Tel: 49 621 383 3410; Fax: 49 621 383 1984; E-mail: <a href=mailto:bjendritza@freevis.de>bjendritza@freevis.de</a></p> <p>Received: September 19, 2007</p> <p>Accepted: December 6, 2007</p>" @default.
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• W101097097 title "Wavefront-guided Excimer Laser Vision Correction After Multifocal IOL Implantation" @default.
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