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Dimitra Portaliou, George Kymionis, Sophia Panagopoulou, Georgios Kontadakis, Ioannis Pallikaris
Institute of Vision and Optics University of Crete School of Medicine Heraklion, Crete Greece
WIOL CF geometry
Once the lens is inserted, it unfolds inside the capsule and gradually hydrates by the fluid present in the eye.
Complete hydration is succeeded within the first 48 hours and full equilibrium with the eye fluids is achieved.
Exclusion Criteria
Astigmatism higher than 1.25 diopters Pre-existing ocular history: corneal endothelial disease, abnormal cornea, macular degeneration, retinal degeneration, glaucoma, and chronic drug miosis. Previous refractive surgery Retinal conditions or predisposition to retinal conditions, previous history of/or predisposition to: retinal detachment or proliferative diabetic retinopathy. Amblyopia Clinically severe corneal dystrophy (e.g., Fuchs') Extremely shallow anterior chamber Recurrent anterior or posterior segment inflammation of unknown etiology, or any disease producing an inflammatory reaction in the eye (e.g. iritis or uveitis). Aniridia Optic nerve atrophy Trauma
Video
Results
Uncorrected Distance Visual Acuity (UDVA) improved from 0,45 0,21 (range from 0,1 to 0,9) preoperatively to 0,66 0,13 (range from 0,4 to 1) at the last follow up (Figure 3) Corrected Distance Visual Acuity (CDVA) improved from 0,57 0,19 (range from 0,2 to 1) preoperatively to 0,75 0,11 (range from 0,6 to 1) at the last follow up (Figure 4)
0.8 0.6 0.4 0.2 0 Preoperative Figure 3 0.8 0.6 0.4 0.2 Last Follow up
0
Preoperative Figure 4 Last Follow up
Safety
No eye has lost lines of CDVA 71% of eyes has gained lines of CDVA
Results
64% of our patients had J1 , J1 J2, at the last follow up, measured with Birkhauser reading charts at a distance of 35cm under photopic conditions.
18 16 14 12 10 8 6 4 2 0 J1 J1 - J2 J2 - J3 J3 - J4 J4 - J5 > J5
Far
J1
FAR
NEAR
Conclusions
WIOL CF can be considered a very promising alternative solution for patients that lead an active life and require good vision near, intermediate and far. In our patient series all patients obtained some level of accommodation which remained stable throughout the follow up period. No complications occurred intra or postoperatively. Larger series of patients and longer follow-up is necessary in order to confirm the encouraging results