Multifocal intraocular lenses and cystoid macular edemaa multicenter study
- Juan C. Pinto-Bonilla
- Alberto del Olmo-Jimeno
- Fernando Llovet-Osuna
- Jaime Beltrán
- Julio Baviera-Sabater
- Emiliano Hernández-Galilea
ISSN: 2171-4703
Año de publicación: 2013
Volumen: 4
Número: 2
Páginas: 73-78
Tipo: Artículo
Otras publicaciones en: Journal of Emmetropia: Journal of Cataract, Refractive and Corneal Surgery
Resumen
OBJECTIVE: We evaluated a large case series in order to determine the incidence and development of clinical cystoid macular edema (CME) associated with the implantation of two multifocal intraocular lenses: Acri.LISA 366D (Carl Zeiss Meditec) and AcrySof ReSTOR SN6AD3 (Alcon Laboratories, Fort Worth, Texas, USA). SETTING: Multicenter study involving several European eye clinics. METHODS: We performed a multicenter (European Eye Institute, Baviera Group), retrospective, comparative study of 10,390 pseudophakic eyes from 5,195 patients who underwent multifocal intraocular lens implantation between January 2009 and January 2012. The exclusion criteria included a history of diabetic retinopathy, ocular trauma, intraocular surgery, vitreous loss during cataract surgery, previous CME, uveitis and vitreoretinal disease. RESULTS: We implanted 7,682 Acri.LISA 366D lenses and 2,708 AcrySof ReSTOR SN6AD3 lenses. The incidence of clinically significant CME was 0.12% in the Acri.LISA group and 0.18% in the Acrysof ReSTOR group. No statistically significant differences in the incidence of CME were detected between the groups (P = 0.41). CONCLUSIONS: The analysis of this large number of implanted multifocal lenses confirms that the incidence of clinically relevant macular edema was not significantly different between the two lenses.