Accommodative IOL Implantation in Cataract Surgery

Pur po se: To analyze the visual functions of patients who had cataract operation and accommodative intraocular lens (IOL) implantation.\udMa te ri al and Met hod: Simultaneous bilateral phacoemulsification and Crystalens HD accommodative IOL implantation were performed to\ud30 eyes of 15 patients who had come to our clinic with bilateral cataracts. Dominant eyes were planned to be emmetropic and non-dominant eyes\udwere planned to be 0.75 diopters (D) myopic. Postoperative early examinations and 3 month-interval routine eye and refractive examinations were\udperformed. Mean follow-up time was 23.1±2.6 months. Uncorrected and far corrected, monocular and binocular far and near visual acuities were\udanalyzed.\udRe sults: At the first postoperative month, mean spherical and cylinder refractions were 0.00±1.03 D and -0.82±0.47 D, respectively. Mean\uduncorrected and corrected monocular near visual acuities were 0.05±0.92 and 0.13±0.92 logMAR (logarithm of minimum angle of\udresolution), respectively. Mean uncorrected and corrected binocular near visual acuities were 0.03±1.00 and 0.10±1.00 logMAR,\udrespectively. Statistically significant differences were observed between the uncorrected and corrected, monocular and binocular near visual\udacuities (p=0.004, p=0.005, respectively). Results of first month postoperative examinations were compared with the results of 6-, 12-, and\ud18-month examinations - no statistically significant difference was observed (p>0.05).\udDis cus si on: As a result of simultaneous bilateral accommodative IOL implantations, significant increase was observed in the near visual\udacuities of the patients in the early postoperative period and at 18-month follow-up visit. We believe that binocular implantation of these\udkinds of accommodative IOLs to appropriate patients would increase the patient satisfaction. (Turk J Ophthalmol 2012; 42: 257-62