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Wong JR, Folden DV, Wandling GR, Schaefer S, Stephens J, Boots C, Nichols CJ, Everson MH, Johnson R. Visual Outcomes of a Second-Generation, Enhanced UV Protected Light Adjustable Lens in Cataract Patients with Previous LASIK and/or PRK. Clin Ophthalmol 2023; 17:3379-3387. [PMID: 37954910 PMCID: PMC10637228 DOI: 10.2147/opth.s432457] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Accepted: 10/29/2023] [Indexed: 11/14/2023] Open
Abstract
Purpose To report on the visual outcomes of the second-generation (ActivShieldTM) Light Adjustable Lens (LAL) used in cataract surgery for patients with a history of laser refractive surgery (LASIK and/or photorefractive keratectomy [PRK]) using a co-managed, open-access methodology. Patients and Methods This retrospective case series of consecutive patients with history of laser refractive surgery implanted with the second-generation LAL with an emmetropic target were included in the study. Following surgery, all patients received their ultraviolet (UV) light treatments at a separate open-access facility through a co-managed arrangement. Uncorrected distance visual acuity (UDVA), spherical equivalent (SE), and residual cylinder for eyes with an emmetropic refractive target were the primary outcome measures as documented at the patient's final, stable, refractive postoperative exam. Results Thirty-three patients (34 eyes) with a history of laser refractive surgery were included in the study and implanted with the second-generation LAL with a postoperative emmetropic refractive target. Twenty-eight (82.4%) saw 20/20 or better and 9 (26.5%) saw 20/15 or better. The mean SE was 0.01 ± 0.31 D and 33 (97.1%) were within ±0.50 D SE of plano. The mean residual cylinder was -0.28 ± 0.32 D and 30 (88.2%) were within ±0.50 D. Conclusion Use of the second-generation LAL was efficacious in cataract surgical patients with a history of LASIK and/or PRK using a co-managed, open-access methodology.
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Affiliation(s)
| | - David V Folden
- Twin Cities Eye Consultants, Edina, MN, USA
- North Suburban Eye Specialists, Coon Rapids, MN, USA
| | - George R Wandling
- Twin Cities Eye Consultants, Edina, MN, USA
- North Suburban Eye Specialists, Coon Rapids, MN, USA
| | - Scott Schaefer
- Twin Cities Eye Consultants, Edina, MN, USA
- Edina Eye Physicians & Surgeons, Edina, MN, USA
| | - Jeff Stephens
- Twin Cities Eye Consultants, Edina, MN, USA
- Edina Eye Physicians & Surgeons, Edina, MN, USA
| | - Calvin Boots
- Praxis Vision, Edina, MN, USA
- Twin Cities Eye Consultants, Edina, MN, USA
| | - Carter J Nichols
- Twin Cities Eye Consultants, Edina, MN, USA
- Edina Eye Physicians & Surgeons, Edina, MN, USA
| | - Marshall H Everson
- Twin Cities Eye Consultants, Edina, MN, USA
- Edina Eye Physicians & Surgeons, Edina, MN, USA
| | - Ryan Johnson
- Twin Cities Eye Consultants, Edina, MN, USA
- Edina Eye Physicians & Surgeons, Edina, MN, USA
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