Surgical Technique

Argon Laser Iridoplasty to Improve Visual Function Following Multifocal Intraocular Lens Implantation

Renée Solomon, MD; Allon Barsam, FRCOphth; Alex Voldman; Jack Holladay, MD; Maninder Bhogal, MRCOphth; Henry D. Perry, MD; Eric D. Donnenfeld, MD

  • Journal of Refractive Surgery
  • April 2012 - Volume 28 · Issue 4: 281-283
  • DOI: 10.3928/1081597X-20120209-01
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Abstract

PURPOSE:

To describe the use of argon laser iridoplasty following implantation of a multifocal intraocular lens (IOL) to improve visual function.

METHODS:

Argon laser spots of 500-mW power, 500-μm spot diameter, and 500-ms duration were placed in the midperipheral iris in the area in which the iris was encroaching on the IOL.

RESULTS:

Argon laser iridoplasty provided statistically significant improvement in visual function including corrected distance visual acuity (CDVA) and subjective quality of vision in 14 eyes from 11 patients. Mean CDVA improved from 0.24 (20/35 Snellen) to 0.10 (20/25 Snellen) logMAR (P<.0001), and mean subjective quality of vision improved from 2.9 to 7.5 (P<.0001).

CONCLUSIONS:

Argon laser iridoplasty should be considered in correcting visual problems associated with decentered multifocal IOLs.

AUTHORS

From Ophthalmic Consultants of Long Island, Rockville Centre, New York (Solomon, Barsam, Voldman, Perry, Donnenfeld); Baylor College of Medicine, Houston, Texas (Holladay); and Moorfields Eye Hospital, London, United Kingdom (Bhogal).

Presented in part at the American Academy of Ophthalmology annual meeting and Refractive Surgery Subspecialty Day, November 13–17, 2007, New Orleans, Louisiana; and the Association for Research in Vision and Ophthalmology annual meeting, April 11, 2008, Ft Lauderdale, Florida.

The authors have no financial or proprietary interests in the materials presented herein.

Correspondence: Renée Solomon, MD, 217 E 70th St, #1204, New York, NY 10021. E-mail: rensight@yahoo.com

Received: September 12, 2011
Accepted: January 04, 2012
Posted Online: February 15, 2012

doi: 10.3928/1081597X-20120209-01

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