1. Clinical Outcomes after Presbyopic Correcting Intraocular Lens Surgery in Patients with Prior Keratorefractive Surgery at UTSW Medical Center: A Retrospective Review ASCRS April 4-9, 2008 Adam Fedyk, MD

2. Disclosure: Adam R. Fedyk, MD, has no significant financial interests or relationships to disclose.

3. Introduction

4. ReSTOR IOL

5. Purpose

6. Methods

8. Demographics

9. Postoperative Visual Acuity (prior Lasik or PRK)

10. Postoperative Procedures (prior PRK or Lasik)

11. Visual Acuity Outcomes (prior PRK/Lasik) Postoperative Visual Acuities

12. Previous Lasik/PRK vs No KRS *Control data from clean group of ReSTOR patients 2005-06

13. Visual Acuity Outcomes (prior RK) Postoperative Visual Acuities

14. Conclusions

16. Acknowledgments Mentor: Vinod Mootha, MD Critiquer: Chip Fagadau, MD Wayne Bowman, MD James P. McCulley, MD Weeb Arey, MD Mike Molai, OD

17. References Souza CE, Muccioli C, Soriano E, Chalita MR, Oliverira F, Freitas L, Meire L, Tamaki C, and Belforte R. Visual performance of AcrySof ReSTOR apodized diffractive IOL: a prospective comparative trial. Am J Ophthalmology 2006;141:827-832. Kohnen T, Allen D, Boureau C, Dublineau P, Hartmann C, Mehdorn E, Rozot P, and Tassinarai G. European multicenter study of the AcrySof ReSTOR apodized diffractive intraocular lens. Ophthalmology 2006;113:578-584. Baikoff G, Mutach G, Fontaine A, Ferraz C, and Spera C. Correction of presbyopia with refractive multifocal phakic intraocular lenses. J Cataract Refract Surg 2004;30:1454-1460. Pineda-Fernandez A, Jaramillo J, Celis V, Vargas J, DiStacio M, Galindez A, and Del Valle M. Refractive outcomes after bilateral multifocal intraocular lens implantation. J Cataract Refract Surg 2004;30:685-688. Montes-Mico R, Espana E, Bueno I, Charman WN, and Menezo JL. Visual performance with multifocal intraocular lenses. Ophthalmology 2004;111:85-96. Leyland M and Zinicola E. Multifocal versus intraocular lenses in cataract surgery. Ophthalmology 2003;110:1789- 1798. Claoue C. Functional vision after cataract removal with multifocal and accommodating intraocular lens implantation. J Cataract Refract Surg 2004;30:2088-2091. Steinberg EP, Tielsch JM, Schein OD and Havitt JC, et al. National study of cataract surgery outcomes. Ophthalmology 1994;100:1131-1139. Chiam P, Chan JH, Aggarwal RK, Kasaby S. ReSTOR intraocular lens implantation in cataract surgery: quality of vision. J Cataract Refract Surg 2006;32:1459-1463. Souza CE, Muccioli C, Soriano ES, Chalita MR, Oliveira F, Freitas LL, Meire LP, Tamaki C, Belfort R. Visual performance of AcrySof ReSTOR apodized diffractive IOL: a prospective comparative trial. Am J Ophthalmology 2006;141:827. Blaylock JF, Zhaomin S, Vickers C. Visual and refractive status at different focal distances after implantation of the ReSTOR multifocal intraocular lens. J Cataract Refract Surg 2006;32:1464-1473. History and development of the apodized diffractive intraocular lens. J Cataract Refract Surg 2006;32:849-858.