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Table 4 Refractive lens exchange in hyperopia (visual acuities in decimal values)

From: Refractive lens exchange in modern practice: when and when not to do it?

Author,year

No. of eyes/patients/mean age(years)

Mean follow-up

Preop SE(D)

Postop SE(D)

Preoperative UDVA

Preoperative CDVA

Postoperative UDVA

Postoperative CDVA

Siganos, Pallikaris,

1998 [50]

35/21/N/R

5 years

+9.19 ± 0.34 (distance)

+10.41 ± 0.32 (near)

At 1 year:

+0.02 ± 0.80 (distance)

+1.87 ± 0.31 (near)

Count fingers – 31 eyes, 0.1 VA obtained in 4 eyes

Mean CDVA

0.94 ± 0.014

(spectacle-corrected),

1.037 ± 0.22

(contact lens-corrected)

0.8 (0.5 to 1.0)

91.4% within ±1.00 D of target refraction

Fink et al.,

2000 [51]

50/29/,

Group A: (preop SE ≤ +4 D), 61.9

Group B: (preop SE > +4 D) 54.7

10 months

Group A: SE: +2.26 ± 0.94

Group B: SE: +6.32 ± 1.32

Group A:

-0.18 ± 0.73

Group B:

-0.19 ± 1.28

Group A: 0.19

Group B: 0.05

Group A: 1.13

Group B: 1.04

Group A:0.81 ± 0.30

Group B:0.58 ± 0.33

Group A: 1.10 ± 0.17

Group B: 1.02 ± 0.16

Alfonso, et al., 2009

RLE after previous hyperopic LASIK [52]

41/23/51.03

6 months

Pre-IOL SE: Mean +1.32

Mean postop SE: -0.064 ± 0.513

UDVA:

0.189 ± 0.175 logMAR

CDVA:

0.049 ± 0.071 logMAR

Mean efficacy index:

0.87

Mean safety index:

1.00

UDVA:

0.113 ± 0.101 logMAR

≥0.5: 97.56%

≥0.8: 58.54%

CDVA: 0.046 ± 0.063 logMAR

All eyes within ±1.25 D of target refraction, 73.17% - within ±0.50 D

Preetha Goel, Patel et al.,

2003 [53]

20/12/35.75

16.96 months

(6 to 35 months)

+6.66 ± 2.17

(+4.75 to +13.0)

+0.68

(0 to +2.50)

0.10 ± 0.09

(0.03 to 0.25)

0.53 ± 0.29

(0.10 to 1.00)

0.45 ± 0.25

(0.10 to 1.00)

0.63 ± 0.30

(0.10 to 1.00)

Pop, Payette 2004 [54]

Artisan phakic lens versus RLE + IOL

19/12/20

- Artisan

19/15/36

- RLE + IOL

5.4 months

Artisan:

+2.75 to +9.25

RLE + IOL:

+2.75 to +7.50

2 months postop:

Artisan: 78% within ±1.00 D of emmetropia

RLE + IOL: 91% within ±1.00 D of emmetropia

≥0.8: 0 in both groups

≥0.5: 0 in both groups

Preoperative UDVA of both groups is not reported in details.

Artisan:

84% >0.8

RLE + IOL:

68% >0.8

2 months postop:

≥0.8:

67% Artisan

64% RLE + IOL

≥0.5:

89% Artisan

82% RLE + IOL

N/R

Koladhouz – Isfahani et al., 1999 [55]

18/10/N/R

10.5 months

+6.17

-0.21

0.06

0.80

0.50

0.80,

39% within ±1.00 D of target refraction

  1. RLE: refractive lens extraction, SE: spherical equivalent, UDVA: uncorrected distance visual acuity, CDVA: corrected distance visual acuity, IOL: intraocular lens, N/R: not reported.