Patient Selection
Proper patient selection is a key factor in ensuring successful outcomes with the AcrySof® ReSTOR® IOL. Age, degree of general alertness, ocular pathology, and functional and occupational requirements must all be taken into account.
Patient satisfaction will be based on setting realistic expectations. Not all patients who receive this lens will be free of glasses. However, clinical studies show that 80% of AcrySof® ReSTOR® patients reported not wearing glasses following bilateral cataract surgery.¹
Before implanting a lens, it is recommended that the following factors be taken into consideration:
Suggested Patient Characteristics
- Patients motivated to reduce dependency on glasses
- Bilateral implantation candidates
- Patients who want to retain the ability to see near and distant objects without glasses
Patient Characteristics to Consider Carefully
- Patients with unrealistic expectations of vision improvement
- Patients who have excessive complaints about prescription glasses or contact lenses
- Those intolerant of monovision
- Individuals who drive at night for their occupation
- Individuals who are happy wearing glasses
- Individuals who have pre-existing complaints about night time glare
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Medical Considerations
Patient selection must also be based on specific medical criteria. Conditions both prior to and during surgery must be taken into account.
Medical Considerations - Prior to Surgery
- Patients with more than 1 diopter of pre-operative corneal astigmatism
- Power requirements outside of available diopter range of the product
- Significant pre-existing ocular pathologies such as age-related macular degeneration and corneal disease
- Previous RK, PRK or LASIK patients
- Anticipated high post-op astigmatism results
- Monofocal IOL implanted in other eye
- Poor fixation due to mature cataract and/or ocular pathology
Medical Considerations - During Surgery
- Posterior capsule rupture with vitreous loss
- Pupil trauma
- Factors that may impact long term IOL performance
- Zonular damage
- Capsulorhexis tear/rupture
- Capsular rupture
Characteristics for Optimal Patient Outcomes
The following points describe patients ideal for this procedure:
- Have 1.0 D or less of astigmatism
- Fit within the available IOL diopter range
- Are candidates for bilateral implantation
- Have no pre-existing ocular pathology
- Haven't had a previous refractive surgery procedure
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