Long-term results of a diffractive trifocal intraocular lens: Visual, aberrometric and patient satisfaction results

Purpose: To evaluate the long-term objective and subjective results of a trifocal intraocular lens. Methods: Prospective observational study enrolling 24 eyes that underwent uneventful microincisional cataract surgery with bilateral implantation of a diffractive trifocal intraocular lens (FineVision Micro F, PhysIOL, Belgium). After a mean follow-up period of 60 ± 2 months, patients answered the 10-item Near Activity Vision Questionnaire (NAVQ-10) and were assessed for uncorrected and corrected distance, intermediate and near visual acuity, defocus curve, light-distortion analysis, and total ocular aberrometry with a pyramidal wavefront sensor (Osiris, CSO, Italy). Results: There was significant improvement of uncorrected visual acuity at all distances in all eyes (p < 0.01). The distorsion index and best-fit circle radius were significantly lower in binocular conditions (p = 0.02). Mean Rasch score at NAVQ-10 was 16.29 ± 11.57. Patients reported to be completely, very, and moderately satisfied with their uncorrected near vision in 67%, 25%, and 8% of cases, respectively. We found no significant correlation between patient satisfaction scores at near vision satisfaction questionnaire and other variables such as light-distortion analysis or wavefront aberrometry parameters. Conclusion: The studied diffractive trifocal intraocular lens provides good and stable long-term results for distance, intermediate, and near vision, with high levels of patient satisfaction at long-term follow-up. The intraocular lens’ light-distortion effect is less disturbing in binocular conditions and may have its perception down-modulated by neuroadaptation over time.

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Transanal haemorrhoidal dearterialisation with mucopexy versus stapler haemorrhoidopexy: a randomised trial with long-term follow-up

Annals of The Royal College of Surgeons of England ◽

10.1308/003588413x13511609958136 ◽

2013 ◽

Vol 95 (4) ◽

pp. 246-251 ◽

Cited By ~ 25

Author(s):

R Lucarelli ◽

M Picchio ◽

M Caporossi ◽

F De Angelis ◽

A Di Filippo ◽

...

Keyword(s):

Patient Satisfaction ◽

Symptom Control ◽

Long Term Results ◽

Repeat Surgery ◽

Significant Difference ◽

Long Term Follow Up ◽

Sh Group ◽

Grade Iii

Introduction The present study aimed to compare the long-term results of transanal haemorrhoidal dearterialisation (THD) with mucopexy and stapler haemorrhoidopexy (SH) in treatment of grade III and IV haemorrhoids. Methods One hundred and twenty-four patients with grade III and IV haemorrhoids were randomised to receive THD with mucopexy (n=63) or SH (n=61). A telephone interview with a structured questionnaire was performed at a median follow-up of 42 months. The primary outcome was the occurrence of recurrent prolapse. Patients, investigators and those assessing the outcomes were blinded to group assignment. Results Recurrence was present in 21 patients (16.9%). It occurred in 16 (25.4%) in the THD group and 5 (8.2%) in the SH group (p=0.021). A second surgical procedure was performed in eight patients (6.4%). Reoperation was open haemorrhoidectomy in seven cases and SH in one case. Five patients out of six in the THD group and both patients in the SH group requiring repeat surgery presented with grade IV haemorrhoids. No significant difference was found between the two groups with respect to symptom control. Patient satisfaction for the procedure was 73.0% after THD and 85.2% after SH (p=0.705). Postoperative pain, return to normal activities and complications were similar. Conclusions The recurrence rate after THD with mucopexy is significantly higher than after SH at long-term follow-up although results are similar with respect to symptom control and patient satisfaction. A definite risk of repeat surgery is present when both procedures are performed, especially for grade IV haemorrhoids.

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LONG-TERM FOLLOW-UP OF DUAL-PORTAL ENDOSCOPIC RELEASE OF THE TRANSVERSE LIGAMENT IN CARPAL TUNNEL SYNDROME

Neurosurgery ◽

10.1227/01.neu.0000335784.90217.9d ◽

2009 ◽

Vol 64 (1) ◽

pp. 131-138 ◽

Cited By ~ 13

Author(s):

Doerthe Keiner ◽

Michael R. Gaab ◽

Henry W.S. Schroeder ◽

Joachim Oertel

Keyword(s):

Patient Satisfaction ◽

Carpal Tunnel Syndrome ◽

Carpal Tunnel ◽

Long Term Results ◽

Transverse Ligament ◽

Endoscopic Release ◽

Long Term Follow Up ◽

Tunnel Syndrome

Abstract OBJECTIVE The long-term efficacy of dual-portal endoscopic release of the transverse ligament in carpal tunnel syndrome is still being debated. In this study, the authors present 94 endoscopic carpal tunnel surgery cases with long-term follow-up data. METHODS The study includes 72 patients aged 17 to 86 years (mean age, 53.4 years); bilateral surgery was performed in 22 of these patients. Seventy-two hands of female patients and 22 hands of male patients were included. All procedures were performed with a dual-portal set according to the Chow technique. All patients were examined 2 to 3 months after surgery. The long-term follow-up evaluation was based on telephone interviews 5 to 12 years (mean, 8.2 years) after surgery. RESULTS From a cohort of 214 cases that were treated surgically between 1995 and 2002, 94 cases (44%) could be evaluated for long-term follow-up. Four of these patients had to be excluded from long-term follow-up because of a switch to an open technique and early open revision (3–6 months after the first surgery), owing to persistent symptoms. A good to optimal postoperative outcome with improvement of neurological signs and subjective patient satisfaction was observed in 84 (93.3%) of the remaining 90 cases. There were no recurrences. CONCLUSION The study shows that dual-portal endoscopic release of the transverse ligament in carpal tunnel syndrome is a valuable technique that produces very good long-term results and high patient satisfaction and does not result in a significant recurrence rate.

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Faculty Opinions recommendation of Long-term follow-up after laser vision correction in physicians: quality of life and patient satisfaction.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.718293989.793492928 ◽

2014 ◽

Author(s):

Karl Stonecipher

Keyword(s):

Quality Of Life ◽

Patient Satisfaction ◽

Vision Correction ◽

Long Term Follow Up ◽

Laser Vision

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Long term follow-up of visual acuity and incidence of subretinal neovascularization in Mactel Type 2 in 82 Eyes

Seminars in Ophthalmology ◽

10.1080/08820538.2021.1929347 ◽

2021 ◽

pp. 1-6

Author(s):

Kerul Marsonia ◽

Kedarisetti Kiran Chandra ◽

M. Hasnat Ali ◽

Jay Chhablani ◽

Raja Narayanan

Keyword(s):

Visual Acuity ◽

Subretinal Neovascularization ◽

Long Term Follow Up

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Endovascular Treatment of Anterior Circulation Aneurysms With the p64 Flow Modulation Device: Mid- and Long-Term Results in 617 Aneurysms From a Single Center

Operative Neurosurgery ◽

10.1093/ons/opaa425 ◽

2021 ◽

Author(s):

Marta Aguilar Pérez ◽

Elina Henkes ◽

Victoria Hellstern ◽

Carmen Serna Candel ◽

Christina Wendl ◽

...

Keyword(s):

Intracranial Aneurysms ◽

High Rate ◽

Long Term Results ◽

Effective Treatment Option ◽

Anterior Circulation ◽

Acute Hemorrhage ◽

Unruptured Aneurysms ◽

Long Term Follow Up

Abstract BACKGROUND Flow diverters have become an important tool in the treatment of intracranial aneurysms, especially when dealing with difficult-to-treat or complex aneurysms. The p64 is the only fully resheathable and mechanically detachable flow diverter available for clinical use. OBJECTIVE To evaluate the safety and effectiveness of p64 for the treatment of intracranial saccular unruptured aneurysms arising from the anterior circulation over a long-term follow-up period. METHODS We retrospectively reviewed our prospectively maintained database to identify all patients who underwent treatment for an intracranial saccular (unruptured or beyond the acute hemorrhage phase) aneurysm arising from the anterior circulation with ≥1 p64 between December 2011 and December 2019. Fusiform aneurysms and dissections were excluded. Aneurysms with prior or concomitant saccular treatment (eg, coiling and clipping) were included. Aneurysms with parent vessel implants other than p64 were excluded. Anatomic features, intraprocedural complications, clinical outcome, as well as clinical and angiographic follow-ups were all recorded. RESULTS In total, 530 patients (388 females; median age 55.9 yr) with 617 intracranial aneurysms met the inclusion criteria. The average number of devices used per aneurysm was 1.1 (range 1-3). Mean aneurysm dome size was 4.8 mm (range 1-27 mm). Treatment-related morbimortality was 2.4%. Early, mid-term, and long-term angiographic follow-up showed complete or near-complete aneurysm occlusion in 76.8%, 89.7%, and 94.5%, respectively. CONCLUSION Treatment of intracranial saccular unruptured aneurysms of the anterior circulation using p64 is a safe and effective treatment option with high rate of occlusion at long-term follow-up and low morbimortality.

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Long-term Follow-up of Visual Acuity in Eyes With Stage 5 Retinopathy of Prematurity After Closed Vitrectomy

American Journal of Ophthalmology ◽

10.1016/s0002-9394(14)72160-9 ◽

1995 ◽

Vol 120 (3) ◽

pp. 308-316 ◽

Cited By ~ 25

Author(s):

YUKI FUCHINO ◽

HIDEYUKI HAYASHI ◽

TOSHIHIRO KONO ◽

KENJI OHSHIMA

Keyword(s):

Visual Acuity ◽

Retinopathy Of Prematurity ◽

Long Term Follow Up

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Posterior chamber phakic intraocular lens to correct myopia: Long-term follow-up

Journal of Cataract & Refractive Surgery ◽

10.1016/j.jcrs.2013.01.041 ◽

2013 ◽

Vol 39 (7) ◽

pp. 1023-1028 ◽

Cited By ~ 11

Author(s):

Necip Torun ◽

Eckart Bertelmann ◽

Matthias K.J. Klamann ◽

Anna-Karina Maier ◽

Anja Liekfeld ◽

...

Keyword(s):

Intraocular Lens ◽

Posterior Chamber ◽

Phakic Intraocular Lens ◽

Long Term Follow Up

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Clinical Features of Iris Cysts in Long-Term Follow-Up

Journal of Clinical Medicine ◽

10.3390/jcm10020189 ◽

2021 ◽

Vol 10 (2) ◽

pp. 189

Author(s):

Joanna Konopińska ◽

Łukasz Lisowski ◽

Zofia Mariak ◽

Iwona Obuchowska

Keyword(s):

Visual Acuity ◽

Ultrasound Biomicroscopy ◽

Anatomical Location ◽

Long Term Follow Up ◽

Temporal Quadrant ◽

The Mean ◽

Multiple Cysts ◽

Cyst Growth

This study evaluated the characteristics and clinical course of patients with iris cysts in the long-term follow-up (24–48 months). We retrospectively analyzed the medical records of 39 patients with iris cysts (27 women and 12 men). Age, visual acuity, intraocular pressure (IOP), slit-lamp evaluation, and ultrasound biomicroscopy images were assessed. The mean age at diagnosis was 40.6 ± 17.48 years. Thirty (76.9%) cysts were peripheral, five (12.8%) were located at the pupillary margin, two (5.1%) were midzonal, and two (5.1%) were multichamber cysts extending from the periphery to the pupillary margin. A total of 23 (59%) cysts were in the lower temporal quadrant, 11 (28.2%) were in the lower nasal quadrant, and 5 (12.8%) were in the upper nasal quadrant. Cyst size was positively correlated with patient age (rs = 0.38, p = 0.003) and negatively correlated with visual acuity (rs = −0.42, p = 0.014). Cyst growth was not observed. The only complication was an increase in IOP in three (7.7%) patients with multiple cysts. The anatomical location of the cysts cannot differentiate them from solid tumors. The vast majority of cysts are asymptomatic, do not increase in size, and do not require treatment during long-term follow-up.

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