Non Financial Interest

1. Clinical results with Diffractive Acritec Multifocal IOL implantation following cataracts and myopic and hyperopic clear lens Margarita Cabanás, MDContributing Authors: Fernando LLovet, MD, PhD, Jaime Beltrán, MD, Rafael Luchena,, MD, Victoria de Rojas MD, PhD, Julio Baviera, MD. Non Financial Interest

2. Purpose Evaluate visual outcomes and patients satisfaction after cataract or clear lens surgery with diffractive multifocal Acritec 366D implantation. Setting: Clínica Baviera, Instituto Oftalmológico Europeo, Spain. Non Financial Interest Margarita Cabanás, MD

3. Methods • 265 patients underwent cataract , myopic or hyperopic clear lens extractions in both eyes (530 eyes). • They underwent phacoemulsification with topic anaesthesia and implantation an Acritec 366D diffractive multifocal IOL. • Shorter time or follow-up were six months. • Uncorrected and best corrected far, middle and near vision were recorded after one, two and three months after surgery. • Contrast sensitivity testing was examined. • Patients completed a questionnaire about their subjective perception of visual function or satisfaction test. Non Financial Interest Margarita Cabanás, MD

4. Results • Best uncorrected vision were qualified by patients like very good and good in 92% of cases in far distance, 76% in middle vision and 82% in near vision. • 88% patients didn’t notice changes driving at night after surgery and 96% achieved good night vision. • Contrast sensitivity test showed profit in all the frequencies, without statistically significance differences (probably because of cataract group). • 98% of patients were satisfied or very satisfied ant 99,3 would underwent same surgery again. Non Financial Interest Margarita Cabanás, MD

5. Visual Acuity Pre CVA Post UCVA AVERAGE Pre CVA Post UCVA AVERAGE Non Financial Interest Margarita Cabanás, MD

6. Near Visual Acuity Non Financial Interest Margarita Cabanás, MD

7. Post Pre ContrastSensitivity

8. Satisfaction Test I MIDDLE VISION FAR VISION NEAR VISION 1. VERY BAD 1. VERY BAD 1. VERY BAD 2. BAD 2. BAD 2. BAD 3. MODERATE 3. MODERATE 3. MODERATE 4. GOOD 4. GOOD 4. GOOD 5. VERY GOOD 5. VERY GOOD 5. VERY GOOD 16,5% 30,5% 41,5% VERY GOOD VERY GOOD VERY GOOD 92 % 76 % 82 % GOOD GOOD GOOD 61,5% 59,5% 40,5% MODERATE MODERATE MODERATE 21,5% 4,7% 13,1% Non Financial Interest Margarita Cabanás, MD

9. Satisfaction Test II NIGHT DRIVING NIGHT VISION 1. QUITS ON DRIVING 1. WORSTER 2. WORST (FEELS UNSAFE) 2. BIT WORST 3. WORST (WITHOUT PROBLEMS) 3. SAME OR BETTER 4. SAME OR BETTER 57,5% SAME OR BETTER 94% SAME OR BETTER 88% 96% WORST (without problems) 30,5% BIT WORST 2% WORST (feels unsafe) 10,6% Non Financial Interest Margarita Cabanás, MD

10. Satisfaction Test III SURGERY SATISFACTION WOULD GET SURGERY AGAIN ? 1. UNSATISFIED 1. YES 2. BIT SATISFIED 2. NO 3. SATISFIED 4. VERY SATISFIED VERY SATISFIED 69% 99,3% YES 98 % 29% 0,7% SATISFIED NO 2% BIT SATISFIED Non Financial Interest Margarita Cabanás, MD

11. Conclusions Implantation of Diffractive Multifocal Acritec 366D, provides good near, middle and distance uncorrected vision; and offers patients a better quality of life. Non Financial Interest Margarita Cabanás, MD

12. THANK YOU mcabanas@clinicabaviera.com