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Patient Selection

Proper patient selection is a key factor in ensuring successful outcomes with the AcrySof® IQ 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® IQ ReSTOR® patients reported not wearing glasses following bilateral cataract surgery.¹

Proper patient selection is based on patient's lifestyle, personality, and expectations as well as ocular health and status. Patient selection begins with initial exposure to the practice and it's carried throughout the pre-operative, operative, and post-operative experience.

Before implanting a lens, it is recommended that the following factors be taken into consideration:

Patient Considerations

  • Subjective Exclusion Criteria
    • Hypercritical patients
    • Patients with unrealistic expectations
    • Those who want to wear glasses
    • Occupational night drivers
  • Medical Exclusion Criteria
    • >1.0 D of corneal astigmatism
    • Pre-existing ocular pathology
    • Previous refractive patients
    • Individuals with a monofocal lens

Patient Selection

  • Pre-operative Considerations
    • Cataracts with or without presbyopia
    • Patients who no long desire to wear glasses
    • Prior refractive history for IOL power calculations
    • Functional and occupational requirements
    • Degree of general alertness for consent
    • Pre-existing ocular pathology
    • Patients visual demands

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

  • Power requirements outside of available diopter range of the product (exclude)
  • 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
  • Eye length

Medical Considerations - During Surgery

  • Significant 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 diopter 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
  1. Based on clinical study results submitted to FDA (models SA60D3 and MA60D3). Bilateral Cataract Surgery. See package insert.

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