Simultaneous Bilateral Combined Micro Invasive Glaucoma Surgery (MIGS) with iStent inject® and Femtosecond Laser-assisted Cataract Surgery with Premium IOLs

Özet

Our purpose was to show the visual outcome following iStent inject and Premium IOL implantation and to analyze the correlation between objective outcomes versus subjective outcomes and patient satisfaction. We report a case of 64-year-old female patient, complaining of decreased visual acuity, seeing veil in her visual fi eld and night driving diffi culty. The patient had a history of normal tension glaucoma and cortical cataract in both eyes. Optic disc examination showed: mild cupping and RNFL loss bilaterally in both eyes. We implanted 2 iStent inject in each eye followed by a hydrophilic foldable one-piece multifocal acrylic IOL (Oculentis LS-313 MF-30) in OD and a hydrophilic one-piece enhanced depth of focus IOL (Oculentis LS-313 Comfort-MF 15) in OS. After an uneventful cataract surgery, the post-operative outcomes were as follows: The patient is not using any anti-glaucoma eye drops anymore, corrected distance visual acuity [logMAR] increased OD from 0,20 to -0,1 and OS from 0,00 to 0-,1 with a binocular visual acuity of -0,2. Even though the objective outcomes showed good functional results, but patient complained about out of focus vision in distance, with moderate halo while still realizing she can see everything.