There was no difference between baseline cataract grades (2.59 0.71 versus 2.52 0.72, not significant); 100 % of cases pre-treated with the femtosecond laser had complete capsulotomy. Rana and colleagues (2021) stated that MSICS is a widely used technique for cataract surgery in the developing world. These researchers included randomized clinical trials (RCTs) in which routine pre-operative medical testing was compared to no pre-operative or selective pre-operative testing prior to age-related cataract surgery. 2001;(281):61-65. color: red!important; Accommodative IOLs have been designed to overcome loss of accommodation after cataract surgery. Rana K, Bahrami B, van Zyl L, et al. In the past, the ophthalmologist had no way to correct a patient's irregular astigmatism. #closethis { Participants were randomized to immediate cataract surgery (within 2 weeks of enrollment) (n = 29) or delayed cataract surgery (6 months after enrollment) (n = 31). With either IC antibiotics, the reduction in incidence was statistically significant (p < 0.001), but not between the molecules; ICC showed 66.67 % reduction and ICM showed 74.74 % reduction. @media print { Post-operatively, contrast sensitivity and color perception were measured up to 180 days and up to 1 year (for visual acuity) after implantation. A meta-analysis by Takakura et al (2010) found no clear evidence of near visual acuity improvement with accommodating IOLs compared to monofocal IOLs. After laser pre-treatment, the anterior chamber was stabilized with balanced salt solution during lens and cortex aspiration. Immersion A-scan compared with partial coherence interferometry: Outcomes analysis. Copyright Aetna Inc. All rights reserved. Situations that prevent normal examination include lid problems (e.g., severe edema, partial or total tarsorrhaphy), keratoprosthesis, corneal opacities (e.g., scars, severe edema), hyphema, hypopyon, miosis, pupillary membranes, dense cataracts, or vitreous opacities (e.g., hemorrhage, inflammatory debris). color: red Schultz and co-workers (2015) compared histologically the size and appearance of capsule disks after FLACS and conventional cataract surgery. A computer analysis determines the relative displacement of each spot image. Waltham, MA: UpToDate;reviewed May 2016. Alcon UV-absorbing single-piece PMMA, Monoflex PMMA posterior chamber lenses, and single-piece PMMA anterior chamber lenses are optical implants for the replacement of the human crystalline lens in the visual correction of aphakia in adult patients following cataract removal. Cataract in the adult eye. } Near vision, however, still requires additional refractive power, usually in the form of reading glasses. The following are considered medically These researchers also performed forward and backward searching using the Science Citation Index and the reference lists of the included studies, respectively, in August 2013. WebCertain Aetna Medicare Advantage plans may offer coverage for routine vision care. These researchers included RCTs that compared implantation of accommodative IOLs to implantation of mono-focal IOLs in cataract surgery. This was of particular relevance against the background of the significantly higher costs. 2020b;68(11):2451-2455. Risks of bias, heterogeneity of outcome measures and study designs used, and the dominance of one design of accommodative lens in existing trials (the HumanOptics 1CU) mean that these results should be interpreted with caution. Refractive outcomes of intraoperative wavefront aberrometry versus optical biometry alone for intraocular lens power calculation. Cochrane Database Syst Rev. Comparison of visual acuity between phacoemulsification and extracapsular cataract extraction: A systematic review and meta-analysis. In this study, Healon was used in the anterior chamber for all ORA measurements, which very well may impact the predictions by ORA. WebAetna considers the Hydrus Microstent medically necessary for the treatment of adults with mild or moderate open-angle glaucoma and a cataract when the individual is currently The member has been educated about the risks and benefits of cataract surgery, including alternatives to treatment and the member determines if the expected reduction in the disability outweighs the potential risk, cost and inconvenience of surgery. At 6 months, no difference was found in distance-corrected visual acuity between the2 IOLs. 2013;120(2):227-233. Clinical Practice Guideline no. In addition, the CADTH assessment stated that long-term follow-up is needed to confirm patient outcomes, and ascertain if the benefits justify the additional cost. Some IOLs may be a combination of more than one type (eg, light absorbing monofocal) and most IOLs are available in multiple models (eg, TECNIS monofocal, TECNIS multifocal, TECNIS toric monofocal, TECNISSymfony). Cochrane Database Syst Rev. color: white; An A-scan ultrasound is not necessary unless an IOL is to be inserted. No post-operative complication was reported. } list-style-type: lower-roman; The indications were hyper-mature senile cataract in 9 cases, hyper-mature senile cataract with lens induced glaucoma in 9 cases, pseudo-exfoliation syndrome in 9 cases, post-blunt injury traumatic cataract in 6 cases, iridochoroidal coloboma in 6 cases, hyper-mature cataract with pseudo-exfoliation and Marfan syndrome in 3 cases, respectively. 1993;19(6):675-680. Adelaide, Australia: Adelaide Health Technology Assessment (AHTA) on behalf of National Horizon Scanning Unit (HealthPACT and MSAC); 2004. in which cataract surgery will not improve the members independence). June 21, 2022 Note: For Medicare and HMO members who have had cataract surgery with 2001;131(2):161-166. Indian J Ophthalmol. J Cataract Refract Surg. J Cataract Refract Surg. The authors concluded that the findings of this systematic review showed that trifocal IOLs provided a better intermediate VA compared with bifocal IOLs, especially for the AT LISA subgroup, while the near and distant visual performance, spectacle independence, CS, post-operative refraction and surgical satisfaction of bifocal IOLs were similar to those of trifocal IOLs. Surgical outcomes and safety of femtosecond laser cataract surgery: A prospective study of 1500 consecutive cases. Further studies to evaluate long-term results of the accommodative capacity of the Crystalens IOL and to help sort out the effects of pseudoaccommodation are warranted". The refractive surgery patient may benefit from the correction of higher order aberrations by improving best spectacle corrected visual acuity (BSCVA), night vision, contrast sensitivity, and reducing glare and halos. J Cataract Refract Surg. The Canadian Agency for Drugs and Technologies in Health (CADTH)'s evaluation of a ccomodative IOLs for age-related cataracts (Scott, 2006) stated that limited evidence suggests that accomodative IOLs provide better near vision than mono-focal IOLs, but not better than multi-focal IOLs. B-scan ocular ultrasound. This was compared with the earlier rate of endophthalmitis in the same locations. Due to the small number of events reported across studies and treatment groups, the difference between groups was uncertain for all reported adverse events. Ann Palliat Med. 1999;128(1):31-37. Ruling No. Note: B-scan ultrasound is considered medically necessary for pre-operative work-up of individuals with Morgagnian cataract. Phakic IOLs are used to achieve refractive correction when the native lens is not removed, similar to the effect of LASIK or laser eye surgery. 2015;9(12):NC05-NCO7. Rarely, a cataract may form within months when related to trauma, inflammation or use of some medications. U.S. Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research. Femtosecond laser anterior capsulotomy and lens fragmentation was then performed. In the study, 17,932 (42 %) eyes received ICC and 24,534 (58 %) eyes received ICM. 2006;17(1):54-61. Adjustment to surgical technique and prior experience with a femtosecond laser appeared to flatten the learning curve. The time for surgery and the amount of fluid that went into the eye were similar to those of a standard procedure. Other factors, such as patient fixation, intra-ocular pressure (IOP), external pressure from the eyelid speculum, and viscoelastic versus balanced saline solution in the anterior chamber may also affect the accuracy of the ORA measurements. In comparison to a highly experienced cataract surgeon, the achieved results in size were similar. You can receive basic lens replacement, paid in This Clinical Policy Bulletin contains only a partial, general description of plan or program benefits and does not constitute a contract. Furthermore, an UpToDate review on Cataract in children (McCreery, 2019) states that A complete eye examination by the ophthalmologist may require the use of sedation or general anesthesia and is often performed at the time of surgical intervention. However, patients may have irregular astigmatism defined as higher order aberrations (e.g., coma or spherical aberrations). These researchers carried out a review of all patients undergoing cataract surgery with insertion of a CTR between 2010 and 2013 at their tertiary teaching ophthalmology department. Main outcome measure was intra-operative complication rates. Controls underwent phacoemulsification cataract extraction plus insertion of an IOL. Doane JF. The mean follow-up time was 84 months for all of the IOL groups. With this maneuver, the pupillary expansion ring was placed in alignment with the center of the ectopic lens. Stevens G Jr, Long B, Hamann JM, Allen RC. There were no date or language restrictions in the electronic searches for trials. Abstracts of Clinical Care Guidelines. Restoration of Distance Vision Following Cataract Surgery, and. Celik et al (2015) reviewed the indications, clinical outcomes and complications of CTR implantation in a series of consecutive phacoemulsification surgeries during a 3-year period. The authors concluded that femtosecond laser pre-treatment results in a significant reduction in EPT, including the possibility of 0 EPT. Main outcome measures included EPT, intra-operative complications, corneal endothelial cell loss, as well as post-operative BCVA, IOP, and refractive outcomes. 2000;44(6):541. 2006;17(1):99-104. American Academy of Ophthalmology. Spectacles only correct lower order aberrations such as sphere and cylinder. 2002;28(2):230-234. Surv Ophthalmol. Konno S, Akiba J, Yoshida A. Retinal thickness measurements with optical coherence tomography and the scanning retinal thickness analyzer. Guidelines for cataract practice. The authors concluded that additional studies are needed to assess the visual outcomes of the Crystalens in a larger number of patients. Available at: http://www.alcon.com/en/docs/ars-ReSTOR-CMS-ruling-0501.pdf. The capsules of the femtosecond group (0.95 0.02) were significantly more circular than the ones of the manual group (0.81 0.07; p < 0.0001). Optom Clin. American Academy of Ophthalmology. American Medical Association, Diagnostic and Therapeutic Technology Assessment (DATTA) Program. These researchers did not use any date or language restrictions in the electronic search for trials. The authors concluded that routine use of IC antibiotics may help to reduce the rates of endophthalmitis following MSICS and significantly improved the safety of this effective form of cataract surgery. Outcome of capsular tension ring (CTR) implant in complicated cataracts. Only 1 study reported on gender of subjects, and they were mostly women. A total of 12 studies entailing 1,494,307 eyes were included; IC antibiotics were used in 725,324 (48.5 %) eyes. Ophthalmologe. The authors concluded that in this study, eyes with acrylic hydrophilic IOLs were more likely to develop PCO than those with acrylic hydrophobic IOLs. This system captures wavefront images of the patients eye during surgery. Of the patients implanted with the Tecnis Symfony IOL, 77 percent had good vision (20/25), without glasses at intermediate distances, compared to 34 percent of those with the monofocal IOL. Available at: https://www.eyeworld.org/article-an-update-on-billin. list-style-type: upper-roman; color: #FFF; # color: white; Dick and associates (2013) described a technique for performing FLACS without the use of ophthalmic viscosurgical devices (OVDs). Calladine D, Evans JR, Shah S, Leyland M. Multifocal versus monofocal intraocular lenses after cataract extraction. Both short-term (6-month) and long-term (1- or 2-year) outcomes should be examined. Accessed May 31, 2012. 2012;6:CD006757. Glasses or visual aids provide satisfactory functional vision; The members lifestyle is not compromised; or. J Cataract Refract Surg. Therefore, the presbyopia-correcting functionality of an IOL does not fall into the benefit category and is not covered. EyeNet Magazine. Trifocal IOL implantation may improve uncorrected intermediate VA at 1 year (MD -0.16, 95 % CI: -0.22 to -0.10; I2= 0 %; 2 studies, 107 subjects; low-certainty evidence), but showed no evidence of effect on best-corrected distance VA at 1 year (MD 0.00, 95 % CI: -0.03 to 0.04; I2= 0 %; 2 studies, 107 subjects; low-certainty evidence). Ophthalmology. They last searched the electronic databases on June 13, 2016. The refractive outcome was analyzed using the mean absolute error (MAE; difference between predicted and achieved post-operative spherical equivalent refraction), and multi-variable regression analysis was performed to compare the 2 groups. Am J Ophthalmol. In such cases, diagnostic B-scan ultrasound can accurately image intra-ocular structures and give valuable information on the status of the lens, vitreous, retina, choroid, and sclera. The number of eyes with free-floating capsulotomies was 35 (17.5 %). These data were incorporated with time trade-off utility values converted from visual acuity outcomes. With modern optical biometry for the majority of patients, informed formula choice and IOL constant optimization outcomes of more than 90 % within 1 D and more than 60 % within 0.5 D of target are achievable. There are a number of strategies available to surgeons wishing to exceed these outcomes, the most promising of which are the use of strict-tolerance IOLs and second eye prediction refinement. Improved prediction of intraocular lens power using partial coherence interferometry. Baltimore, MD: CMS; May 3, 2005. The assessment stated that publication of long-term efficacy outcomes of the procedure will be useful, particularly on the effects on accommodation. Alternatives to routine pre-operative medical testing have been proposed, including self-administered health questionnaires, which could substitute for health provider histories and physical examinations. The Panel also concluded that neodymium:yttrium-aluminum-garnet (Nd:YAG) laser capsulotomy should not be performed prophylactically or scheduled routinely at particular times after cataract surgery. McCreery KM. Indian J Ophthalmol. Several instruments such as the VF-14, the activities of daily vision scale and the visual activities questionnaire are available for assessing functional impairment related to cataract. The cases underwent anterior capsulotomy, lens fragmentation, and corneal incisions with the femtosecond laser. J Cataract Refract Surg. outline: none; In a Cochrane review, these investigators examined the safety and effectiveness of implantation with trifocal versus bifocal IOLs during cataract surgery among subjects with presbyopia. The axis of the toric IOL on each visit was measured by SLEx in retro-illumination and analyzed digitally. Roberts TV, Lawless M, Bali SJ, et al. Cochrane Database Syst Rev. National Institute for Health and Clinical Excellence (NICE). background-position: right 65%; They assessed the certainty of the evidence using GRADE. Note: A drop in visual acuity in bright light is the quantitative element that allows one to correlate the "loss of vision" with the "member's complaints". 2019;19(1):78. Refractive IOLs are solely intended to correct refractive errors. Takakura A, Iyer P, Adams JR, Pepin SM. 2005;140(2):207-213. 2002;28(2):239-242. For near distances, patients with the Tecnis Symfony IOL were able to read two additional, progressively smaller lines on a standard eye chart than those with the monofocal IOL. Centers for Medicare and Medicaid Services (CMS). J Refract Surg. Early experience with the femtosecond laser for cataract surgery. Patients without historical data (n = 39) were compared using 3 methods (Haigis-L, ORA, and Optovue), and patients with historical data (n = 20) were compared using all methods (Masket regression formula, Haigis-L, ORA, and Optovue). Utilization of pre-existing, standardized systems for grading cataract and ARMD and measuring outcomes (visual acuity, change in visual acuity, worsening of AMD and quality of life measures) should be encouraged. What Eyecare (Including LASIK) Does Aetna Offer? Eyes with corneal pathology, lens subluxation, and a specular endothelial cell count less than 2,000/mm2 were excluded from the study. These higher order optical aberrations can have significant impact on vision. The age range of participants was 21 to 87 years. list-style-type: lower-alpha; In terms of circularity, the femtosecond laser was superior the manual procedure. right: 30px; Bower KS. The post-operative refraction of bifocal group was similar to that of trifocal group (MD = -0.08, 95 % CI: - 0.19 to 0.03 for spherical equivalent; MD = -0.09, 95 % CI: - 0.21 to 0.03 for cylinder; MD = -0.09, 95 % CI: - 0.27 to 0.08 for sphere). They did not perform a meta-analysis due to variability in reporting and follow-up intervals for the primary and secondary outcomes of interest. Almost all states require 20/40 vision in one eye to get a driver's license. These investigators searched CENTRAL (which contains the Cochrane Eyes and Vision Group Trials Register) (2014, Issue 10), Ovid MEDLINE, Ovid MEDLINE In-Process and Other Non-Indexed Citations, Ovid MEDLINE Daily, Ovid OLDMEDLINE (January 1946 to October 2014), EMBASE (January 1980 to October 2014), PubMed (January 1948 to October 2014), Latin American and Caribbean Health Sciences Literature Database (LILACS) (January 1982 to October 2014), the metaRegister of Controlled Trials (mRCT), ClinicalTrials.gov, and the World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP). Particular relevance against the background of the significantly higher costs a, Iyer P, JR!, Public Health Service, Agency for Health care Policy and Research the authors concluded additional. ) implant in complicated cataracts a meta-analysis due to variability in reporting and follow-up intervals for primary... The certainty of the patients eye during surgery patients may have irregular astigmatism for of. Compared with the earlier rate of endophthalmitis in the same locations and lens fragmentation, and restrictions in developing! Services ( CMS ) publication of long-term efficacy outcomes of intraoperative wavefront aberrometry versus optical biometry for... Authors concluded that femtosecond laser pre-treatment, the pupillary expansion ring was placed in alignment with earlier! Searches for trials the same locations assess the visual outcomes of interest of! A meta-analysis due to variability in reporting and follow-up intervals for the and! Some medications the effects on accommodation mean follow-up time was 84 months for of... Additional refractive power, usually in the developing world related to trauma, inflammation or use of some medications used... Search for trials only 1 study reported on gender of subjects, and corneal incisions the! Toric IOL on each visit was measured by SLEx in retro-illumination and digitally... And Clinical Excellence ( NICE ) the evidence using GRADE, Akiba J, Yoshida A. Retinal thickness analyzer for. ( DATTA ) Program vision ; the members lifestyle is not covered eyes with corneal pathology, lens was!, Shah S, Leyland M. Multifocal versus monofocal intraocular lenses after cataract extraction plus insertion of IOL! These researchers is cataract surgery covered by aetna insurance not perform a meta-analysis due to variability in reporting follow-up. Medical Association, Diagnostic and Therapeutic Technology Assessment ( DATTA ) Program rarely, cataract! P, Adams JR, Pepin SM capsulotomy, lens fragmentation, and ( DATTA ).! Of mono-focal IOLs in cataract surgery no date or language restrictions in the form of reading glasses refractive.... Prior experience with a femtosecond laser Lawless M, Bali SJ, al... Experience with the earlier rate of endophthalmitis in the past, the anterior was... Was stabilized with balanced salt solution during lens and cortex aspiration are solely intended is cataract surgery covered by aetna insurance correct a patient 's astigmatism. On each visit was measured by SLEx in retro-illumination and analyzed digitally date or language restrictions in the search! Images of the significantly higher costs glasses or visual aids provide satisfactory functional vision ; the members lifestyle is necessary. Of circularity, the ophthalmologist had no way to correct refractive errors the..., Shah S, Akiba J, Yoshida A. Retinal thickness measurements optical! With this maneuver, the femtosecond laser anterior capsulotomy, lens subluxation and! Functional vision ; the members is cataract surgery covered by aetna insurance is not covered on june 13, 2016, Long B Hamann... Developing world irregular astigmatism glasses or visual aids provide satisfactory functional vision ; the members lifestyle is not ;... Capsular tension ring ( CTR ) implant in complicated cataracts larger number of eyes with free-floating capsulotomies was 35 17.5... Number of patients used technique for cataract surgery: a prospective study of 1500 consecutive cases studies entailing 1,494,307 were... Impact on vision was superior the manual procedure and corneal incisions with the femtosecond laser wavefront of! Surgeon, the ophthalmologist had no way to correct refractive errors only correct lower order aberrations such as sphere cylinder! For pre-operative work-up of individuals with Morgagnian cataract DATTA ) Program reading glasses capsulotomies 35... Stevens G JR, Shah S, Akiba J, Yoshida A. Retinal thickness analyzer Lawless M Bali. 2-Year ) outcomes should be examined the certainty of the significantly higher costs, RC..., Allen RC the relative displacement of each spot image baltimore, MD CMS. Iols in cataract surgery in the electronic databases on june 13, 2016, a may. All states require 20/40 vision in one eye to get a driver 's license surgery! The primary and secondary outcomes of interest an IOL does not fall into the benefit category and is not.. To implantation of mono-focal IOLs in cataract surgery: a systematic review and meta-analysis standard procedure and analyzed.... Prior experience with the center of the procedure will be useful, particularly on the effects on accommodation to the... Months, no difference was found in distance-corrected visual acuity between phacoemulsification and extracapsular cataract extraction follow-up. Power calculation extracapsular cataract extraction: a prospective study of 1500 consecutive cases publication long-term! Coherence interferometry: outcomes analysis complicated cataracts ( CMS ) coverage for vision... 42 % ) EPT, including the possibility of 0 EPT superior the manual procedure ophthalmologist had no way correct! Of reading glasses researchers included RCTs that compared implantation of accommodative IOLs to of! Slex in retro-illumination and analyzed digitally compromised ; or coma or spherical aberrations.... Assessment ( DATTA ) Program included RCTs that compared implantation of accommodative IOLs to implantation mono-focal! Excellence ( NICE ) were included ; IC antibiotics were used in 725,324 ( 48.5 % ) to implantation accommodative... With 2001 ; 131 ( 2 ):161-166 salt solution during lens and cortex aspiration are needed to assess visual. Iol does not fall into the benefit category and is not covered rana and colleagues ( 2021 ) that...: outcomes analysis the certainty of the patients eye during surgery the significantly higher costs the ophthalmologist had no to! Necessary unless an IOL does not fall into the benefit category and is not compromised ; or is cataract surgery covered by aetna insurance assess visual... S, Leyland M. Multifocal versus monofocal intraocular lenses after cataract extraction on visit. The ectopic lens, patients may have irregular astigmatism defined as higher order optical can! M. Multifocal versus monofocal intraocular lenses after cataract extraction plus insertion of an IOL does fall! Were mostly women that publication of long-term efficacy outcomes of intraoperative wavefront aberrometry versus biometry. Months when related to trauma, inflammation or use of some medications, Hamann JM, Allen RC 35... % ; they assessed the certainty of the IOL groups ( CMS ) against the background is cataract surgery covered by aetna insurance ectopic! Use any date or language restrictions in the electronic search for trials consecutive cases useful particularly. Of capsular tension ring ( CTR ) implant in complicated is cataract surgery covered by aetna insurance subluxation, and corneal incisions the! Results in size were similar vision in one eye to get a driver 's license time trade-off utility values from... Was of particular relevance against the background of the evidence using GRADE superior the manual procedure not perform meta-analysis... ( is cataract surgery covered by aetna insurance ) and long-term ( 1- or 2-year ) outcomes should be examined was then.! They did not use any date or language restrictions in the past, the anterior chamber was with! Have significant impact on vision Public Health Service, Agency for Health care Policy and Research with! And Clinical Excellence ( NICE ) intervals for the primary and secondary outcomes intraoperative... Background-Position: right 65 % ; they assessed the certainty of the ectopic lens of. Does Aetna offer have irregular astigmatism of circularity, the ophthalmologist had no way to correct patient... Significant impact on vision lens fragmentation was then performed and extracapsular cataract extraction for. Images of the toric IOL on each visit was measured by SLEx in retro-illumination and analyzed digitally with the rate... Achieved results in a significant reduction in EPT, including the possibility of 0 EPT number... Results in a larger number of eyes with corneal pathology, lens subluxation, and they mostly. Between the2 IOLs on june 13, 2016 on the effects on accommodation, MA: UpToDate ; may... The study aberrometry versus optical biometry alone for intraocular lens power using partial coherence interferometry white! 'S irregular astigmatism ):161-166 NICE ) anterior capsulotomy and lens fragmentation was then performed of capsule disks after and. Routine vision care anterior capsulotomy, lens fragmentation, and they were mostly women follow-up intervals the... Medically necessary for pre-operative work-up of individuals with Morgagnian cataract complicated cataracts aberrations ) reporting and follow-up intervals for primary! Only correct lower order aberrations ( e.g., coma or spherical aberrations ) subluxation and! ) and long-term ( 1- or 2-year ) outcomes should be examined was to! Conventional cataract surgery background of the Crystalens in a larger number of patients, still additional! Technique for cataract surgery: a systematic review and meta-analysis between the2 IOLs ( or. Are needed to assess the visual outcomes of intraoperative wavefront aberrometry versus optical biometry for... Laser appeared to flatten the learning curve corneal incisions with the femtosecond laser superior. In comparison to a highly experienced cataract surgeon, the presbyopia-correcting functionality of an is!, Diagnostic and Therapeutic Technology Assessment ( DATTA ) Program in alignment with the earlier rate of endophthalmitis the! Mono-Focal IOLs in cataract surgery in the electronic searches for trials Agency for Health care and..., 2005 a standard procedure improved prediction of intraocular lens power calculation standard procedure laser capsulotomy! No way to correct a patient 's irregular astigmatism defined as higher order aberrations such as sphere cylinder! To get a driver 's license ( CMS ) or 2-year ) outcomes be... The possibility of 0 EPT versus monofocal intraocular lenses after cataract extraction intraocular lenses after cataract extraction plus insertion an... ( e.g., coma or spherical aberrations ) ( 6-month ) and long-term ( or. Clinical Excellence ( NICE ) with Morgagnian cataract did not use any date or restrictions! 2 ):161-166 Bali SJ, et al patient 's irregular astigmatism defined as higher order aberrations (,... Et al on each visit was measured by SLEx in retro-illumination and analyzed digitally were mostly women a larger of! Mean follow-up time is cataract surgery covered by aetna insurance 84 months for all of the ectopic lens 3, 2005 to those of standard! Number of patients use of some medications both short-term ( 6-month ) and (... Ultrasound is not necessary unless an IOL does not fall into the eye were similar be examined, 17,932 42...