Low light conditions– Low vision

performance?Not with the

Study groups were younger patients with lower to moderate myopia

• The two sub groups were matched by age and refraction

In normal lighting conditions, the Visian ICL delivered outstanding visual outcomes as did the LASIK procedures1

Patient Pre-Op Demographics

Visian ICL LASIK

Number 47 48

Age 28 27

Pre-Op Spherical Equivalent -6.1D -6.0D

Photopic UDVA

Visian ICL LASIK

20/16 57% 58%

20/20 96% 94%

Photopic Refractive Accuracy

Visian ICL LASIK

+/- 0.13D 49% 40%

+/- 0.50D 98% 92%

A recent study compared both the normal and low luminance visual acuity and contrast sensitivity of patients previously treated with the Visian ICL and nomogram optimized Wavefront Guided Custom LASIK1*

• LogMAR visual acuity and contrast sensitivity on the Rabin Super Vision test chart were presented under normal and low density light levels

- The Rabin Super Vision test–a unique test card that allows for both visual acuity and contrast sensitivity measurements on a single chart

- Top portion of the chart tests for visual acuity while the bottom half includes highly calibrated levels of contrast

• For low luminance simulation, a fi lter was placed in front of the illuminated Rabin Super Vision test chart, providing the same green color as a night vision goggle display while reducing the luminance from 60-70 cd/m2 to 5 cd/m2

R N O V SZ C R D H

N V S O KD R Z K OS N H C VC R V S ZV K C N HS V K D H

K O H E Z

Z R K D C

D N C H V

C D H N R

R V Z O S

O S D V Z

N O Z C D

R D N S K

O K S V Z

S V O N R

H D R C Z

K O S V N

O K Z R D

V C H N S

Z S V R C

H N C K V

N D K V S

C O H Z VS Z N D C

V K C N RK C R H N

Z K D V CH V O R KR H S C NK S V R H

Z S K C D

logMAR

THE SUPER VISION TESTDeveloped by Jeff Rabin, OD, PhD, US Air Force School of Aerospace Medicine

For testing at 4 meters (13 feet, 1.5 inches)

logCS

Row

1

2

3

4

5

6

7

8

0.2

0.1

0.0

-0.1

-0.2

-0.3-0.4-0.5-0.6

LETTER SIZE 5M, 4/5 13/16.5 (6/7.5, 20/25 EQUIV.)

0.25

0.50

0.75

1.00

1.25

1.50

1.75

2.00

R N O V SZ C R D H

N V S O KD R Z K OS N H C VC R V S ZV K C N HS V K D H

K O H E Z

Z R K D C

D N C H V

C D H N R

R V Z O S

O S D V Z

N O Z C D

R D N S K

O K S V Z

S V O N R

H D R C Z

K O S V N

O K Z R D

V C H N S

Z S V R C

H N C K V

N D K V S

C O H Z VS Z N D C

V K C N RK C R H N

Z K D V CH V O R KR H S C NK S V R H

Z S K C D

logMAR

THE SUPER VISION TESTDeveloped by Jeff Rabin, OD, PhD, US Air Force School of Aerospace Medicine

For testing at 4 meters (13 feet, 1.5 inches)

logCS

Row

1

2

3

4

5

6

7

8

0.2

0.1

0.0

-0.1

-0.2

-0.3-0.4-0.5-0.6

LETTER SIZE 5M, 4/5 13/16.5 (6/7.5, 20/25 EQUIV.)

0.25

0.50

0.75

1.00

1.25

1.50

1.75

2.00

R N O V SZ C R D H

N V S O KD R Z K OS N H C VC R V S ZV K C N HS V K D H

K O H E Z

Z R K D C

D N C H V

C D H N R

R V Z O S

O S D V Z

N O Z C D

R D N S K

O K S V Z

S V O N R

H D R C Z

K O S V N

O K Z R D

V C H N S

Z S V R C

H N C K V

N D K V S

C O H Z VS Z N D C

V K C N RK C R H N

Z K D V CH V O R KR H S C NK S V R H

Z S K C D

logMAR

THE SUPER VISION TESTDeveloped by Jeff Rabin, OD, PhD, US Air Force School of Aerospace Medicine

For testing at 4 meters (13 feet, 1.5 inches)

logCS

Row

1

2

3

4

5

6

7

8

0.2

0.1

0.0

-0.1

-0.2

-0.3-0.4-0.5-0.6

LETTER SIZE 5M, 4/5 13/16.5 (6/7.5, 20/25 EQUIV.)

0.25

0.50

0.75

1.00

1.25

1.50

1.75

2.00

Cumulative Snellen Visual Acuity 3 Months Postop

Postoperative Spherical Equivalent Refraction 3 Months Postop

* Surgeon Specifi c Nomogram Adjustment (DataLink, Surgivision Consultants, Phoenix, AZ) used to select treatment profi le for excimer laser (Allegretto Wavelight, 400 Hz, Alcon, TX, USA).

Flap creation was performed using a femtosecond laser (Intralase, AMO).

• Low luminance contrast sensitivity improved in both groups with a statistically signifi cant gain of 1.5 lines with the Visian ICL group1

• The Visian ICL low luminance visual acuity improved signifi cantly by 1.5 lines1

• There was no statistically signifi cant improvement in the LASIK group1

0.37

Mean Within Eye Change Low Luminance Contrast

Visian ICL LASIK

0.28

4

0.35

0.3

0.25

0.2

0.15

0.1

0.05

0

Mea

n Ch

ange

in C

ontr

ast A

cuity

P<.001

P<.001

1.5 Lines Better

In low luminance, Visian ICL outperforms the nomogram optimized Wavefront Guided Custom LASIK, delivering a superior quality of vision–visual acuity and contrast sensitivity

Mean Within Subject Change Low Luminance Visual Acuity

Visian ICL LASIK

-0.09

0.0

-0.02

-0.04

-0.06

-0.08

-0.10

-0.12

-0.14

-0.16

Mea

n Ch

ange

in V

isua

l Acu

ity (L

ogM

AR)

P=0.044

P=NS

-0.14

1.5 Lines Better

• No signifi cant increase in higher order aberrations, with the Visian ICL2

• Lower level of HOA in the Visian ICL group may account for the superior quality of vision seen at low luminance2

At an average correction as low as 6.0D the custom LASIK procedure induces higher order aberrations (HOA) that can impact quality of vision

• The LASIK procedure increased HOA by over 60%2

Wavefront Analysis: RMSh at 6.5mm Pupil

Visian ICL

Visian ICL

LASIK

LASIK

0.6

0.5

0.4

0.3

0.2

0.1

0.0

RMSh

P=<0.001

Pre-Op Pre-Op3 Months 3 Months

P=NS

References

1. Parkhurst, GD. Comparison of Night Vision and Contrast Sensitivity in Patients Undergoing Implantable Collamer Lens Implantation or LASIK. Presented at: American Academy of Ophthalmology (AAO); October 19, 2010; Chicago, IL.

2. Parkhurst, GD. Comparison of Higher-Order Aberrations After Copolymer Phakic IOL or LASIK for Myopia. Presented at: American Society of Cataract and Refractive Surgery (ASCRS); March 29, 2011; San Diego, Ca.

Low luminance visual acuity and contrast sensitivity signifi cantly improved following the Visian ICL procedure, and were signifi cantly better than those observed after Wavefront optimized LASIK

• Even at 6.0D the custom LASIK procedure increased total higher order aberrations by over 60%2

• The Visian ICL demonstrates superior low luminance visual acuity with a signifi cant improvement of 1.5 lines1

• The Visian ICL demonstrated greater improved contrast sensitivity compared to wavefront guided LASIK in low light luminance1

• Lower level of HOA in the Visian ICL group may account for the superior quality of vision

seen at low luminance2

This capability is clearly important to younger more active people that take part in activities of low light conditions

The Ultimate in Vision Correction Performance.

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