Publications by authors named "Alois Dexl"

Purpose: The purpose of this study was to evaluate the visual, refractive, and aberrometric outcomes as well as the level of patient satisfaction and photic phenomena after myopic laser in situ keratomileusis (LASIK) surgery using wavefront-guided (WFG) ablations based on measurements obtained with a high-resolution aberrometer.

Patients And Methods: This study was a prospective analysis including 253 eyes of 127 patients (aged between 19 years and 54 years) undergoing WFG LASIK using the STAR S4 IR Excimer Laser System combined with the iDesign System and iFS Femtosecond Laser. Visual, refractive, and aberrometric outcomes during a 2-month follow-up as well as patient satisfaction and photic phenomena were evaluated by means of a questionnaire.

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Purpose: To evaluate and compare visual and refractive outcomes after laser-assisted in situ keratomileusis (LASIK) surgery for the correction of myopia or myopic astigmatism using 3 different treatment protocols.

Methods: We included 736 eyes of 369 patients (age 18-62 years) divided into 3 groups: 235 eyes of 118 patients (MEL80 group) undergoing LASIK using optimized aspheric ablation profiles (MEL80 excimer laser; Carl Zeiss Meditec), 248 eyes of 124 patients (Wavescan group) undergoing wavefront-guided (WFG) LASIK (STAR S4IR excimer laser + Wavescan aberrometer; Abbott Medical Optics), and 253 eyes of 127 patients (iDesign group) undergoing WFG LASIK (STAR S4IR excimer laser + iDesign system; Abbott Medical Optics). Visual and refractive outcomes were evaluated 2 months after surgery.

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Purpose: To evaluate vector analysis, rotational stability, and visual outcomes after implantation of toric IOLs with low (<2.25 diopter [D]) toric values (Acrysof IQ SN6AT3 or SN6AT4) and moderate-to-high toric (3.00 D to 6.

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Purpose: To create a validated, standardized, logarithmic European Society of Cataract and Refractive Surgeons (ESCRS) reading chart in German and to use this reading chart as a template for comparable reading charts in other languages.

Setting: Hanusch Hospital, Vienna, and Department of Ophthalmology, Paracelsus Medical University, Salzburg, Austria.

Design: Prospective multicenter validation study.

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Purpose: To evaluate vector analysis, rotational stability, and refractive and visual outcome of a new toric intraocular lens (IOL) for correction of preexisting corneal astigmatism during routine cataract surgery.

Methods: In this prospective, interventional case series, 30 toric, aspheric Bi-Flex T toric IOLs (Medicontur Medical Engineering Ltd., Inc.

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Purpose: To compare posterior capsule opacification (PCO) of a hydrophobic acrylic heparin surface modified intraocular lens (HSM-IOL) and an uncoated IOL (UC-IOL) 1 year after implantation.

Methods: One hundred two eyes of 51 patients underwent routine phacoemulsification with randomized implantation of a HSM-IOL in one eye (the HSM-IOL group) and a UC-IOL in the fellow eye (the UC-IOL group). Morphologic PCO evaluation was performed comparing digital photographs in retroillumination using the Evaluation of Posterior Capsule Opacification (EPCO) system, grading the density of the opacification from 0 to 4 (0 = none, 1 = minimal, 2 = mild, 3 = moderate, and 4 = severe).

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Purpose: To determine astigmatic changes by vector analysis and postoperative refractive and visual outcomes after implantation of the monofocal aspheric bitoric AT Torbi 709M toric intraocular lens (IOL).

Setting: Three centers in Salzburg, Austria, and Alicante and San Sebastián, Spain.

Design: Prospective interventional case series.

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Purpose: To evaluate long-term outcomes of small-aperture corneal inlay implantation for the surgical compensation of presbyopia.

Setting: Paracelsus Medical University, Salzburg, Austria.

Design: Prospective interventional cohort study.

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Purpose: To compare a new electronic reading desk (Salzburg-Advanced) with conventional measurements of reading acuity.

Setting: Vienna Institute for Research in Ocular Surgery, Hanusch Hospital, Vienna, Austria.

Design: Evaluation of diagnostic test.

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Purpose: To assess the efficacy of a heparin-surface-modified (HSM) hydrophobic acrylic intraocular lens (IOL) (EC-1YH PAL) and the same IOL without heparin coating (EC-1Y-PAL) by the flare and cell intensity in the anterior chamber after uneventful cataract surgery.

Setting: Department of Ophthalmology, Paracelsus Medical University Salzburg, Austria.

Design: Comparative case series.

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Purpose: To investigate the reliability of a biometric iris recognition system for personal authentication after cataract surgery or iatrogenic pupil dilation.

Methods: This was a prospective, nonrandomized, single-center, cohort study for evaluating the performance of an iris recognition system 2-24 hours after phacoemulsification and intraocular lens implantation (group 1) and before and after iatrogenic pupil dilation (group 2).

Results: Of the 173 eyes that could be enrolled before cataract surgery, 164 (94.

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Purpose: To evaluate rotational stability and the refractive and visual outcomes of a new aspheric toric intraocular lens (IOL) for correction of preexisting corneal astigmatism during routine cataract surgery.

Setting: Department of Ophthalmology, Paracelsus Medical University Salzburg, Salzburg, Austria.

Design: Case series.

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Purpose: To evaluate visual performance after implantation of a new diffractive aspheric multifocal intraocular lens (MIOL) with a +3.50 D addition power.

Methods: A total of 24 cataract patients were bilaterally implanted with the Diffractiva-aA MIOL in 2 ophthalmologic centers and followed for 6 months.

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Cataract surgery is one of the oldest and the most frequent outpatient clinic operations in medicine performed worldwide. The clouded human crystalline lens is replaced by an artificial intraocular lens implanted into the capsular bag. During the last six decades, cataract surgery has undergone rapid development from a traumatic, manual surgical procedure with implantation of a simple lens to a minimally invasive intervention increasingly assisted by high technology and a broad variety of implants customized for each patient's individual requirements.

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Purpose: To report the initial results of intrastromal arcuate keratotomy performed with a femtosecond laser to treat corneal astigmatism.

Setting: Department of Ophthalmology, Paracelsus Medical University, Salzburg, Austria.

Design: Interventional case series.

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Purpose: To compare four different femtosecond laser devices (IntraLase FS, Zeiss VisuMAX, and Ziemer Femto LDV, and a prototype Schwind SmartTech Nanolaser) in human donor eyes with regard to their effects on IOP during femtosecond laser flap cutting. In order to get cuts parallel to the corneal surface, the cornea has to be forced into a defined shape and current femtosecond laser devices either use a flat or a curved patient interface design to achieve applanation.

Methods: IOP was measured in enucleated eyeballs (n = 46) not suitable for keratoplasty by direct cannulation of the vitreous body.

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Purpose: To report the 2-year postoperative safety and efficacy outcomes after monocular Kamra corneal inlay (ACI7000PDT) implantation in femtosecond laser-created corneal pockets of emmetropic presbyopic patients to improve near and intermediate vision.

Setting: University Eye Clinic, Paracelsus Medical University, Salzburg, Austria.

Design: Prospective interventional case series.

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Purpose: To compare changes in reading performance parameters after implantation of 4 multifocal intraocular lens (IOL) models and a monofocal IOL.

Setting: Department of Ophthalmology, Paracelsus Medical University, Salzburg, Austria.

Design: Prospective randomized controlled clinical trial.

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Purpose: To evaluate change in reading performance parameters after monocular Kamra corneal inlay implantation for the surgical correction of presbyopia.

Setting: University surgical outpatient center.

Design: Prospective interventional case series.

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Purpose: To evaluate the efficacy, predictability, stability, and complications after implantation of a foldable iris-fixated toric phakic intraocular lens (pIOL) to correct myopic astigmatism.

Setting: University Eye Clinic, Paracelsus Medical University, Salzburg, Austria.

Design: Retrospective nonrandomized observational case series.

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Purpose: To evaluate the safety and efficacy of the third-generation Kamra corneal inlay (ACI 7000PDT) implanted monocularly in corneal pockets of emmetropic presbyopic patients to improve near and intermediate vision.

Setting: University Eye Clinic, Paracelsus Medical University, Salzburg, Austria.

Design: Cohort study.

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Purpose: To evaluate change in different reading performance parameters after monocular ACI7000PDT corneal inlay implantation for the improvement of near and intermediate vision.

Design: Prospective, interventional case series.

Methods: Twenty-four patients were scheduled for corneal inlay implantation in the nondominant eye in a university outpatient surgery center.

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