-2006. 5. Żarnowski T, Chmiel M, Haszcz D, Zagórski Z. Evaluation of astigmatism and blood-aqueous barrier breakdown following procedures in the anterior eye segment. Klin Oczna. 1998;100(1):11-4. 6. Szymulska M, Haszcz D, Rakowska E, Zagórski Z. Wartość badań bakteriologicznych w chirurgii zaćmy. Klin Oczna. 1996;98:125-7. 7. Apt L, Isenberg SJ, Yoshimori R, et al. The effect of povidone-iodine solution applied at the conclusion of ophthalmic surgery. Am J Ophthalmol. 1995;119:701-5. 8. Ciulla TA, Starr MB, Masket S. Bacterial endophthalmitis prophylaxis for cataract
, 49(3): 554-559. 12. Michalski A. Ocena wybranych parametrów narządu wzroku i jakości życia u pacjentów po operacji zaćmy. Rozprawa doktorska. Poznań, 2013. 13. Brannan S, Dewar C, Sen J, et al. A prospective study of the rate of falls before and after cataractsurgery. Br J Ophthalmol. 2003;87(5): 560–562. 14. Gillespie LD, Robertson MC, Gillespie WJ, et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2009;(2):CD007146. 15. Felson DT, Anderson JJ, Hannan MT, et al. Impaired vision and hip fracture. The
References 1. Vlăduțiu C, Chiseliță D, Voinea L, Tătaru C, Filip M, Baltă F, et al. Cristalinul, Popescu I, Ciuce C: Tratat de chirurgie. Academia Română, București, 2013;111-195 2. Yanoff M, Duker JS. Cataract: Ophthalmology. Mosby, Spain, 2004, 37:280-282/ Lens replacement 40:293-308/ Patient work-up for cataractsurgery 43:327-330 3. Masket S, Fram N. Pseudophakic negative dysphotopsia: surgical management and new theory of etiology. J Cataract refract Surg. 2011; 37:1199-1207 4. Jafarinasab MR, Feizi S, Baghi AR, Ziaie M, Yaseri M. Aspheric versus Spherical
Irving Shapiro, Matthew D. Shapiro,
and David W. Wilcox
10.1 Health Care and the Cost of Living
The standard analytic framework for constructing a cost-of-living index
compares the change in expenditure between a base and a reference period
needed to deliver a fixed level of utility.' This framework, which relies on
a stable, well-defined function relating per period expenditure to prices
and utility, has serious limitations for measuring how health-care expendi-
tures affect the cost of living.
0 Health expenditure on life
Introduction: A cataract is a clouding of the lens in the eye leading to a decrease in vision. Cataracts are the cause of half of blindness and 33% of visual impairment worldwide. Surgery with phacoemulsification followed by implantation of intraocular lens (IOL) is gold standard treatment for cataract. In some cases multifocal IOLs are used. This is the first published use of rotational asymmetric multifocal IOL in cataract surgery in Slovakia.
Method: In the study 78 eyes of 58 patients (mean age 62.3 years) were implanted for a cataract with the rotational asymmetric multifocal IOL. Corrected and uncorrected distance and near visual acuities were analysed preoperatively, 1 month and 6 months postoperatively. Contrast sensitivity was tested at 6 months postoperatively. The Friedman Two -Way Analysis of Variance and Multiple Comparison Test were used for all parameter comparisons, in all cases, the same level of statistical significance (p < 0.05) was considered significant.
Results: Average preoperative uncorrected distance visual acuity has increased from 0.32 to 0.87 and 0.93 respectively in 1 month and 6 months after surgery (p < 0.05, n = 78). Average preoperative uncorrected near visual acuity (UCNVA) has increased from 0.2 to 0.77 and 0.79 respectively in 1 month and 6 months after surgery (p < 0.05). Average preoperative best corrected distance visual acuity has increased from 0.65 to 0.95 and 1.03 respectively in 1 month and 6 months after surgery (p < 0.05). Significant improvement was found also between preoperative best corrected near visual acuity and UCNVA 1 and 6 month after surgery (p < 0.05).
In conclusion, the rotational asymmetric multifocal IOL LS-313 MF 30 provides good visual rehabilitation for near and distance vision after cataract surgery. Contrast sensitivity outcomes account for the patient satisfaction with this innovative IOL technology.
Drug delivery system for sustained delivery of caffeic acid phenethyl
ester within lens capsule after cataractsurgery
B. Dittrich*, B. Koch, T. van Kooten , C. Kastner, R. Guthoff, K. Sternberg, M. Möller
 DWI an der RWTH Aachen e.V., Aachen, Germany, *email@example.com
 UMCG, Groningen, Netherlands
 IBMT Universität Rostock, Rostock, Germany
 Universitätsaugenklinik Rostock, Rostock, Germany
Cataractsurgery is one of the most frequent operations. The natural lens is removed and to restore
. J. Ophthalmol., 1999, 83, 809–813 http://dx.doi.org/10.1136/bjo.83.7.809  Lieb W.E., Color doppler imaging of the eye and orbit, Radiol. Clin. North. Am., 1998, 36, 1059–1071 http://dx.doi.org/10.1016/S0033-8389(05)70231-1  Rich W.J., James M.L., Cataractsurgery and vascular changes in the eye, Acta. Ophthalmol., 1989, 191, 39–42  Hessemer V., Wieth K., Heinrich A., Jacobi K.W., Veranderungen der uvealen und retinalen Hamodynamik durch Retroorbitalanasthesie mit unterschiedlichen Injektionsvolumen. Fortschr Ophthalmol 1989;86:760–766  Hessemer V
References 1. Bourne RR, Minassian DC, Dart JK, Rosen P, Kaushal S, Wingate N. Effect of cataractsurgery on the corneal endothelium: modern phacoemulsification compared with extracapsular cataractsurgery. Ophthalmology. 2004;111(4):679-85. 2. Stefaniu GI, Chiotoroiu SM, Secureanu FA, Purcarea VL, Zemba M. Use of amniotic membrane in bullous keratopathy palliative care. J Med Life. 2014;7(Spec Iss 2):88-91. 3. Knezović I, Dekaris I, Gabrić N, Cerovski J, Barisić A, Bosnar D, Rastegorac P, Parać A. Therapeutic efficacy of 5% NaCl hypertonic solution in patients
. Clinical outcomes after cataractsurgery with implantation of the Tecnis ZMB00 multifocal intraocular lens. Medical Science Monitor . 2014;15;20:1220-1226. 5. Tester R, Pace NL, Samore M, Olson RJ. Dysphotopsia in phakic and pseudophakic patients: Incidence and relation to commonly used intraocular lenses. Journal of Cataract &Refractive Surgery . 2000;26:810-816. 6. Holladay JT, Lang A, Portney V. Analysis of edge glare phenomena in intraocular lens edge designs. Journal of Cataract &Refractive Surgery . 1999;25:748-752. 7. Davison JA. Positive and negative
References 1. R Sheard. Optimising biometry for best outcomes in cataractsurgery. Eye 2014; 28(2): 118-125. 2. Oslen T. Sources od error in intraocular lens power calculations. J Cataract Refract Surg 1992; 18: 125-129. 3. Drexler W, Findl O, Menapace R, Rainer G, Vass C, Hitzenberger CK, Fercher AF. Partial coherence interferometry: a novel approach to biometry in cataractsurgery. Am J Ophthalmol. 1998;126(4):524-534. 4. Fontes BM, Castro E. Intraocular lens power calculation by measuring axial lenth with partial optical coherence and ultrasonic biometry. Arq