ESCRS - P011 - REAL-WORLD EVALUATION OF BLENDED VISION WITH A REFRACTIVE LOW ADD EDOF IOL WITH BLUE LIGHT FILTER

REAL-WORLD EVALUATION OF BLENDED VISION WITH A REFRACTIVE LOW ADD EDOF IOL WITH BLUE LIGHT FILTER

Published 2022 - 26th ESCRS Winter Meeting

Reference: P011 | Type: Abstracts | DOI: 10.82333/d32d-t381

Authors: Lena Beckers 1 , Detlev Breyer* 2 , Karsten Klabe 3 , Mücella Kirca 4 , Florian Kretz 5 , Gerd Auffarth 6

1Breyer-Kaymak-Klabe Eye Surgery &,Premium Eyes, Düsseldorf,Düsseldorf,Germany, 2Breyer-Kaymak-Klabe Eye Surgery &,Premium Eyes, Düsseldorf,Düsseldorf,Germany;Internationale Innovative Ophthalmochirurgie,Internationale Innovative Ophthalmochirurgie,Düsseldorf,Germany;International Vision Correction Research Center Network (IVCRC.net),International Vision Correction Research Center Network (IVCRC.net),Heidelberg,Germany, 3Breyer-Kaymak-Klabe Eye Surgery &,Premium Eyes, Düsseldorf,Düsseldorf,Germany;International Vision Correction Research Center Network (IVCRC.net),International Vision Correction Research Center Network (IVCRC.net),Heidelberg,Germany;Internationale Innovative Ophthalmochirurgie,Internationale Innovative Ophthalmochirurgie,Düsseldorf,Germany, 4Internationale Innovative Ophthalmochirurgie,Internationale Innovative Ophthalmochirurgie,Düsseldorf,Germany, 5Augentagesklinik Rheine, Rheine,Augentagesklinik Rheine, Rheine,Rheine,Germany;International Vision Correction Research Center Network (IVCRC.net),International Vision Correction Research Center Network (IVCRC.net),Heidelberg,Germany, 6Augenklinik,Universitätsklinikum Heidelberg,Heidelberg,Germany;International Vision Correction Research Center Network (IVCRC.net),International Vision Correction Research Center Network (IVCRC.net),Heidelberg,Germany

Purpose

To improve near vision, refractive segmental low add EDoF IOL with blue light filter and with good far and intermediate vision can be implanted in a blended vision model (target refraction in non-dominant eye: -1.5D, dominant eye 0.0D). The aim of this analysis was to assess the question whether patients also benefit from this blended vision model with regard to postoperative defocus capacity, halo and glare phenomena and stereoscopic vision.

Setting

All surgeries were performed at the Breyer-Kaymak-Klabe Eye Surgery and Premium Eyes in Duesseldorf, Germany, member of the International Vision Correction Research Center (IVCRC.net).

Methods

Patients (20 eyes of 10 patients) underwent bilateral implantation of refractive low add EDoF IOL with blue light filter (1.5D addition, Acunex Vario, AN6V; Teleon Surgical B.V., Netherlands). Target refraction was emmetropia in the dominant eye and -1.5D in the non-dominant eye. Three months after surgery, we assessed the real world binocular defocus capacity, halo and glare phenomena and stereoscopic vison.

Results

The real world defocus curve showed significantly better intermediate and near vision compared to monofocal IOL. Halo & glare and stereoacuity were very similar to phakic eyes.

Conclusion

Blended vision with Acunex Vario provides excellent visual outcomes across a wide range of distances from far to intermediate up to 60 cm. The photopic phenomena are comparable with other refractive EDoF IOL, but better than diffractive EDoF IOL. We mainly implant this EDoF IOL in the Duesseldorf Formula model as blended vision. Thus, the patients can see far, PC and iPad distance and read usual book- and newspaper print without glasses and without suffering from photopic phenomena. However, small print reading is not possible as with diffractive trifocal MIOL.