Comparison Of Visual Outcomes Of A Monofocal, Two Enhanced Monofocal And Two Extended Depht-Of-Focus Intraocular Lenses

Published 2022 - 40th Congress of the ESCRS

Reference: FPT05.06 | Type: Free paper | DOI: 10.82333/pv3a-7d97

Authors: Tiago Bravo Ferreira* ¹ , Filomena Ribeiro ² , João Pinheiro ³ , Diana Silva ⁴ , Sylvia Gaspar ⁴ , Ana Cláudia Matos ⁴ , Soraia Almeida ⁴

¹Hospital da Luz Lisboa,Lisboa,Portugal;Clínica Privada de Oftalmologia,Lisboa,Portugal, ²Hospital da Luz Lisboa,Lisboa,Portugal;Lisbon University,Lisboa,Portugal;Visual Sciences Research Centre,Lisboa,Portugal, ³Clínica Privada de Oftalmologia,Lisboa,Portugal, ⁴Hospital da Luz Lisboa,Lisboa,Portugal

Purpose

To compare the clinical outcomes after cataract surgery with the implantation of five different types of intraocular lenses (IOLs): a monofocal IOL (Tecnis 1, J&J Vision), two enhanced monofocal IOLs (Tecnis Eyhance, J&J Vision and RayOne EMV, Rayner), and two extended-depth-of-focus (EDOF) IOLs (Tecnis Symfony, J&J Vision and AcrySof IQ Vivity, Alcon).

Setting

Hospital da Luz Lisboa and Clínica Privada de Oftalmologia, Lisbon, Portugal

Methods

In a prospective comparative case series, 258 eyes of 129 patients undergoing cataract surgery were enrolled in 5 groups: Tecnis 1 group (30 patients), Eyhance group (30 patients), RayOne EMV group (15 patients), Symfony group (30 patients), and Vivity group (24 patients). The outcomes in terms of monocular uncorrected and distance-corrected distance, intermediate and near visual acuity (UDVA, UIVA, UNVA, CDVA, DCIVA, and DCNVA, respectively), subjective refraction, defocus curves, presence of photic phenomena and spectacle independence were evaluated at 3-months follow-up.

Results

No significant differences were found in UDVA (Tecnis 1 0.01±0.08; Eyhance 0.02±0.07; RayOne EMV 0.02±0.09; Symfony 0.03±0.09; Vivity 0.03±0.10; p=0.341). Differences existed in DCIVA (Tecnis 1 0.26±0.08; Eyhance 0.16±0.09; RayOne EMV 0.08±0.13; Symfony 0.07±0.11; Vivity 0.06±0.08; p<0.001) and DCNVA (Tecnis 1 0.48±0.12, Eyhance 0.31±0.09, RayOne EMV 0.26±0.14; Symfony 0.24±0.11; Vivity 0.22±0.13; p=0.003). Significant differences in VA for vergence demands of -0.50 to -3.00 D (p<0.001) were found. The prevalence of photic phenomena was higher in the Symfony group (p=0.044). Spectacle independence was achieved in 3.3%, 26.7%, 66.7%, 63.3% and 70.8% of patients in the Tecnis 1, Eyhance, RayOne EMV, Symfony and Vivity groups, respectively.

Conclusions

The two enhanced monofocal and two EDOF IOLs studied provided an effective visual rehabilitation, resulting in improved intermediate and near VA, no increased prevalence of photic phenomena and higher spectacle independence when compared with a standard monofocal IOL.