ESCRS - PO160 - Early Experience With Non-Diffractive Extended Depth Of Focus Intraocular Lens: A Case Series Including Patients With Previous Retinal Pathology Or Corneal Refractive Surgery.

Early Experience With Non-Diffractive Extended Depth Of Focus Intraocular Lens: A Case Series Including Patients With Previous Retinal Pathology Or Corneal Refractive Surgery.

Published 2022 - 40th Congress of the ESCRS

Reference: PO160 | Type: Free paper | DOI: 10.82333/djy6-ap56

Authors: Juan David Arias* 1 , Eduardo Viteri-Solorzano 2 , Dayron Martinez-Pulgarin 3 , Juan F. Urrea 3

1Ophthalmolgy,Universidad Autonoma de Bucaramanga,Floridablanca,Colombia;FOSCAL Internacional,Floridablanca,Colombia, 2FOSCAL Internacional,Floridablanca,Colombia;Ophthalmolgy,Universidad Autonoma de Bucaramanga,Floridablanca,Colombia, 3FOSCAL Internacional,Floridablanca,Colombia

Purpose

To evaluate postoperative visual acuity, spectacle independence and intraocular lens (IOL) prediction errors following implantation of non diffractive extended depth of focus (EDOF) IOL

Setting

A tertiary eye care referral center in northeastern Colombia.

Methods

A retrospective, single center, consecutive case series that included participants undergoing refractive lens or cataract extraction surgery with implantation of non in the bag non diffractive EDOF IOL (Vivity, Alcon).

Uncorrected (UDVA) and corrected (CDVA) distance visual acuities, history of retinal pathology and corneal refractive surgery, spherical equivalent prediction error (PE) spectacle independence and self reported dysphotopsias were evaluated. 

 

Results

A total of 11 eyes of 8 patients were included. The median age was 57 years (interquartile range IQR 55-62). 36.4% of cases were positive for retinal pathology. Only two of the cases had previous corneal refractive surgery. The median follow-up time was 1.45 months (SD ± 0.69).

The median preoperative UDVA was LogMAR 1.0 (IQR 0.59-2), a final postoperative CDVA of LogMAR 0.3 (IQR 0-0.44). Mean spherical equivalent PE was -0.24 (SD ±1.01), mean absolute error (MAE) was 0.43  (SD ± 0.61), median absolute error (MedAE) was 0.35 (IQR 0.05-0.49).

There was no statistical difference in UCDVA, MAE, spectacle independence or reported dysphotopsias between normal patients and patients with previous corneal refractive surgery or retinal pathology.

Conclusions

Short term early results suggest non diffractive EDOF lens are a viable option for patients with a history of retinal pathology or corneal refractive surgery.