Bilateral Mix-And-Match Implantation Of Extended Depth Of Focus And Trifocal Intraocular Lenses

Published 2022 - 40th Congress of the ESCRS

Reference: PO177 | Type: Free paper | DOI: 10.82333/zvvv-2t07

Authors: Jae Yong Kim* ¹ , Hyerin An ¹ , Sanghyu Nam ¹ , Hun Lee ¹ , Hungwon Tchah ¹

¹Ophthalmology,University of Ulsan College of Medicine, Asan Medical Center,Seoul,Korea, Republic Of

Purpose

To evaluate the clinical outcomes after mix-and-match cataract surgery using an Extended Depth of Focus (EDOF) and a trifocal intraocular lenses (IOLs)

Setting

Tertiary training hospital

Methods

All patients underwent bilateral cataract surgery who had met all inclusion andexclusion criteria. Symfony or Symfony toric EDOF IOL (J&J Inc.) was implanted in the dominant eye, and PanOptix or PanOptix toric trifocal IOL (Alcon Inc.) in the non-dominant eye. Uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), corrected distance visual acuity (CDVA), defocus curve, contrast sensitivity, and satisfaction questionnaire were evaluated at 1 and 3 months after surgery.

Results

66 eyes of 33 patients enrolled. At 1 month mean UDVA (logMAR) was 0.09 ± 0.16 in EDOF IOL-implanted eyes, 0.10 ± 0.16 in trifocal IOL-implanted eyes, and 0.01 ± 0.03 in both eyes. Mean UIVA was 0.08 ± 0.07 in EDOF IOL-implanted eyes, 0.12 ± 0.11 in trifocal IOL-implanted eyes, and 0.03 ± 0.04 in both eyes. Mean UNVA was 0.42 ± 0.2 in EDOF IOL-implanted eyes, 0.21 ± 0.18 in trifocal IOL-implanted eyes, and 0.16 ± 0.14 in both eyes. 24 patients (72.7%) satisfied 1 month after surgery. Only 5 patients (15.2%) needed near glasses.

Conclusions

Mix-and-match cataract surgery with EDOF and Trifocal IOL implantation provides a good visual outcome for distance, intermediate, and near vision. Moreover, large number of patients satisfied after surgery and postoperative spectacle independence was achieved with minimal photic phenomena.