Visual Outcomes And Patient Satisfaction After Enhanced Monofocal Intraocular Lens Implant Modified For Monovision
Published 2023 - 41st Congress of the ESCRS
Reference: PO0280 | Type: Free paper | DOI: 10.82333/eprv-6a79
Authors: Javier García-Bella* 1 , Celia Villanueva Gómez-Chacón 1 , Barbara Burgos-Blasco 1 , Beatriz Vidal-Villegas 1 , Nuria Garzón 2 , José I Fernández-Vigo 1 , Julián García-Feijóo 3
1Ophthalmology,Hospital Clínico San Carlos,Madrid,Spain, 2Universidad Complutense de Madrid,Madrid,Spain, 3Ophthalmology,Hospital Clínico San Carlos,Madrid,Spain;Universidad Complutense de Madrid,Madrid,Spain
Purpose
To assess visual outcomes and patient satisfaction in patients undergoing cataract surgery who were implanted with an enhanced monofocal intraocular lens modified for monovision.
Setting
Hospital Clínico San Carlos. Ophthalmology Department. Madrid. Spain.
Methods
The study includes 30 patients operated on with a monovision setting. The intraocular lens implanted was the aspheric RayOne EMV (Rayner) that induces controlled positive spherical aberration. The chosen target was the closest value to emmetropia for the dominant eye and -1.00D for the non-dominant one. Visual outcomes were evaluated 1 month and 3 months after surgery and included monocular and binocular uncorrected distance (UDVA), corrected distance (CDVA), uncorrected intermediate (UCIVA) and distance-corrected intermediate (DCIVA) visual acuity under photopic conditions. Binocular defocus curve were measured in photopic and mesopic conditions. Patients satisfaction were measured using CatQuest-9SF test.
Results
Interim results at one month postoperatively showed a mean monocular (dominant eye) UDVA, CDVA, UCIVA (80 cm), DCIVA (80 cm), UCIVA (66 cm) and DCIVA (66 cm) under photopic conditions of 0.01 ± 0.03, -0.0 ± 0.26, 0.26 ± 0.33, 0.33 ± 0.33, 0.33 ± 0.41 and 0.41 ± 0.11 logMAR. Binocular UDVA, UCIVA (80 cm) and UCIVA (66 cm) were -0.04 ± 0.05, 0.12 ± 0.06, and 0.14 ± 0.10 logMAR respectively. Binocular defocus curve in photopic conditions had mean values <0.2 LogMAR between +1 and -1.5D. No one of patients showed great difficulties in any parameters evaluated in CatQuest-9SF and the best resuts (100%) were obtained in recognizing faces, seeing to do needlework or handicraft and seeing to walk on uneven ground.
Conclusions
The aspheric RayOne EMV intraocular lens in monovision implantation has shown an excellent visual outcomes and patient satisfaction to do common tasks without optical correction.
Financial disclosure of all authors: This study was partially funded by an unrestricted research grant from Rayner Surgical.