ESCRS - PO0538 - Clinical Outcomes Of A Toric Extended Range Of Vision Intraocular Lens Based On The Combination Of Fourth- And Sixth-Order Spherical Aberration.

Clinical Outcomes Of A Toric Extended Range Of Vision Intraocular Lens Based On The Combination Of Fourth- And Sixth-Order Spherical Aberration.

Published 2023 - 41st Congress of the ESCRS

Reference: PO0538 | Type: Free paper | DOI: 10.82333/kcbt-7c35

Authors: Ramon Ruiz-Mesa* 1 , MAría Ruiz-Santos 1 , Gracia Castro de Luna 2 , Ana Jiménez-Nieto 1 , Francisco Pastor-Pascual 3

1Oftalvist,Jerez de la Frontera,Spain, 2Oftalvist,Almeria,Spain, 3Oftalvist,Valencia,Spain

Purpose

To assess the visual and refractive outcomes of patients implanted with a toric extended range of vision (EROV) intraocular lens (IOL) following cataract surgery

Setting

Oftalvist, Jerez de la Frontera, Spain

Methods

Patients were implanted with the EROV LuxSmart toric IOL and follow-up up to 4-6 months after surgery. Target refraction was emmetropia. IOL power calculation was performed using the Barrett toric calculator formula and IOL master 700. Monocular and binocular UDVA and CDVA (4m), UIVA (66 cm) and UNVA (40 cm) were obtained. Binocular photopic and mesopic contrast sensitivity and binocular defocus curves were also measured. Higher order aberrations and MTF were measured at 3 and 5-mm pupils. Rotational stability using digital retro-illuminated pictures were captured day of surgery, 1-2days, 1-2weeks, 1-2months and 4-6months after surgery and patient-reported outcomes using the Catquest-9SF were also recorded at the last endpoint.

Results

20 patients with a median age of 73 years [ranging from 54 – 82] were bilaterally implanted with the EROV LuxSmart Toric (IOL power from 12.5 D to 29.5 D SEQ and 1.0 D to 3.75 D CYL). 1 month after surgery, median binocular UDVA was 0.03 logMAR [ranging from -0.10 to 0.22], CDVA was -0.02 logMAR [ranging from -0.10 to 0.22], UIVA was 0.06 logMAR [ranging from -0.10 to 0.34] and UNVA was 0.21 logMAR [ranging from 0.04 – 0.42]. The median postoperative refraction in SEQ was 0.00D (ranging from +0.50 to -0.50) for first eye operated and -0.25 D (ranging from 1.00 to -0.88) for second eye operated.

Conclusions

Our study shows that bilateral implantation of the EROV LuxSmart Toric IOL provides good visual and refractive outcomes and can be considered an excellent choice in cataract patients with corneal astigmatism.