ESCRS - PO0552 - Evaluation Of The Effects Of Tecnis® Eyhance™ And Acrysof® Iq Vivity™ Intraocular Lenses On Visual Quality Under Different Lighting Conditions.

Evaluation Of The Effects Of Tecnis® Eyhance™ And Acrysof® Iq Vivity™ Intraocular Lenses On Visual Quality Under Different Lighting Conditions.

Published 2023 - 41st Congress of the ESCRS

Reference: PO0552 | DOI: 10.82333/pq2c-zf03

Authors: Inas Baoud Ould Haddi* 1 , Emilio Dorronzoro Ramirez 2 , Dayan Flores Cervantes 3 , Vanesa Blazquez Sanchez 1 , Cristina Bonnin Arias 1 , Celia Sanchez Ramos 1

1Optometria y Vision,Universidad Complutense de Madrid,Madrid,Spain, 2Oftalmologia,Hospital Universitario Sanitas La Moraleja,Madrid,Spain, 3Optometria y Vision,Universidad Complutense de Madrid,Madrid,Spain;Oftalmologia,Hospital Universitario Sanitas La Moraleja,Madrid,Spain

To analyze the effect of the design of Tecnis® Eyhance™(Johnson & Johnson Surgical Vision, Inc, Santa Ana, CA) and AcrySof® IQ Vivity™(Alcon Laboratories, Inc, Fort Worth TX), extended range intraocular lenses on patients visual quality under photopic and mesopic lighting conditions.

The study was performed at the Hospital Universitario Sanitas la Moraleja in Madrid. All surgeries were performed by the same experienced surgeon (E.D.R). The study followed the principles of the Declaration of Helsinki.

Observational, prospective, cross-sectional study. Patients operated on for cataract or lensectomy with bilateral implantation of one of the two study IOLs were included. The total sample consisted of 38 patients, 42 eyes with the AcrySof® IQ Vivity™ IOL, and 34 eyes with the Tecnis® Eyhance™IOL. One month after surgery, photopic and mesopic, monocular and binocular visual acuity (VA) was measured for three distances: far (4 meters), intermediate (66 cm) and near (40 cm) with the ETDRS test; contrast sensitivity with the CSV-1000 test (2.5 meters) for four spatial frequencies (3, 6, 12 and 18 cycles per degree) and quality of life was assessed with the VFQ-14 questionnaire. The p< 0.05 was considered a criterion of statistical significance.

No statistically significant differences were found when comparing photopic VA and contrast sensitivity between the two lenses studied. Under mesopic illumination conditions, binocular VA at intermediate distance without correction showed statistically significant differences (p-value 0.017), with means of 0.31 ± 0.09 and 0.43 ± 0.11 for the AcrySof® IQ Vivity™ and Tecnis® Eyhance™ IOLs, respectively. On the other hand, patients' subjective perception of quality of life showed no differences when comparing the responses of wearers of both lenses with each other.

The AcrySof® IQ Vivity™ and Tecnis® Eyhance™ designs provide optimal AV, at distances (far and intermediate), in both photopic and mesopic illumination conditions. The AcrySof® IQ Vivity™ IOL provides better intermediate VA, in mesopic conditions, than the Tecnis® Eyhance™ IOL. However, this difference does not translate into a perceived subjective improvement in patients quality of life. The design of the AcrySof® IQ Vivity™ and Tecnis® Eyhance™ extended range IOLs improves intermediate vision without deteriorating contrast sensitivity.