Refractive Results Following Implantation Of Multifocal, Monofocal And Monofocal With Increased Depth Of Focus Intraocular Lenses After Cataract Surgery
Published 2023 - 41st Congress of the ESCRS
Reference: PO0555 | Type: Free paper | DOI: 10.82333/9e9b-7j12
Authors: Arie Marcovich* 1 , Inbar Wunch 2 , Riki Maroko 2 , Tamar Winnett 2 , Deborah Berrih-Elkouby 2 , Hadas Ben Eli 3
1Ophthalmology,Kaplan Medical Center, Hebrew University of Jerusalem,Rehovot,Israel, 2Optometry and Vision Science,Hadassah Academic College,Jerusalem,Israel, 3Optometry and Vision Science,Hadassah Academic College,Jerusalem,Israel;Ophthalmology,Hadassah-Hebrew University Medical Center,Jerusalem,Israel
Purpose
To evaluate the effectiveness of the newly-designed Tecnis Eyhance (Johnson & Johnson (J&J)) monofocal Intra-ocular lens (IOL) in terms of visual parameters (visual acuity (VA) at different distances and glare conditions, contrast sensitivity and refraction) as well as the subjective comfort, compared to multifocal Tecnis Synergy (J&J) and monofocal Sensar (J&J) IOLs.
Setting
Private eye clinic, Atidim medical center.
Methods
Uncorrected VA (UCVA) as well as the best corrected VA (BCVA) of post-cataract surgery participants were measured at distance (6 m), intermediate (70 cm) and near (40 cm) (Snellen chart, Log units). Contrast Sensitivity (CS) was measured at distance and near with correction (Pelli-Robson chart, Log units) and the subjective visual comfort was assessed by a questionnaire.
Results
Overall of 52 participants were included in this study (84 eyes); 40 eyes implanted with Eyhance, 26 with Synergy and 18 with Sensar. Participants' age ranged between 48-82 years and 31 (59%) were women. No significant difference was found in distance VA between three lenses (P>0.8). However, the Synergy was significantly superior to other lenses in mean intermediate and near VA (P<0.01). Eyhance had better CS compared to Synergy at distance (1.38±1.5, 1.31±0.13; respectively, P<0.05) and at near (1.46±0.15, 1.36±0.17; respectively, P<0.05). Visual comfort assessed by questionnaire demonstrated no difference between three groups, yet analyzing questions dealing with intermediate vision, the Synergy was preferable by the participants.
Conclusions
The newly-designed monofocal Eyhance IOL demonstrated better visual performance than the multifocal Synergy in the CS at distance and near, with the same VA for distance in these lenses as with the monofocal Sensar. All three lenses were reported to with the same visual comfort by the patients, yet the Synergy was preferable for VA at intermediate and near with better subjective quality of vision at intermediate.