Outcomes With Immediate Sequential Bilateral Implantation Of A Novel Pentafocal Iol
Published 2023 - 41st Congress of the ESCRS
Reference: PP01.15 | Type: Free paper | DOI: 10.82333/5mbq-xw73
Authors: Ruth Lapid-Gortzak* 1 , Karan Pandey 2 , Jan Willem Verstraaten 3 , Jan Willem van der Linden 4 , Mor Dickman 5
1Ophthalmology,Amsterdam UMC, University of Amsterdam,Amsterdam,Netherlands;Retina Total Eye Care,Driebergen,Netherlands, 2Amsterdam UMC,Amsterdam,Netherlands, 3MUMC,Maastricht,Netherlands, 4Retina Total Eye Care,Driebergen,Netherlands, 5Ophthalmology,MUMC,Maastricht,Netherlands;Retina Total Eye Care,Driebergen,Netherlands
Purpose
To evaluate the outcomes of immediate sequential bilateral phacoemulsification with a novel hydrophilic Pentafocal IOL (Intensity and intensity toric, Hanita lenses, Israel) in patients undergoing a refractive lens procedure (cataract or refractive lens exchange).
Setting
Private Refractive Surgery Clinic, Retina Total Eye Care, Driebergen, the Netherlands
Methods
Consecutive case series with data collected 3-month postoperatively. The primary endpoint included uncorrected and corrected visual acuity (distance, intermediate and near). Secondary outcomes were refraction, defocus curves, , freedom from spectacles, complications, and satisfaction. Exclusion criteria were corneal irregularity, history of corneal laser treatment, and ocular comorbidities other than cataract.
Results
The study included 94 eyes of 47 patients implanted with a Pentafocal IOL in both eyes. A toric lens was used based on the predicted refractive astigmatism. UCDA was 0.01+0.1 logMAR (range 0.3 to -0.1), CDA was -0.04+0.04 (0.14 to - 0.14), intermediate UCIA -0.04+0.05 ( 0 to - 0.1) and UCNA -0.02+0.06 (0.1 to - 0.1). Mean postoperative spherical equivalent was -0.05D + 0.37D (+0.5 to -1.25D). The defocus curve was better than logMAR 0.04 between +0.5D to -2.5D All patients reported not to be using reading glasses. 15.6% reported halos still at 3 months. One eye developed CME, and two eyes had a residual refractive error. All patients were satisfied except for 1 patient. A separate analysis of the toric IOLs was performed.
Conclusions
A Pentafocal IOL with diffractive optics and correction for spherical aberration showed promising visual and refractive outcomes, excellent defocus curves and spectacle independence, and high patient satisfaction. Further research is needed to fully assess its long-term performance.