ESCRS - P081 - CONTRAST SENSITIVITY AND REFRACTIVE OUTCOMES AFTER IMPLANTATION OF TWO DIFFERENT MATERIALS OF THE SAME QUADRIFOCAL INTRAOCULAR LENS

CONTRAST SENSITIVITY AND REFRACTIVE OUTCOMES AFTER IMPLANTATION OF TWO DIFFERENT MATERIALS OF THE SAME QUADRIFOCAL INTRAOCULAR LENS

Published 2024 - 28th ESCRS Winter Meeting

Reference: P081 | Type: Submission | DOI: 10.82333/2x8a-5927

Authors: Thomas Kohnen* 1 , Eva Hemkeppler 2 , Jakob Wend 1 , Zubeida H. Omerovic 1 , Petra Davidova 1 , Annika Klinkenbusch 1 , Myriam Böhm 1

1Ophthalmology,Goethe University Hospital,Frankfurt am Main,Germany, 2Ophthalmology,Goethe University Hospital University Hospital,Frankfurt am Main,Germany

Purpose

To compare the contrast sensitivity and visual performance after bilateral implantation of the AcrySof and Clareon PanOptix diffractive aspheric multifocal intraocular lens (IOL).

Setting

Goethe University Hospital, Ophthalmology 

Methods

Prospective comparative case series, Department of Ophthalmology, Goethe University, Frankfurt, Germany. This study included patients who had bilateral implantation of the AcrySof or Clareon version of the PanOptix IOL (Alcon Research, Fort Worth, TX, USA). Exclusion criteria were previous ocular surgeries excluding cataract surgery and ocular pathologies or corneal abnormalities. 3 months postoperative examination included binocular contrast sensitivity (CS) and manifest refraction; monocular and binocular uncorrected (UCVA) and distance-corrected visual acuity (DCVA) in 4m, 80cm, 60cm and 40cm; slit-lamp examination. Additionally, monocular and binocular defocus testing, an interview on optical phenomena and spectacle independence were performed.

Results

The study comprised 42 patients (21 Clareon patients (29 toric, 15 non-toric IOLs), 21 AcrySof patients (28 toric, 14 non-toric IOLs)). There was no statistically significant difference in contrast sensitivity under photopic (p=0.206), mesopic (p=0.443) and mesopic with glare (p=0.210) conditions. Uncorrected visual acuity was <0.1logMAR in all distances and spherical equvalent 3 months postoperative shows no statistically significant difference in the two materials (p=0.471). In the Clareon group 62% (13 of 21 patients) and in the AcySof group 71% (15 of 21 patients) perceived Halos but were not disturbed of them. In both groups 90% of the patients were spectacle independent.

Conclusion

We found no difference between the two materials of the PanOptix multifocal IOL regarding contrast sensitivity under three different light conditions and visual acuity in different distances with high spectacle independence. Evan if there were more patients which perceived optical phenomena in the Clareon group, all patients were not disturbed of them.