Clinical Outcomes And Patients’ Satisfaction Of Enhanced Monofocal, Edof, And Combined Edof And Multifocal Iol.

to compare the clinical outcomes and patients’ satisfaction of three presbyopia-correcting intraocular lenses (IOLs) (enhanced monofocal, extended depth of focus (EDOF), and combined EDOF and multifocal IOL).

Bucheon St. Mary’s Hospital, Catholic University of Korea

The patients who underwent cataract surgery. 134 eyes (67 patients; enhanced monofocal: Eyhance– group 1, n= 42, EDOF: Symfony– group 2, n= 46, combined EDOF and multifocal IOL: Synergy- group 3, n= 46) were enrolled. Uncorrected and corrected near (UNVA, CNVA), intermediate (UIVA, CIVA), and distant (UDVA, CDVA) visual acuity, manifest refraction spherical equivalent (MRSE), and satisfaction score were evaluated before and after surgery.

The postoperative UCVA, CDVA, UIVA, UNVA, and MRSE of the three groups were better than the preoperative data, respectively (P<0.05). There was no statistical difference in postoperative UCVA, CDVA, UIVA, or MRSE among the three groups (P > 0.05). The postoperative UNVA of group 3 (0.07 ± 0.03 logMAR) was significantly better than those of groups 1 and 2 (0.32 ± 0.20, 0.17 ± 0.12, respectively) (P<0.05). And the postoperative UNVA of group 2 was significantly better than that of group 1 (P<0.05).

The combined EDOF and multifocal IOL showed better uncorrected near vision compared with the EDOF and the enhanced monofocal IOL. The EDOF IOL also showed better uncorrected near vision compared with the enhanced monofocal IOL. Overall satisfaction with the EDOF and the combined EDOF and multifocal IOL was higher than with the enhanced monofocal IOL.