Comparison Of Clinical Outcomes And Visual Quality Between Two Edof Iols
Published 2024 - 42nd Congress of the ESCRS
Reference: FP29.02 | Type: Free paper | DOI: 10.82333/8bmg-1j32
Authors: Pablo Adamek* 1 , Roger Zaldivar 1 , Roberto Zaldivar 1 , Matias Rizzo 1
1Zaldivar Institute,Mendoza,Argentina
Purpose
The main purpose is to observe the differences in visual quality between Comfort IOL (LS-313 MF 15-Oculentis GmbH, Berlin, Germany) and AcrySoft IQ Vivity at 3-month follow-up. Therefore, to detect differences in visual acuity by far, intermediate and near distances. In addition, to compare contrast sensitivity, photic phenomena, and patient satisfaction at 3 months of follow-up between these two EDOF IOLs.
Setting
This is a prospective, randomized, parallel, single-center study at the Zaldivar Institute in Mendoza, Argentina, during 2023.
Methods
48 eyes (24 patients) between 50 and 70-year-old with presbyopia were selected. 24 eyes (11 patients) were implanted with Comfort EDOF IOLs bilaterally and the remaining with Vivity EDOF IOLs billaterally too. The measurements were performed preoperatively and postoperatively (1 and 3 months). UCVA (uncorrected visual acuity) and BCVA were measured in far (6m), intermediate (67 cm) and near (40 cm) distances. As well as manifest refraction spherical equivalent (MRSE). Furthermore, contrast sensitivity (Optec® 6500 FACT), was carried out. Halos-Glare Simulator, Visual Quality questionnaire (QoV ) and macula OCT were performed in order to analyze dysphotopsia, patient s satisfaction, and postoperative complications, respectively.
Results
Visual acuity results were comparable between both groups. Contrast sensitivity increased by 5.95% in the Comfort group, while it decreased by 2.45% in the Vivity group. Regarding photic phenomena, in the Comfort group, 45% of patients reported experiencing mild halos, while 55% reported none. In the Vivity group, 31% of patients reported mild halos, 31% reported moderate halos, and 38% reported none; severe halos were not reported in either group. Glare was reported as moderate by 9%, mild by 30%, and absent by 55% in the Comfort group, whereas in the Vivity group, it was reported as moderate by 68%, mild by 8%, and absent by 31%. Satisfaction rates among patients were similar between groups, with no instances of dissatisfaction reported
Conclusions
Both EDOFs (Comfort IOL and Vivity IOL) demonstrated favorable outcomes in distance and intermediate vision, along with high levels of patient satisfaction. Nonetheless, the Comfort IOL exhibited a marginal superiority over the Vivity IOL concerning photic phenomena and contrast sensitivity.