Visual Results After Edof Lens Implantation In Patients Undergoing Clear Lens Surgery.

To evaluate the visual outcomes of patients undergoing clear lens surgery with the EDOF AcrySof IQ Vivity lens.

Prospective, interventional, single-arm, single-center study evaluating the visual outcomes of 30 patients (60 eyes) aged between 49 and 69 years (mean 60.2) undergoing clear lens surgery for correction. of presbyopia. 

The best visual acuity at distance (UCDVA), intermediate (UCIVA), and near (UNVA) without correction, and intermediate (BCDIVA) and near visual acuity (BCDNVA) with the best correction for distance, with 3 months of follow-up, are analyzed. In addition, a visual satisfaction questionnaire (IOLSat/QUVID) is carried out.

The mean (on decimal scale) of visual acuity were as follows: UDVA was 1.00 ± 0.15; UIVA was 0.84 ± 0.14; UNVA 0.68 ± 0.16; BCDIVA was 0.86 ± 0.14; and BCDNVA was 0.73 ± 0.18. Regarding the results of visual satisfaction,100% of patients reported never needing glasses for distance and intermediate distances. 93.2% rated their near vision as good or very good. 56.6% never need glasses for near vision while 43.3% sometimes or rarely need them. Regarding photic phenomena, 23% of patients reported halos and 30% glare, although they were mild and not disabling. In general, the majority of patients (93.2%) were satisfied with the intervention, while only 6.8% were dissatisfied.

The AcrySof IQ Vivity lens provides good distance and intermediate distance visual acuity, while allowing good functional near visual acuity in photopic conditions. High levels of satisfaction and independence from glasses were achieved, although in certain low light conditions it is necessary to use glasses for near use. Photic phenomena were well tolerated.