Customer Satisfaction Following Bilateral Cataract Surgeries: Implantation Of Two Extended Depth Of Focus (Edoff) Intraocular Lenses (Iol) Versus A Combination Of One Edoff Iol And One Trifocal Iol
Published 2024 - 42nd Congress of the ESCRS
Reference: PO594 | Type: Free paper | DOI: 10.82333/qg87-zm90
Authors: Mauro Fioretto* 1 , Rosa Maria D’Urso 2 , Matteo Orione 2
1Ophthalmology ,Ospedale Santo Spirito - Casale Monferrato,Casale Monferrato,Italy, 2Ophthalmology ,Ospedale S. Spirito,Casale Monferrato,Italy
Purpose
This study aimed to assess customer satisfaction following bilateral cataract surgeries, comparing the outcomes of implanting two extended depth of focus (edoff) intraocular lenses (IOL) versus a combination of one edoff IOL and one trifocal IOL. The focus was on evaluating visual acuity, far and near vision quality, vision during digital device use, and vision in dark driving conditions.
Setting
Retrospective single centre study
Methods
Fifteen patients (age range 56 to 76) with cataracts and BCVA between 3/10 and 7/10 underwent phacoemulsification with bilateral edoff IOL implantation. Another fifteen patients (age range 59 to 78) with similar conditions had an edoff IOL in the dominant eye and a trifocal IOL in the other. Target refraction goals were set for each group. Patients with ocular pathologies beyond cataracts and ametropia between -3 D and +3 D were included. A month post-surgery, participants responded to satisfaction questions, with scores ranging from 1 to 10.
Results
1. Visual Acuity Satisfaction:
- Both edoff IOL: mean 7.8 +/- 1.7
- Mixed IOL: mean 8.7 +/- 0.8
2. Far Vision Quality:
- Both edoff IOL: mean 9.1 +/- 0.5
- Mixed IOL: mean 8.9 +/- 0.6
3. Near Vision Quality:
- Both edoff IOL: mean 3.5 +/- 2.1
- Mixed IOL: mean 6.9 +/- 2.4
4. Vision During Device Use:
- Both edoff IOL: mean 9.2 +/- 0.4
- Mixed IOL: mean 8.8 +/- 0.8
5. Vision While Driving in the Dark:
- Both edoff IOL: mean 7.6 +/- 1.3
- Mixed IOL: mean 7.1 +/- 1.2
Conclusions
The study concludes that the superior results observed with mixed IOLs are predominantly associated with the significant improvement in near visual acuity facilitated by the trifocal IOL in the non-dominant eye. This enhancement allows for high-quality vision at typical reading distances, free from the subjective presence of halos and glare, which may be masked by the edoff IOL in the dominant eye.