Clinical Results Of Implantation Of Trifocal And Edof Intraocular Lenses

Published 2024 - 42nd Congress of the ESCRS

Reference: PO638 | Type: Poster | DOI: 10.82333/b80y-0010

Authors: Pavel Beliakouski* ¹ , Mikalai Pazniak ¹ , Aleh Pazniak ¹ , Elena Likhorad ¹ , Yury Belkevich ¹ , Uladzimir Katovich ¹ , Igor Pashkin ¹ , Dmitry Abelski ¹ , Kiril Zhukau ¹

¹Microsurgery,Eye Microsurgery Center VOKA,Minsk,Belarus

Purpose

Evaluation and comparison of visual outcomes and ocular opticalpresentation of the trifocal intraocular lens (IOL) Panoptix and Panoptix Toric and EDOF intraocular lens Vivity and Vivity Toric (Alcon, USA).

Setting

Eye Microsurgery Сenter VOKA, Minsk, Belarus

Methods

111 cases with hyperopia and presbyopia were under observation. Refractive lensectomy (RLE) with implantation of 48 trifocal Panoptix and Panoptic – toric IOL and 63 EDOF Vivity and Vivity Toric IOL was performed. One hundred eleven eyes were divided into 2 groups: 48 cases with the trifocal Panoptix IOL at the age of 54.94 ± 5.4 years and 63 cases with the EDOF Vivity IOL at the age of 57.09 ± 6.68 years. Monocular uncorrected distant visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA) at 60 cm, and uncorrected near visual acuity (functional near, UNVA) at 45 cm were evaluated.

Results

In a group of the trifocal Panoptix IOL (48 cases) UCVA before surgery 0.33±0.20, BCVA 0.97±0.05, refraction sph 1.94±0.87, cyl 0.52±0.42; corneal
astigmatism: 0.9±0.44; axial length 22.99 ± 0.70 mm

In a group of the EDOF Vivity IOL (63 cases) UCVA before surgery 0.33±0.20, best corrected VA 0.94±0.09, refraction sph 1.90±0.76; cyl 1.06 ±0.64; corneal astigmatism: 1.07 ± 0.57; axial length 23.15 ± 0.70 mm.
The visual outcomes of trifocal PanOptix IOL and EDOF Vivity IOL groups, respectively, were as follows: UDVA: 0,91±0,07 and 0.95 ± 0.06, NIVA at 60 cm: 0,68±0,06 and 0.53 ± 0.06* (p≤0.001), UNVA: 0,75± 0,09 and 0.55 ±0.11* (p ≤0.001). In the group of EDOF Vivity IOL the manifestations of halo effects were significantly less.

Conclusions

Both models of the IOLs provided high visual functions for middle and near distances. The visual ability at middle and near distances in the group of trifocal Panoptix IOL were higher compared to EDOF Vivity IOL group. Halo effect was less disturbing in EDOF group.