Visual And Patient Reported Outcomes With A New Aspheric Intraocular Lens

To describe the visual and patient reportd outcomes with a new monofocal intraocular lens with a novel aspheric design.  

Private refractive and cataract surgery clinic.

This is a retrospective case series of all patients undergoing bilateral implantation with the CT Lucia 621p intraocular lens (Zeiss, Oberkochen, Germany) at Optical Express (Glasgow, UK) centers from 6/1/22 to 7/1/23.  The design features of this IOL enable it to be relatively insenstive to decentration, potentially reducing unwanted photic phenomenon after surgery.  All surgeries were performed as same day immediate sequential bilateral cataract surgery (ISBCS) following the reecommended guidelines.  Patients underwent a full examination and completed a patient-reported outcomes questionnaire at postoperative month 1.  

A total of 325 patients were included.  The mean monocular uncorrected distancevisual acuity at month 1 was 0.08+0.15 logMAR and the binocular uncorrected distance acuity was 0.02+0.12 logMAR.  The mean monocular uncorrected near acuity was 0.65+0.15 logMAR.  Most patients (93%) reported they were somewhat or very satisfied with their vision at 1 month after surgery.  The reported rates of moderate or severe photic phenomena, including glare, halos, starbursts and ghosting were low.  The major predictors of dissatisfaction at postoperative month 1 were residual ametropia, uncorrected distance acuity and patient-reported dry eye symptoms.  

The novel aspheric monofocal IOL resulted in high rates of patient satisfaction with low rates of photic phenomena.  Residual refractive error, uncorrected distance acuity and patient-reported dry eye symptoms were the major drivers of patient dissatisfaction.