Comparison Of Mix & Match Edof/Diffractive Iols And Bilateral Edofs Iols With Minimonovision

To compare the visual results, spectacle independence and satisfaction of 2 series: A serie: Mix & match approach (trifocal in non dominant eye, EDOF in dominant eye); B serie : bilateral EDOF IOLs wth minimonovision

Clinique Juge, Marseille, France

Retrospective "real life" study. 20 patients (40 eyes) in each group. Analysis and comparison of preoperative data (age, axial lengths, preoperative spherical equivalent- SE, percentage of clear lens extraction / cataracts. IOLs used: Vivity™,  PanOptix™, Synergy™. Postoperative SE of the A serie was 0,03D ± 02; In serie B (minimonovision): SE of the dominant eye was 0,03D± 02; SE  of the myopized non-dominant eye was -1,08D ± 0,39.

Uncorrectea and best-corrected for far visual bilateral acuities : far, intermediate and near; bilateral defocus curves were provided. Comparison of the photic side effects, satisfaction and spectacle independance.

Uncorrected bilateral VA were comparable for far and intermediate vision for both groups, but was significantly better for near vision for serie A:  0,06 LogMar ±0,08 vs  0,09 Logmar ±0,11

The bilateral defocus curve also showed better results for the -2,5D and -3,0D defocus.

The A serie had no spectacles at all, whereas 16% of the B serie needed intermittent glasses for near vision.

Haloes were reported in 40% of A serie and 20% in B serie, but none were disturbing. all patients of A serie were satisfied; 1 patient of B serie was poorly satisfied because of a low acceptance of his minimonovision condition.

The 2 studied groups showed very good visual performance and tolerance ; its seems that the Mix & Match approach could be more suitable to preoperative hyperopic patients, whereas the minimonovision EDOF group more suitable to preoperative myopic patients.