Visual Outcomes Following Implantation Of A Full Range Of Vision Smooth Intraocular Lens In High Myopic Patients
Published 2025 - 43rd Congress of the ESCRS
Reference: FP09.15 | Type: Free paper | DOI: 10.82333/8vbx-x823
Authors: Marcus Lisy* 1 , Zsolt Saffer 2 , Daniel Schartmüller 1 , Victor Danzinger 1 , Markus Schranz 1 , Nikolaus Mahnert 1 , Claudette Abela-Formanek 1 , Christina Leydolt 1
1Department of Ophthalmology and Optometry ,Medical University of Vienna,Vienna,Austria, 2Institute of Statistics and Mathematical Methods in Economics,Vienna University of Technology ,Vienna,Austria
Purpose
To evaluate the visual and refractive outcomes of a full range of vision smooth (FULL-RoF Smooth) intraocular lens (IOL) implantation in highly myopic patients with low IOL power from +6.0 to +10.0 Diopters (D).
Setting
Department of Ophthalmology, Goethe University, Frankfurt, Germany.
Methods
This retrospective, consecutive case series included eyes that underwent refractive lens exchange or cataract surgery with implantation of a FULL-RoF Smooth IOL (PanOptix) with an IOL power between +6.0 and +10.0 D compared to an age and indication matched control group with an IOL power > +10.0 D. Postoperative outcomes included corrected distance visual acuity (CDVA), distance corrected intermediate (DCIVA), and distance corrected near visual acuity (DCNVA), as well as spherical equivalent postoperatively
Results
A total of 36 eyes from 36 patients were included: 18 eyes (18 patients) in the high myopia group (IOL power +6.0 to +10.0 D) and 18 eyes in the control group. Preoperative refraction changed from -11.17 D (± 4.5 SD) to 0.26 D (± 0.36 SD) in the high myopia group and from -0.62 (± 2.86 SD) to 0.2 D (± 0.34 SD) in the control group. At the postoperative evaluation, the mean CDVA, DCIVA, and DCNVA in the high myopia group were 0.01 logMAR (± 0.1 SD), 0.11 logMAR (± 0.13 SD) and 0.15 (± 0.1 SD), compared to -0.06 logMAR (± 0.09 SD), 0.07 logMAR (± 0.09 SD), and 0.05 logMAR (± 0.11 SD) in the control group (P = 0.047, P = 0.41, P = 0.01, respectively).
Conclusions
The implantation of a FULL-RoF-Smooth IOL in highly myopic eyes with a low IOL power (+6 to +10.0 D) yielded satisfactory short-term visual and refractive outcomes. However, the results did not reach the same level as those observed in eyes with higher dioptric IOL power.