ESCRS - PO393 - Comparison Of Visual Outcomes Of Two Advance Monofocal Iols Based On Different Optical Principles

Comparison Of Visual Outcomes Of Two Advance Monofocal Iols Based On Different Optical Principles

Published 2025 - 43rd Congress of the ESCRS

Reference: PO393 | Type: Free paper | DOI: 10.82333/0nsw-9t54

Authors: Frederick Kremser* 1 , Alexandra Negoescu 1 , Lusine Vogormian 1 , Lizaveta Chychko 1 , Oliver Hassel 1 , Emanuel Reitemeyer 1 , Timur Yildirim 1 , Ramin Khoramnia 2 , Gerd Auffarth 1

1Department of Ophthalmology,University of Heidelberg,Heidelberg,Germany, 2Department of Ophthalmology,University of Heidelberg,Heidelberg,Germany;Department of Ophthalmology,University of Dresden,Dresden,Germany

Purpose

Advanced Monofocal IOLs are part of the ophthalmic surgeon’s armamentarium. Many advanced Monofocal IOLs with different optical principles are available. The purpose of this study is to compare outcomes for distance and near vision between two advanced Monofocal IOLs with different optical principles.We also try to define selection criteria for advanced Monofocal IOLs.

Setting

Single surgeon private practice setup

Methods

  • We included data from 82 eyes of 54 patients in the study. Of these, 38 (46%) were right eye. All eye underwent Microincision phacoemulsification with impantation of advance monofocal IOL, all cases were uneventful.
  • The Eyhance IOL was implanted in 44 eyes (54%) and the RAYNER IOL in the remaining 38 eyes (46%).
  • The mean distance visual acuity (BCDVA) improved from 0.9+0.5 logMAR (20/200 Snellen’s equivalent) to 0.1+0.2
  • logMAR units (20/25 Snellen’s equivalent) four weeks post-surgery (p<0.001). Similarly, the near visual acuity improved from 1.0+0.12 logMAR (N24 Snellen’s equivalent) preop to 0.6+0.2 logMAR (N12 6/60 Snellen’s equivalent) at four weeks (p<0.001).

Results

  • We included data from 82 eyes of 54 patients in the study. Of these, 38 (46%) were right eye.
  • The Eyhance IOL was implanted in 44 eyes (54%) and the RAYNER IOL in the remaining 38 eyes (46%).
  • The mean distance visual acuity (BCDVA) improved from 0.9+0.5 logMAR (20/200 Snellen’s equivalent) to 0.1+0.2 logMAR units (20/25 Snellen’s equivalent) four weeks post-surgery (p<0.001). Similarly, the near visual acuity improved from 1.0+0.12 logMAR (N24 Snellen’s equivalent) preop to 0.6+0.2 logMAR (N12 6/60 Snellen’s equivalent) at four weeks (p<0.001).

Conclusions

Despite similar preoperative characteristics, eyes implanted with the Rayner IOL demonstrate significantly superior distance and near vision compared to those with the Eyhance IOL, with an improvement of one line in each case.