Clinical Results Of Newly Developed Continuous Range Of Vision Intraocular Lenses In Japanese Patients
Published 2025 - 43rd Congress of the ESCRS
Reference: PO399 | Type: Free paper | DOI: 10.82333/aany-5y47
Authors: Victor A. Augustin* 1 , Maximilian Friedrich 1 , Hyeck-Soo Son 1 , Jasper Lind 1 , Maximilian Hammer 1 , Lizaveta Chychko 1 , Timur M. Yildirim 1 , Gerd U. Auffarth 1
1Department of Ophthalmology,University Hospital Heidelberg,Heidelberg,Germany
Purpose
To retrospectively evaluate bilateral visual function in Japanese patients implanted with newly developed continuous range of vision intraocular lenses (CRV IOLs).
Setting
Department of Ophthalmology, Tokyo Dental College Suidobashi Hospital and Ogikubo Minamiguchi Eye Clinic
Methods
The study included 48 eyes of 24 patients with cataracts who underwent bilateral implantation of diffractive CRV IOLs: DNR00V and DRT150-300 (TECNIS OdysseyTM, J&J Surgical Vision) with minimized dysphotopsia. Preoperative patient demographics, including age, axial length, corneal astigmatisms, and IOL power, were reviewed from patient records. One month postoperatively, subjective refraction, binocular uncorrected and distant corrected visual acuities (BUCVA and BDCVA) at 5m, 60cm, 40cm, and 30cm, binocular photopic contrast sensitivity (CSV-1000), binocular depth of focus, usage of spectacles, photic phenomena, and patient satisfaction were evaluated.
Results
The means of age, axial length, corneal astigmatism, IOL power, and estimated postoperative refraction were 65.2±8.4 years, 24.39±1.54mm, 0.92±0.75D,17.4±4.7D, and 0.13±0.15D, respectively. Postoperatively, the subjective refraction spherical equivalent was 0.01±0.26D. LogMAR BUCVAs at 5m, 60cm, 40cm, and 30cm were -0.18±0.06, -0.01±0.08, 0.00±0.08, and 0.13±0.12. BDCVAs were -0.21±0.06, -0.01±0.08, 0.00±0.07, and 0.12±0.10. Contrast sensitivity was in the normal range. The depth of focus was logMAR 0.0 or better between +0.5 and -2.0D. 33.3% used reading spectacles. Mild to severe glare, starbursts, and halo were noticed in 16%, 24%, and 52%. Satisfaction with distance and intermediate vision was high, while 16% were low with near vision.
Conclusions
The binocular visual acuities from 5m to 40cm of Japanese patients with CRV IOLs were good. A slight decrease in vision at 30cm may result in the necessity of reading spectacles and dissatisfaction in some cases. The possibility of noticing halo would be better explained in preoperative counseling.