ESCRS - PO406 - A Comparison Of Clinical Results, Functional Outcomes And Patient Satisfaction Following Bilateral Implantation Of Tecnis Synergy Versus Panoptix Trifocal Intraocular Lenses

A Comparison Of Clinical Results, Functional Outcomes And Patient Satisfaction Following Bilateral Implantation Of Tecnis Synergy Versus Panoptix Trifocal Intraocular Lenses

Published 2025 - 43rd Congress of the ESCRS

Reference: PO406 | Type: Free paper | DOI: 10.82333/x88t-0519

Authors: Grzegorz Labuz* 1 , Zhiyi Wu 2 , Agnieszka Zielinska 3 , Asu Rayamajhi 4 , Leoni Britz 1 , Ramin Khoramnia 5 , Gerd U. Auffarth 1

1Department of Ophthalmology,University of Heidelberg,Heidelberg,Germany, 2Department of Ophthalmology,University of Heidelberg,Heidelberg,Germany;Eye Center,The Second Affiliated Hospital, Zhejiang University,Hangzhou,China, 3Department of Ophthalmology,University of Heidelberg,Heidelberg,Germany;Institute of Physics,Nicolaus Copernicus University in Torun,Torun,Poland, 4Light Technology Institute,Karlsruhe Institute of Technology,Karlsruhe,Germany;Department of Ophthalmology,University of Heidelberg,Heidelberg,Germany, 5Department of Ophthalmology,University Hospital Carl Gustav Carus,Dresden,Germany

Purpose

To compare visual performance and functional outcomes of TECNIS Synergy multifocal intraocular lens (IOL) versus Acrysof PanOptix IOL in patients undergoing bilateral cataract surgery.

Setting

Nethradhama Super Speciality Eye Hospital, Bangalore, Karnataka, India

Methods

A prospective, randomized, comparative study in which patients 22 years or older who were diagnosed with bilateral operable cataract were randomly assigned to bilateral implantation with TECNIS Synergy or Acrysof PanOptix multifocal IOLs. Each group had 30 patients and 60 eyes, all of whom were tested preoperatively and postoperatively on days 1, 15, 3 months and 6 months for manifest refraction, Uncorrected Distance Visual Acuity (UDVA), Uncorrected Intermediate Visual Acuity (UIVA) at 60cm and 80cm, Uncorrected Near Vision Acuity (UNVA) at 33 cm and 40 cm, contrast sensitivity using FACT, binocular corrected defocus curves, reading speeds using Salzburg Reading Desk (SRD), and patient satisfaction scores. 

Results

120 eyes of 60 patients were evaluated, 30 in each group, over 6 months post-operatively. Most patients in both groups achieved 20/20 or better monocular UDVA (93% vs 95%). Most patients achieved 20/25 or better monocular UNVA at 33 cm (73% vs 23%) and 20/21 at 40 cm (60% vs 93.33%). The mean between-group difference in monocular UNVA at 33 cm favoured Synergy (p ≤ 0.001) and that at 40 cm favoured PanOptix (p ≤ 0.001). Binocular UDVA and UNVA was comparable in both groups. Objective monocular UIVA was comparable whereas functional monocular UIVA at 60 cm with Salzburg Reading Desk was better in Synergy by 82.033 words per minute. Contrast sensitivity and patient-reported visual symptoms were similar in both groups. 

Conclusions

Both IOLs showed similarly satisfactory performance with Synergy having slightly better UNVA at 33 cm and PanOptix at 40 cm. IOL should be selected based on patients’ lifestyle and individual physiological needs.