Retrospective Comparison Of Refractive Lensectomy Involving At Lisa Tri And Tecnis Puresee Iol Design
Published 2025 - 43rd Congress of the ESCRS
Reference: PO434 | Type: Free paper | DOI: 10.82333/hd17-5k95
Authors: Michalina Ludwika Depczynska* 1 , Carmen M. Rodríguez Villalobos 1 , Mark Hillen 1 , Farhad Hafezi 2
1ELZA Institute,Dietikon/Zurich,Switzerland, 2ELZA Institute,Dietikon/Zurich,Switzerland;Faculty of Medicine,University of Geneva,Geneva,Switzerland;Department of Ophthalmology,New York University Grossman School of Medicine,New York, NY,United States;Department of Ophthalmology,University of Southern California,Los Angeles, CA,United States;Department of Ophthalmology,Wenzhou Medical University,Wenzhou,China
Purpose
To compare the clinical outcomes of refractive lensectomy involving a multifocal (a full range of field (FRoF) IOL and a novel partial range of field extended (PRoF-Ex) IOL.
Setting
Optegra Eye Health Care
Methods
Retrospective analysis of electronic medical records, reviewing consecutive eyes of refractive lens exchange or cataract surgery involving an AT LISA trifocal IOL and a TECNIS PureSee design between November 2023 to August 2024. Operative, post operative complications, post-op unaided distance (UDVA) and near visual acuities (UNVA), and spherical equivalent (SER) refractive outcomes were analysed. Eyes with less than one week follow-up and those with co-pathology were excluded from the analysis. Patient Reported Outcome Measures (PROMs) where eyes had three or more months follow-up were included.
Results
587 eyes (319 patients) in the LISA Tri group and 250 eyes (147 patients) in the PureSee group were included. Preoperative SER ranged from -18.5D to +7.00D for FRoF LISA tri and -15.75D to +8.50D for PRoF PureSee. Binocular UDVA was similar (p=0.08) between groups, with mean±SD logMAR for FRoF-0.04±0.09 vs.-0.01±0.09 for PRoF. Mean UNVA was significantly better (p<0.05), for the FRoF cohort (0.21±0.12 vs. 0.36±0.14 logMAR). Refractive predictability was superior in the FRoFgroup (85% vs. 75% within ±0.50 D of target SER). Emerging PROMs data show satisfaction was generally high, with fewer reports of glare and halos (44% vs 65%) in the PRoF cohort.
Conclusions
With low complication rates, excellent binocular vision outcomes and high patient satisfaction our data shows IOL innovations are providing presbyopic patients seeking surgical solutions for refractive error with a range of efficacious solutions.