ESCRS - PP01.10 - Comparison Of Vision Quality And Spectacle Independence Using Iol Combined Implantation Technology “Mix And Match” (First Experience With Puresee Iol)

Comparison Of Vision Quality And Spectacle Independence Using Iol Combined Implantation Technology “Mix And Match” (First Experience With Puresee Iol)

Published 2025 - 43rd Congress of the ESCRS

Reference: PP01.10 | Type: Poster | DOI: 10.82333/3w80-ws94

Authors: Nina Lutsenko* 1 , Oxana Isakova 1 , Olga Rudycheva 1

1Ophthalmology,Zaporizhzhia State Medical and Pharmaceutical University,Zaporizhzhia,Ukraine;Ophthalmology,Zaporizhzhia Regional Clinical Hospital ,Zaporizhzhia,Ukraine

Purpose

Assessment of visual performance, optical visual phenomena and spectacle independence following combined implantation of extended depth of focus (EDoF) IOL (TECNIS PureSee™, DEN00V) and a diffractive trifocal IOL (TECNIS Synergy, ZFR00V) using technology “Mix and Match”.

Setting

The investigation was conducted from May 2024 to December 2024 in the Eye Microsurgery Eye department of
Zaporizhzhia Regional Clinical Hospital, Ukraine. This was prospective study patients with cataract.

Methods

The study included 20 patients (40 eyes) who underwent bilateral phacoemulsification of cataract with IOL implantation. The mean age was 52±3.5 years. The main group of patients consisted of 5 patients (10 eyes) whom were using the “Mix and Match” technology, where extended depth of focus (EDoF) IOL (TECNIS PureSee™ ) was implanted in the dominant eye, and a hybrid trifocal IOL (TECNIS Synergy ) was implanted in the nondominant eye. The control groups consisted of 10 patients (20 eyes) with bilateral implantation of Synergy trifocal IOL and 5 patients (10 eyes) with PureSee bilateral implantation. 

Results

The mean spherical equivalent was -0.22±0.11D. No significant differences in far or intermediate visual acuity among the three groups were observed in three months. Spectacle independence in all patients at the far and intermediate distance was achieved. The need for reading glasses was noted only in the EDOF binocular group (TECNIS PureSee) in 2 patients (40%). The frequency of optical visual phenomena was maximum in the group with trifocal binocular IOL implantation: Halo (6 patients, 60%), Glare (4 subjects, 40%), Starbursts (2 patients, 20%). The frequency of Halo symptom in the group with combined “Mix and Match” IOL implantation was 1 patient (20%). Other optical phenomena were not mentioned.   

Conclusions

The combined implantation of an EDoF and a trifocal IOL can be a good option for patients with high demands for spectacle independence in their daily life with minimal optical phenomena