Subjective Data On Patient Satisfaction With Increased Range Of Focus Iols

This study evaluates postoperative outcomes of increased range of focus intraocular lenses (IOLs) in phakoemulsification and lens replacement surgery. Both toric and non-toric variants were assessed to determine patient satisfaction, alignment with preoperative expectations, the incidence of photic phenomena, and dependence on corrective spectacles.

The study was conducted in a private ophthalmology practice in South Wales, United Kingdom.

Postoperative data from patients who completed a structured questionnaire after surgery with a singular surgeon was collected using CLEARlog software. The survey assessed visual satisfaction, alignment with preoperative expectations, photic phenomena, and spectacle dependence for near, intermediate, and distance vision. We analysed 32 consecutive cases receiving Alcon Vivity, and Vivity toric IOLs.

Among 32 patients with Alcon Vivity and Vivity Toric IOLs, 98% were “very satisfied” with their vision. For distance vision, 57% “never” or only sometimes needed glasses, 3% required them “most of the time,” and data was unavailable for 40%. For intermediate vision, 9.3% needed glasses “most of the time.” Reading glasses were used “some” or “all the time” by 31%, while 28.1% reported “never” or “sometimes” needing them; 40% had missing data. Glare was absent in 73%, while 14.5% reported “mild” or “moderate” glare. No major visual disturbances were noted. Some cases were lost to follow-up due to missed referrals or incomplete questionnaires.

Increased range of focus IOLs resulted in high levels of patient satisfaction (98%), with vision outcomes aligning with expectations. As well as excellent distance vision, 28.1% reported never needing reading glasses. Although moderate or severe symptoms were rare, glare was the most commonly reported photic phenomenon. The findings support the effectiveness of these IOLs in improving postoperative vision, with potential areas for improvement in reducing glare.