Visual Outcomes And Refractive Tolerance Of Advanced Monofocal Iols In Post-Refractive Eyes
Published 2025 - 43rd Congress of the ESCRS
Reference: PP13.06 | Type: Free paper | DOI: 10.82333/z2q1-cz83
Authors: Jacek P. Szaflik 1 , Jacek Dziedziak* 1 , Monika Łazicka-Gałecka 1 , Anna Kamińska 1 , Tomasz Gałecki 2 , Maria Guszkowska 2
1SPKSO,Warsaw ,Poland;Medical University of Warsaw ,Warsaw ,Poland, 2SPKSO,Warsaw ,Poland
Purpose
Assess visual outcomes and refractive tolerance of an advanced monofocal IOL with built-in negative spherical aberration (SA) and a slightly extended depth of focus (DOF) in eyes with a history of myopic LASIK or radial keratotomy (RK).
Setting
Cleveland Eye Clinic
Methods
A retrospective observational study of 300 eyes implanted between January 2022 and July 2024 with either an advanced monofocal IOL (Tecnis Eyhance) with negative SA and a slightly extended DOF or a standard monofocal IOL (DCB00). Only eyes with a history of myopic LASIK or RK were included. Exclusion criteria were eyes with limited visual potential due to conditions like amblyopia or other ocular pathologies, as well as those with untreated visually significant posterior capsular opacification. Outcome measures include manifest refraction, uncorrected and best-corrected visual acuity at postoperative day 1 (POD1), week 1 (POW1), month 1 (POM1), and month 3 (POM3), refractive accuracy (% ± 0.5D of target), and enhancement rates.
Results
TBD. Initial analysis of 200 eyes with Tecnis Eyehance implanted showed the mean uncorrected distance visual acuity (UDVA) was 0.15±0.20 logMAR at POM1 and 0.17±0.20 logMAR at POM3, with 77% of eyes achieving UDVA of 20/30 or better at POM1 and 3. The mean corrected distance visual acuity (CDVA) was 0.03±0.09 logMAR at POM1 and 0.05±0.06 logMAR at POM3, with 96.1% and 93.3% of eyes achieving CDVA of 20/30 or better. The mean postoperative manifest refraction spherical equivalent (MRSE) was -0.43±0.73 D at POM1 and -0.58±0.45 D at POM3. A total of 61% and 50% of eyes achieved MRSE within 0.50 D at POM1 and 3, respectively. The enhancement rate was 1.2%. Data for the standard monofocal group (Tecnis DCB00) is forthcoming.
Conclusions
Implantation of Tecnis Eyhance in post-refractive surgery eyes yielded good visual and refractive outcomes. The rate of enhancements following surgery was low and good distance vision was achieved even though a large proportion of eyes were not within 0.5 D MRSE.