Clinical Outcomes Of The New Fully-Refractive Extended Depth Of Focus Intraocular Lens In Korean Patients: 1- And 3-Month Results
Published 2025 - 43rd Congress of the ESCRS
Reference: PP22.15 | Type: Free paper | DOI: 10.82333/4gpj-zc41
Authors: Georgios Labiris* 1 , Minas Bakirtzis 1 , Eirini-Kanella Panagiotopoulou 1 , Christos Panagis 1 , Christos Giazitzis 1 , Doukas Dardabounis 1 , Panagiota Ntonti 1
1Ophthalmology Department,University Hospital of Alexandroupolis,Alexandroupolis,Greece
Purpose
To evaluate the clinical outcomes of Korean patients who underwent cataract surgery with implantation of a purely refractive extended depth of focus (EDF) intraocular lens (IOL)
Setting
Retrospective chart review at a single institution in South Korea
Methods
Medical records of 119 eyes from 80 Korean patients (mean age: 61.8±7.6 years) who received the EDF IOL (Model ZEN00V or DET, TECNIS PureSee™) between February and October 2024 were retrospectively reviewed. Patients had at least one month of follow-up. Exclusion criteria included combined vitrectomy, prior refractive surgery, postoperative corrected visual acuity below 20/25 due to concurrent ocular conditions, and intraoperative complications such as posterior capsular tear.
Results
Based on the Barrett Universal II formula, postoperative IOL power prediction error measured by autorefraction was -0.19±0.43D at 1 month and -0.21±0.45D at 3 months. Using the maximum plus refraction method, the values were +0.11±0.25D at 1 month and +0.14± 0.30D at 3 months. Uncorrected visual acuity (UVA, logMAR) at 1 month was 0.07±0.08 (distance), 0.11±0.08 (intermediate), and 0.31±0.11 (near). At 3 months, these values were 0.06±0.08, 0.12±0.08, and 0.29±0.10, respectively. The postoperative near glasses dependence rate was 18.8%. A subgroup comparison based on astigmatism, the percentage of eyes achieving UDVA of 0.1 logMAR or better was over 80% for up to 0.75 D of astigmatism but dropped to 33.3% for astigmatism 1.0D or 1.25D.
Conclusions
The new fully refractive EDF IOL provided an average uncorrected distance and intermediate visual acuity of 0.12 logMAR or better postoperatively in Korean patients. Astigmatism up to 0.75D did not significantly affect visual outcomes.