Objective Visual Acuity Outcomes Of Vivity Intraocular Lens Implantation Stratified By Target Refraction

Published 2026 - 44th Congress of the ESCRS

Reference: FP12.04 | Type: Free paper | DOI: 10.82333/ynh1-x782

Authors: Prof. Mohammed Muhtaseb* ¹ , Dr Amber Khattak ²

¹Sulaymaniyah University,Sulaymaniyah,Iraq;iLase Private Practice,Cardiff,United Kingdom;Hebron University,Hebron,Palestinian, State of, ²iLase Private Practice,Cardiff,United Kingdom

Purpose

To evaluate objective unaided distance, intermediate and near visual acuity outcomes after phakoemulsification and intraocular lens replacement with the Vivity increased range of focus implants, grouped by target refraction, including emmetropic, slightly myopic, and moderately myopic targets using mini-monovision strategies.

Setting

The study was conducted retrospectively in a private single-surgeon ophthalmology practice in South Wales, United Kingdom.

Methods

A total of 584 patients undergoing cataract surgery with implantation of the Vivity intraocular lens (DFT015, DFTx15, CNWET0, CNWET2–6) were retrospectively analysed. This included 34% cases with a guarded prognosis. Outcomes were grouped by target refraction: emmetropia (−0.30D to +0.30D), slight myopia (−0.31D to −0.75D), and moderate myopia (−0.76D to −1.25D). Unaided distance visual acuity (UDVA), unaided intermediate visual acuity (UIVA), and unaided near visual acuity (UNVA) were analysed using cumulative distribution thresholds.

Results

In patients with emmetropic targets, 82.4% UDVA of 6/9 or better, with 93.8% achieving 6/12 or better. Intermediate visual acuity of 0.3 logMAR or better was achieved by ≥93.8% of eyes. 75.8% achieved near visual acuity of N10 or better.

In slightly myopic targets, 75.4% achieved UDVA of 6/9 or better. Intermediate visual acuity of 0.3 logMAR or better was achieved by ≥93.8% of eyes. 75.4% achieved near visual acuity of N10 or better.

In moderate myopic targets, distance visual acuity was reduced compared with emmetropic and slight myopic targets, consistent with the mini-monovision strategy. Intermediate visual acuity of 0.3 logMAR or better was achieved by 100% of eyes. 62.5% achieved near visual acuity of N10 or better.

Conclusions

Vivity intraocular lens implantation provides consistent distance and intermediate visual acuity across a range of target refractions. Myopic targeting used for mini-monovision appropriately exchanges distance acuity for improved near performance, supporting refractive targeting to meet required visual needs.