Visual And Photic Performance Outcomes Of Two Premium Intraocular Lenses: Alcon Clareon Panoptix Vs Rayner Rayone Galaxy
Published 2026 - 44th Congress of the ESCRS
Reference: FP17.02 | Type: Free paper | DOI: 10.82333/etvq-td52
Authors: A/Prof. Antti Viljanen* 1 , Dr Kaisu Jarvinen 2 , Dr Joonas Wirkkala 3
1Silmaasema Sairaala OY,Turku,Finland, 2Silmaasema Sairaala OY,Helsinki,Finland, 3Silmaasema Sairaala OY,Oulu,Finland
Purpose
To evaluate postoperative visual acuity and patient-reported photic phenomena following implantation of the Clareon PanOptix (CNWTT0, Alcon) trifocal IOL or the RayOne Galaxy (RAO605G, Rayner) spiral IOL. Outcomes are reported at 1 month postoperatively after uneventful cataract surgery or refractive lens exchange. Toric IOL was implanted when applicable.
Setting
Multicenter observational follow-up study conducted at three Silmaasema Silmasairaala Eye Hospitals in Finland.
Methods
This observational study included 243 eyes from 124 patients undergoing implantation with either PanOptix (119 eyes/60 patients) or Galaxy (124 eyes/64 patients) IOL. Postoperative evaluation was conducted 1 month after surgery. Primary outcome measures were binocular uncorrected distance (UDVA 6m), intermediate (UIVA 63cm) and near (UNVA 40cm) visual acuity, recorded in logMAR using ETDRS charts. Photic phenomena were assessed using in-house questionnaire graded on a scale of 1 to 10.
Results
At 1 month, binocular UDVA was comparable between groups (logMAR 0.02 Panoptix vs -0.02 Galaxy; p=0.38), as was UIVA at 63 cm (-0.04 vs 0.01; p=0.10). UNVA at 40 cm was significantly better in the PanOptix group (0.01 vs 0.10; p<0.0002). Both groups were similar in age (61 vs 60 years) and sex (57% vs 48% female). Patient-reported quality of distance (9.0 vs 9.0), intermediate (8.7 vs 7.8), near (8.4 vs 7.9), low-light vision (7.8 vs 7.5) and light scattering (7.3 vs 7.4) were high in both groups, with no statistically significant differences (all p>0.05).
Conclusions
Both IOLs provided excellent visual outcomes and high patient-reported satisfaction at 1 month postoperatively. Distance and intermediate visual acuity were comparable between both groups, while near visual acuity at 40 cm was significantly higher with PanOptix. Patient-reported quality of vision across distances and under low-light conditions was high for both IOLs, with no significant differences in perceived light scattering. These findings reflect early postoperative outcomes. Further studies are needed to determine the stability of visual performance and the potential influence of neuroadaptation on subjective experience.