Clinical Outcomes Of Enhanced Monofocal, Extended Depth Of Focus, And Multifocal Iols After Corneal Refractive Surgery
Published 2026 - 44th Congress of the ESCRS
Reference: FP17.14 | Type: Free paper | DOI: 10.82333/tqfx-rj93
Authors: Dr Jiyoung Emily Lee* 1 , Prof. Dr Hyun Seung Kim 2 , Prof. Dr Eun Chul Kim 1
1Department of Ophthalmology,Bucheon St. Mary's Hospital, College of Medicine,Bucheon si,Korea, Republic Of, 2Department of Ophthalmology,Seoul St. Mary's Hospital, College of Medicine,Seoul,Korea, Republic Of
Purpose
To compare the clinical outcomes of three presbyopia-correcting intraocular lenses (IOLs) (enhanced monofocal: Eyhance, extended depth of focus (EDOF): PureSee, and multifocal IOL: Synergy) after corneal refractive surgery.
Setting
Bucheon St. Mary's Hospital, The Catholic University of Korea
Methods
90 eyes (45 patients; multifocal IOL: Synergy– group 1, n= 30, enhanced monofocal: Eyhance– group 2, n= 30, EDOF: PureSee - group 3, n= 30) who underwent cataract surgery were enrolled. Uncorrected and corrected near (UNVA, CNVA), intermediate (UIVA, CIVA), and distant (UDVA, CDVA) visual acuity, manifest refraction spherical equivalent (MRSE), and satisfaction score were evaluated before and after surgery.
Results
The postoperative UCVA, CDVA, UIVA, UNVA, and MRSE of the three groups were better than the preoperative data, respectively (P<0.05). There was no statistical difference in postoperative UCVA, CDVA, UIVA, or MRSE among the three groups (P > 0.05). The postoperative UNVA of group 1 (0.03 ± 0.01 logMAR) was significantly better than those of groups 2 and 3 (0.33 ± 0.01, 0.25 ± 0.01, respectively) (P<0.05). And the postoperative UNVA of group 3 was also significantly better than that of group 2 (P<0.05). Mean absolute error (D) of Barrett True-K was smaller than that of Haigis-L (44%) formula among three groups, respectively (P<0.05).
Conclusions
The multifocal IOL showed better uncorrected near vision compared with the EDOF and the enhanced monofocal IOL after corneal refractive surgery. Barrett True-K was more accurate than Haigis-L formula after corneal refractive surgery.