Comparison Of Visual Performance Among Two Multifocal-Extended Depth-Of-Focus Intraocular Lens Types And A Trifocal Intraocular Lens

To compare the visual performance of a new multifocal-extended depth-of-focus (EDOF) intraocular lens (IOL: Odyssey™, Johnson & Johnson) with that of an earlier multifocal-EDOF IOL (Synergy™, Johnson & Johnson) and a trifocal IOL (PanOptix™, Alcon).

Hayashi Eye Hospital, Fukuoka, Japan.

Ninety eyes of 90 patients who received one of two types of multifocal-EDOF IOLs or a trifocal IOL were enrolled.  Uncorrected and distance-corrected visual acuity (VA) at various distances, photopic and mesopic contrast VA, and degree of photic symptoms were evaluated at 3 months postoperatively and compared among groups.

Mean uncorrected far and intermediate VAs from ∞ to 1.0 m were generally better in the odyssey group than in the other groups (P≤.046), but uncorrected near VA at 0.3 m and intermediate VA at 0.5 m were worse (P≤.028).  Mean distance-corrected far and intermediate VAs from ∞ to 1.0 m, however, did not differ significantly among groups, and near VA and intermediate VA at 0.5 and 0.7 m were significantly worse, however, in the Odyssey group than in the other groups (P≤.018).  Mean mesopic contrast VA at 10% contrast and and glare size were significantly better in the Odyssey group than in the other groups (P≤.040).

The Odyssey provided better uncorrected far and intermediate VAs from ∞ to 1.0 m than the other IOLs despite no significant difference in distance-corrected VA.  However, it showed worse uncorrected and distance-corrected near VA and intermediate VAs at 0.5 m, suggesting that the Odyssey has far-dominant properties and greater tolerance to refractive errors.