Visual And Microperimetric Outcomes After Eyemax Mono (Emv) Intraocular Lens Implantation In Eyes With Age-Related Macular Degeneration: A Case Series

To describe visual and functional retinal outcomes assessed by microperimetry after implantation of the EyeMax Mono extended macular vision (EMV) intraocular lens (IOL) in eyes with age-related macular degeneration (AMD).

Single-center retrospective case series conducted at a private ophthalmology clinic in Italy.

This retrospective case reports included three patients (four eyes) with dry or exudative AMD who underwent cataract surgery with EMV IOL implantation. Pre- and postoperative assessments included corrected distance visual acuity (CDVA), near visual acuity, and microperimetry. Microperimetry was analyzed descriptively, focusing on changes in threshold sensitivity and fixation stability, with fixation stability assessed using the bivariate contour ellipse area (BCEA).

Four eyes from three patients (mean age 81 years) were analyzed, including three eyes with dry AMD and one eye with exudative AMD. Preoperative distance visual acuity ranged from 2.5/10 to 4/10. Postoperatively, distance visual acuity improved in three eyes, while one eye with dry AMD showed no meaningful improvement (2/10 to 1/10). Near visual acuity improved in two eyes, remained unchanged in one eye, and worsened in one eye. On microperimetry, two eyes demonstrated increased threshold sensitivity, whereas two eyes showed reduced sensitivity at follow-up. Based on BCEA, fixation stability improved in one eye, remained stable with clustered fixation in two eyes, and remained unstable with scattered fixation in one eye with exudative AMD.

Implantation of the EyeMax Mono (EMV) IOL in eyes with AMD was associated with variable visual and microperimetric outcomes in this small case reports. Most eyes showed improvement in distance visual acuity, while functional retinal measures demonstrated heterogeneous changes in sensitivity and fixation stability. These findings suggest that EMV IOL implantation may provide visual benefit in selected AMD patients, although functional retinal responses are inconsistent and likely depend on underlying macular status. Larger, prospective studies are warranted to better define patient selection and functional outcomes.