ESCRS - POCAT374 - Comparative Analysis Of Visual Outcomes After Refractive Lens Exchange Using Minimonovision Either With Artiol® Or Acrysof Iq Vivity®: A Pilot Study

Comparative Analysis Of Visual Outcomes After Refractive Lens Exchange Using Minimonovision Either With Artiol® Or Acrysof Iq Vivity®: A Pilot Study

Published 2026 - 44th Congress of the ESCRS

Reference: POCAT374 | Type: Poster | DOI: 10.82333/b4r0-ae95

Authors: Dr Anke Messerschmidt-Roth 1 , Mr Karsten Pfeiffer* 1 , Mrs Alexandra Stein 1 , A/Prof. Walter Sekundo 1

1Department of Ophthalmology,Philipps-University,Marburg,Germany

Purpose

The aim of this pilot study was to compare visual outcomes at least three months after refractive lens exchange (RLE) with ArtIOL® and AcrySof IQ Vivity® intraocular lenses using a mini-monovision strategy.

Setting

University Hospital Gießen and Marburg, Marburg, Germany

Methods

This retrospective, non-randomised, monocentric study analysed the efficacy and safety of combined implantation of ArtIOL® 40 and ArtIOL® 70 (Voptica, SL, Spain) and AcrySof IQ Vivity® (Alcon Deutschland GmbH). A total of 10 patients were included in each group. The patients were identified from the clinic's own patient population on the basis of surgical reports. Follow-up examinations were performed at least three months postoperatively and included refraction and monocular and binocular visual acuity at distance, intermediate and near.

Results

Preoperative spherical equivalent  was +1.45 ± 0.70 D in the ArtIOL® group and +0.23 ± 1.41 D in the AcrySof IQ Vivity® group. Preoperatively, CDVA was 20/20 or better in 90% of eyes in both groups. At 3 months, 75% of ArtIOLs® eyes were within ±0.50 D and 100% within ±1.00 D of the refractive target. Binocular UDVA was 20/20 or better in 90% and at least 20/25 in all patients. Binocular UIVA was  ≥20/25 in 90% and UNVA was 20/20 in 80% and ≥20/25 in 90%, . In the Vivity® group, 70% achieved UDVA 20/20 and 90% ≥20/25. Binocular UIVA ≥20/25 in 90% and  UNVA was 20/20 in 50% and ≥20/25 in 80%. All Vivity® eyes were  within ±0.50 D of refractive target.

Conclusions

The implantation of both IOLs showed a high degree of spectacle independance. While the ArtIOL® showed slightly better visual results than AcrySof IQ Vivity®the number of cases is too small for a statistical comparison. Hence, a larger prospective study should be planned.