Long-Term Visual Function Of Glaucomatous Eyes Implanted With A Diffractive Extended Depth-Of-Field Intraocular Lens Compared With Normal Eyes

To retrospectively evaluate the long-term visual function of glaucomatous eyes implanted with an extended depth-of-field intraocular lens (EDOF IOL) compared with normal eyes implanted with an EDOF IOL.

Department of Ophthalmology, Tokyo Dental College Suidobashi Hospital.

This retrospective study included eyes with primary open-angle glaucoma (Group G) and normal eyes (Group N), all of which were implanted with EDOF IOLs (ZXR00V, ZXW150–375; Johnson & Johnson). Eyes with corrected distance visual acuity (CDVA) ≤ 0.8 (decimal), posterior capsule opacification, corneal or retinal disease, or a history of refractive or filtration surgery were excluded. Uncorrected visual acuity (UCVA), CDVA, and photopic and mesopic contrast sensitivity with and without glare (CSV-1000) were measured.

Group G consisted of 20 eyes of 20 patients (mean age, 69.8 ± 10.1 years; postoperative period, 1.5–7.3 years). The mean deviation and foveal threshold on the Humphrey Field Analyzer 30-2 were −5.0 ± 5.2 (range, +0.2 to −16.6) dB and 34.7 ± 1.8 (range, 31.0 to 38.0) dB. Group N comprised 19 eyes of 19 patients (mean age, 66.6 ± 13.6 years; postoperative period, 1.6–7.8 years; p = 0.62 and 0.15, respectively). There were no significant differences in UCVA or CDVA between the groups (p = 0.38 and 0.45). Contrast sensitivity did not differ significantly between the groups at any spatial frequency (p ≥ 0.05).

In the long-term postoperative period, visual function in glaucomatous eyes implanted with EDOF IOLs was comparable to that in normal eyes.