Blended Vision With A Newly Introduced Edof Iol
Published 2026 - 44th Congress of the ESCRS
Reference: POCAT394 | Type: Poster | DOI: 10.82333/n9rk-qr74
Authors: Dr Amr Saad* 1 , Dr Hakan Kaymak 1 , Dr Karsten Klabe 1 , Mücella Kirca 1 , Dr Lena Beckers 2 , Dr David Beckers 2 , Dr Florian T.A. Kretz 2 , Prof. Gerd U. Auffarth 3 , Dr Detlev R.H. Breyer 1
1Breyer Kaymak Klabe Augenchirurgie,Düsseldorf,Germany, 2Precise Vision Augenärzte,Rheine,Germany, 3Ophthalmology,Heidelberg University Hospital,Heidelberg,Germany
Purpose
The purpose of this quality management is to assess the visual outcome and satisfaction of patients implanted with AcrySof Vivity (Alcon) IOL in a blended vision mode.
Setting
All surgeries were / will be performed at the Breyer-Kaymak-Klabe Eye Surgery and Premium Eyes in Duesseldorf, Germany, member of the International Vision Correction Research Center (IVCRC.net) by one single surgeon (Breyer).
Methods
In all eyes (n=40), an enhanced depth of focus (EDoF) IOL (AcrySof Vivity, Alcon) was implanted. We retrospectively analyzed the blended vision effect with this minimal diffractive EDoF IOL. The target refraction was emmetropia in the dominant eye and -1.5 D in the non-dominant eye.
We assessed subjective refraction and binocular defocus capacity after 3 months postoperatively. Patient-reported satisfaction and quality of life were evaluated using the Quality of Life of Refractive Correction (QIRC) questionnaire.
Results
The new EDoF IOL allows unimpaired seeing at distance. Intermediate vision is better than with monofocal IOL. Moreover, newspaper and letterpress reading are also possible. The blended vision effect showed binocularly reading books and newspaper print beside the vision in PC distance and for far.
The QIRC evaluation demonstrated a subjective improvement in overall quality of life, including increased confidence and satisfaction, facilitation of daily activities, and enhanced motivation for visual tasks. Importantly, photic phenomena such as halos, glare, and tired eyes were reported as minimal or not bothersome in the majority of patients. However, reading very small print remained limited in some cases.
Conclusions
AcrySof Vivity blended vision is a very interesting alternative to diffractive multifocal IOL, if patients do not accept photopic phenomena, but want to work at PC distance and read a book or newspaper without reading glasses. The QIRC results confirm high patient satisfaction and improved vision-related quality of life, with low perceived side-effect burden. Nevertheless, full independence for very small print cannot always be achieved.