ESCRS - POCAT405 - Preliminary Clinical Outcomes With A Non-Diffractive Full-Range Intraocular Lens For Presbyopia Correction

Preliminary Clinical Outcomes With A Non-Diffractive Full-Range Intraocular Lens For Presbyopia Correction

Published 2026 - 44th Congress of the ESCRS

Reference: POCAT405 | Type: Free paper | DOI: 10.82333/mat3-bb61

Authors: Dr Santiago Tañá-Sanz* 1 , Dr Antonio Cano-Ortiz 2 , Dr Álvaro Sanchez-Ventosa 2 , Dr Pedro Tañá-Sanz 1 , Dr Marta Villalba-Gonzalez 2 , Dr Alberto Villarrubia-Cuadrado 2 , Dr Pedro Tañá-Rivero 1

1Oftalvist,Alicante,Spain, 2Hospital La Arruzafa,Córdoba,Spain

Purpose

To evaluate preliminary monocular visual and refractive outcomes of a novel non-diffractive full-range intraocular lens (Asqelio™ PairedFocus™) for presbyopia correction, using the contralateral Asqelio™ EDOF intraocular lens as an intraindividual control.

Setting

OftalVist Alicante, Alicante, and Hospital La Arruzafa, Cordoba (Spain).

Methods

This prospective pilot study included 15 patients undergoing bilateral cataract surgery or refractive lens exchange. Each patient received an Asqelio™ PairedFocus™ intraocular lens in one eye and an Asqelio™ EDOF intraocular lens in the fellow eye. Preoperative demographic, biometric, and refractive parameters were comparable between eyes. Monocular uncorrected and distance-corrected visual acuity at distance (4 m), intermediate (67 cm), and near (40 cm), manifest refraction, and monocular defocus curves were evaluated three months postoperatively. Functional vision was defined as visual acuity ≤0.20 logMAR.

Results

At three months postoperatively, monocular uncorrected and corrected distance visual acuity with the PairedFocus IOL was comparable to the EDOF control lens. Defocus curve analysis showed similar performance at distance and low negative vergences for both lenses. However, the PairedFocus IOL extended the range of functional monocular vision toward near distances, maintaining visual acuity ≤0.20 logMAR up to approximately −3.0 D of defocus, whereas the EDOF lens showed a more rapid decline beyond intermediate vergences. Refractive predictability was high, with a mean residual spherical equivalent of 0.10 ± 0.31 D and a mean residual cylinder of −0.31 ± 0.35 D. No unexpected adverse events were observed.

Conclusions

In this preliminary fellow-eye comparison, the non-diffractive Asqelio™ PairedFocus™ intraocular lens maintained distance visual performance comparable to a standard EDOF lens while extending functional monocular vision toward near vergences of approximately −3.0 D. These findings support the PairedFocus concept as a promising approach for full-range presbyopia correction.