Preliminary Clinical Outcomes In Presbyopia Surgery Of A Purely Refractive Full Range Of Field Continuous Intraocular Lens With Optical Profile Combining 4Th And 6Th Order Spherical Aberrations Of Opposite Signs
Published 2026 - 44th Congress of the ESCRS
Reference: POCAT466 | Type: Free paper | DOI: 10.82333/6zam-kh45
Authors: A/Prof. Alfonso Arias- Puente* 1 , Dr Jose L Rincon 2 , Dr Ruben Meyer-Schell 2 , Mrs Lucia Infestas 2 , Mr Pedro Ruiz-Forte 3 , A/Prof. David P Piñero 4
1OPHTHALMOLOGY,REY JUAN CARLOS UNIVERSITY,MADRID,Spain, 2OPHTHALMOLOGY,Vithas International University Hospital,MADRID,Spain, 3OPHTHALMOLOGY,Vithas International University Hospital,Alicante,Spain, 4Optics, Pharmacology and Anatomy,Universidad de Alicante,Alicante,Spain
Purpose
To evaluate the preliminary clinical outcomes of a Purely Refractive Full Range of Field Intraocular Lens with optical profile that combines spherical aberrations of the 4th and 6th order of opposite signs in presbyopia surgery
Setting
Department of Ophthalmology. Vithas International University Hospital. Madrid-Alicante Spain
Methods
A prospective, multicenter, longitudinal, observational, and non-comparative study were performed including a total of 12 patients with mean age 63,34 ± 7,26 years old (r 51-77) All cases underwent uncomplicated cataract surgery with intraocular lens implant of LuxLife® IOL (Bausch&Lomb). Visual acuity was assessed 3 months post-surgery, including corrected and uncorrected visual acuity for far ((UDVA, CDVA), intermediate (UIVA, DCIVA), and near (UNAV, DCNVA) distances, photopic and mesopic achromatic contrast sensitivity (CS) (CSV-1000 test), halos and glare (Eyeland Design Network GmbH®), improvement in quality of life, satisfaction rates, and spectacle independence.
Results
At 3 month follow-up visual acuity results were: binocular CDVA 0.05 ± 0,05 logMAR , DCIVA 0.10 ± 0,10 logMAR , and DCNVA 0,07 ± 0,07 logMAR. The defocus curve obtained demonstrate a continous visual acuity profile maintaining ≤ 0.2 logMAR through different focal distances at least 2,3 diopters of defocus. Regarding distance CS at 3,6,12,18 cycles/degree in photopic CS were 6 ± 1,21, 8,02 ± 0,76, 5,60 ± 1,28, 2,82 ± 1,08 and in mesopic CS 6,35 ± 1,43, 6,20 ± 1,23, 7,07 ± 1,65, 2.15 ± 1,29 respectively. Halometry showed a halo size less than 50 in all cases, except for one patient who complained of halos and difficulty driving at night. Spectacle independence was achieved in 10 patients and 2 patients occasionally use glasses for reading.
Conclusions
These preliminary results suggest that this purelly refractive FRoF IOL evaluated could achieve functional levels of visual acuity for far, intermediate and near distances with a continous defocus curve profile, minimal impact on contrast sensitivity and spectacle independence. The limitations of the study are the small number of cases and the follow-up time. Further studies are needed to corroborate these preliminary conclusions.