Objective Visual Acuity Outcomes Following Puresee Intraocular Lens Implantation By Target Refraction

Published 2026 - 44th Congress of the ESCRS

Reference: PP12.08 | Type: Free paper | DOI: 10.82333/s833-xy10

Authors: Prof. Mohammed Muhtaseb* ¹ , Dr Amber Khattak ²

¹Sulaymaniyah University,Sulaymaniyah,Iraq;iLase Private Practice,Cardiff,United Kingdom;Hebron University,Hebron,Palestinian, State of, ²iLase Private Practice,Cardiff,United Kingdom

Purpose

To assess objective unaided visual acuity outcomes following PureSee presbyopia-correcting intraocular lens implantation, stratified by target refraction, and to evaluate the impact of myopic targeting used for functional mini-monovision.

Setting

The study was conducted retrospectively in a private single-surgeon ophthalmology practice in South Wales, United Kingdom.

Methods

A retrospective analysis was conducted of 127 patients undergoing cataract surgery with implantation of the PureSee increased range of focus intraocular lens (DEN00V, DETxxx). 44% of the cases had guarded prognosis. Outcomes were stratified by target refraction: emmetropia (−0.30D to +0.30D) and slight myopia (−0.31D to −0.75D). Unaided distance, intermediate, and near visual acuity outcomes were analysed using cumulative threshold distributions.

Results

78.2% of the emmetropic target group achieved an uncorrected distance visual acuity of 6/9 or better, increasing to 92.1% achieving 6/12 or better. Intermediate visual acuity outcomes showed that 80.2% achieved 0.3 logMAR or better. For near vision, 52.5% achieved N10 or better.

In eyes targeted for slight myopia, 63.6% achieved an unaided distant visual acuity of 6/9 or better. Intermediate visual acuity outcomes demonstrated that 77.3% achieved 0.3 logMAR or better. Near visual acuity outcomes showed that 72.7% achieved N10 or better.

Conclusions

PureSee intraocular lens implantation delivers good distance and intermediate visual acuity, with predictable improvements in near vision when slight myopic targets are used. These findings support the use of mild mini-monovision strategies to enhance near performance with functional distant vision.