ESCRS - PO141 - Patient Satisfaction, Spectacle Independence And Visual Disturbances Reported By Patients After Implantation Of An Enhanced Monofocal Iol Using Different Target Refractions

Patient Satisfaction, Spectacle Independence And Visual Disturbances Reported By Patients After Implantation Of An Enhanced Monofocal Iol Using Different Target Refractions

Published 2022 - 40th Congress of the ESCRS

Reference: PO141 | Type: Free paper | DOI: 10.82333/51cd-h512

Authors: Helga P. Sandoval* 1 , Richard Potvin 2 , Kerry Solomon 1

1Carolina Eyecare Physicians, LLC - US EYE,Mt. Pleasant,United States, 2Science in Vision,Bend,United States

Purpose

The objective of this study is to evaluate the spectacle independence, patient satisfaction and visual disturbances reported by patients bilaterally implanted with an enhanced monofocal intraocular lens (IOL) when both eyes are targeted for emmetropia and when the non-dominant eye is targeted for mini monovision (-0.75 D) after routine cataract surgery. 

Setting

Carolina Eyecare Physicians, Mt. Pleasant, SC, USA

Methods

Prospective, randomized, patient-masked study that includes 74 patients undergoing bilateral cataract surgery with implantation of a monofocal IOL (Eyhance). Patients are randomly assigned to either group A, target refraction plano OU or group B, dominant eye target refraction plano and non-dominant eye -0.75D (mini monovision). Postoperatively at month 3, patient satisfaction, spectacle independence and visual disturbances are evaluated using 3 questionnaires. Statistical analysis comparing both groups is done. A P-value < .05 is considered statistically significant.

Results

A total of 19 patients (8 in group B) have completed the 3 months visit. Drawing statistical conclusions is made difficult due to these numbers; however, qualitative observations are possible. Subjects in group B reported needing glasses for near work less often and reported greater satisfaction with near vision.  The presence of halos was reported more frequently in group A while starburst and glare frequency was similar between the 2 groups. Light sensitivity was reported more frequently in group B. The quality of life was similarly reported “to be lot better” in both groups.

Conclusions

Aiming the non-dominant eye for slight monovision (-0.75D) when using this enhanced monofocal IOL may reduce the need to wear glasses for near activities, improve overall patient satisfaction and quality of life, with only nominal changes to the frequency and/or degree of bother of visual disturbances.