ESCRS - PO184 - Visual Disturbances Produced After The Implantation Of Three Extended-Depth-Of-Focus Intraocular Lenses Versus One Monofocal Lens

Visual Disturbances Produced After The Implantation Of Three Extended-Depth-Of-Focus Intraocular Lenses Versus One Monofocal Lens

Published 2022 - 40th Congress of the ESCRS

Reference: PO184 | Type: Free paper | DOI: 10.82333/nhsm-9b41

Authors: MERCÈ GUARRO* 1 , IDOIA GONI 2 , GABRIEL LONDONO 1 , ANNA GONI 2 , LAURA SARAROLS 1 , MERITXELL VAZQUEZ 2 , ANNA DAVINS 2

1VALLES OPHTHALMOLOGY RESEARCH - OMIQ,BARCELONA,Spain;HOSPITAL GENERAL DE GRANOLLERS,GRANOLLERS,Spain, 2VALLES OPHTHALMOLOGY RESEARCH - OMIQ,BARCELONA,Spain

Purpose

To compare the visual disturbances experienced by patients receiving one of

three extended depth of focus IOLs or a monofocal IOL as the control.

Setting

OMIQ Institute of Ophthalmology -Vallès Ophthalmolgoy Research. Barcelona.

Methods

Prospective, comparative, randomized double-blind study. 22 patients were included per group. The lenses evaluated were the AcrySof

IQ Vivity® (Group Vivity), AT LARA 829MO® (Group AT Lara) or TECNIS® Symfony

ZXR00 (Group Symfony), and the monofocal lens Acrysof IQ® SN60WF (Group

Monofocal). The variables analyzed were the light distortion index (LDI), best-fit circle

radius (BFCRad) and self-reported vision quality with a questionnaire (QoV). Outcomes

were evaluated at the 3 month follow up visit.

Results

Under monocular conditions, no differences between groups were detected

for the LDI and BFCRad. Under binocular conditions, significant differences in both

variables were produced. Monofocal group reported better values than Symfony® (p=

0.025; p=0.024) and AT Lara® (p=0.002; p=0.002) groups. Vivity® group reported

better values than Symfony® (p=0.015; p=0.014) and AT Lara® (p=0.001; p=0.001)

groups. Halos were never reported by 81.8% (18) of patients receiving the Vivity® IOL

and neither were halos noted by over 90% (20) of patients implanted with the

monofocal lens, while 50% (11) of patients fitted with AT Lara® and around 60% (13)

of those with Symfony® did not perceive them.

Conclusions

The diffractive extended depth of focus IOL models examined in this

study induced similar visual disturbances, which were nevertheless worse than those

produced by the non-diffractive extended-range model and the monofocal one. The

non-diffractive lens and the monofocal one, did not show differences.