A Comparative Study of Two Extended Depth of Focus Intraocular Lenses

Song, Mi Kyoung; Kang, Kyoung Hae; Lee, Hun; Kim, Tae Im; Koh, Kyungmin

doi:10.1097/icl.0000000000000931

Cited by 6 publications

(2 citation statements)

References 35 publications

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“…The results of our study also showed that both Symfony ® and Synergy ® had better visual outcomes compared to those in previous studies for intermediate vision, with Symfony ® showing slightly better visual outcomes than Synergy ® without statistical significance [26]. Previous studies have reported UNVA values in the range of 0.27 ± 0.11 to 0.41 ± 0.09 [9,27,28] for Symfony ® and 0.04 ± 0.09 to 0.10 ± 0.07 for Synergy ® [17,22]. CNVA values were reported in the range of 0.33 ± 0.11 to 0.16 ± 0.15 for Symfony ® [18,23,25] and 0.03 ± 0.11 to 0.00 ± 0.03 for Synergy ® [8,18].…”

Section: Discussionsupporting

confidence: 72%

Comparative Evaluation of Visual Performance and Patient Satisfaction following Cataract Surgery: A Retrospective Analysis of an Extended Depth-of-Focus Intraocular Lens and a Diffractive Multifocal Lens with Extended Depth of Focus

Han,

Lee

2023

JCM

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(1) Background: Cataract surgery has evolved significantly with the development of multifocal and extended depth-of-focus intraocular lenses (IOLs), driven by increasing patient desire for spectacle independence. (2) Methods: This retrospective, single-center study conducted on 86 eyes from 59 patients aged 40–80 years compared the performance and patient satisfaction of Symfony® and Synergy® (Johnson & Johnson Vision) IOLs during a follow-up of 1 year postsurgery. Uncorrected and corrected distance, intermediate, and near visual acuities were assessed (UDVA, CDVA, UIVA, CIVA, UNVA, and CNVA, respectively). (3) Results: Although both IOLs demonstrated a commendable distance VA, Synergy® outperformed in near VA (UNVA, p = 0.040; CNVA, p = 0.014), and Symfony® slightly excelled in intermediate VA (UIVA, p = 0.014; CIVA, p = 0.040). The defocus curve of Synergy® maintained a higher VA even at −4 D with a smoother curve and a broad landing zone. Although the optical quality assessments were similar, Symfony® had a nonsignificant edge. Patients indicated higher satisfaction and reduced reliance on spectacles with Synergy® despite more frequent reports of glare and halos. (4) Conclusions: These findings highlight the importance of personalized IOL selection in cataract surgery, which must be customized to apply the distinctive advantages of each IOL to address the unique visual requirements and lifestyle of patients.

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Section: Discussionsupporting

confidence: 72%

Comparative Evaluation of Visual Performance and Patient Satisfaction following Cataract Surgery: A Retrospective Analysis of an Extended Depth-of-Focus Intraocular Lens and a Diffractive Multifocal Lens with Extended Depth of Focus

Han,

Lee

2023

JCM

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“…Previous studies [ 2 , 22 , 24 , 25 , 26 ] have also demonstrated the effect of mini-monovision with a non-diffractive EDOF, Vivity IOL. While some recent studies have compared the bilateral implantation of the Vivity IOL with emmetropia and trifocal IOL, other types of EDOF IOL, or Monofocal IOL [ 12 , 27 , 28 , 29 , 30 , 31 , 32 ], our study compared the clinical outcomes of the Vivity IOL with mini-monovision trifocal and monofocal IOLs. This study showed that the bilateral implantation of a Vivity IOL with mini-monovision was beneficial for near- and intermediate-vision, with high patient satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Clinical Outcomes after Bilateral Implantation of a Wavefront-Shaping Extended Depth of Focus (EDOF) IOL with Mini-Monovision

Won,

Choi,

Chung

et al. 2024

JCM

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Background: To compare the visual outcomes and optical quality of patients who underwent bilateral implantation of EDOF (AcrySof® IQ Vivity IOL, DFT015) for mini-monovision, trifocal (AcrySof® IQ PanOptix, TNFT00), or monofocal (AcrySof® IQ IOL, SN60WF) IOL. Methods: The monocular-corrected and uncorrected distance visual acuities (CDVA and UDVA, respectively) were evaluated postoperatively at 1 and 3 months. The binocular visual acuity by distance, the binocular defocus curve, contrast sensitivity, and patient satisfaction were examined 3 months postoperatively. All patients were asked to complete questionnaires regarding their satisfaction, visual symptoms, and spectacle dependency. Results: This study included 178 eyes from 89 patients. The postoperative binocular UDVA did not differ significantly among the three groups. In the defocus curve, the Vivity group showed better visual acuity over a range of far and intermediate (60 cm) than the other two IOLs groups. In near-vision, the PanOptix group showed the best near-vision, and the Vivity group showed significantly better vision than the IQ group. The Vivity group showed contrast sensitivity and optical quality comparable to the IQ group. Conclusions: The bilateral implantation of AcrySof® IQ Vivity IOL with the mini-monovision approach provided excellent distance and intermediate visual acuity with good near-vision, resulting in high satisfaction.

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