Clinical Outcomes of a New Non-Diffractive Extended Depth-of-Focus Intraocular Lens Targeted for Mini-Monovision

Tomagova, Nikola; Elahi, Shan; Vandekerckhove, Kristof

doi:10.2147/opth.s405267

Cited by 10 publications

(12 citation statements)

References 32 publications

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“…Bernabeu-Arias et al 7 found a range from +0.75D to −1.50D in the binocular defocus curve for 0.2 logMAR. Tomagova et al 8 found a higher range, varying from +0.90D to −1.60D in their binocular defocus curve (note that this sample considered mini-monovision eyes), and Lesieur and Dupeyre 9 obtained a range from +0.75D to −1.25 in their monocular defocus curve. Considering our outcomes and those found by other studies, we believe that patients implanted with this lens show an acceptable visual acuity from distance up to 67 cm.…”

Section: Discussionmentioning

confidence: 80%

“…In our study, these percentages were better: 100%, 80%, 67.7% and 58.5%, respectively (see Figures 2–4 ). Tomagova et al 8 using mini-monovision found 77% of patients with binocular UDVA of ≥20/20, 58% of patients with binocular UIVA ≥20/25 and 51% of patients with binocular UNVA ≥20/40. They also indicated that on monocular testing, 84% and 98% of eyes had a CDVA ≥20/20 and ≥20/25, respectively, showing the safety of the Isopure lens.…”

Section: Discussionmentioning

confidence: 99%

“…This lens is an effective option for providing functional intermediate vision and correcting aphakia. Tomagova et al (2023) 8 * 124 (62) 1–2 None Retrospective Isopure IOL provided an extended range of functional vision (up to 63 cm) resulting in useful UNVA, good UIVA, and excellent UDVA. Subjective patient satisfaction in terms of spectacle independence and photic phenomena was high.…”

Section: Discussionmentioning

confidence: 99%

“…Bernabeu-Arias et al 7 found similar outcomes with 95.7% of eyes having a target SE within ±1.00 D and 73.2% of eyes within ±0.50 D, being the mean postoperative SE −0.12 ± 0.42 D (range from 1.13 to −1.50 D). Tomagova et al 8 targeted their patients for mini-monovision of −0.50 D in the nondominant eye and emmetropia in the dominant eye and found that the mean SE was −0.15 ± 0.41D and −0.46 ± 0.35D, respectively. Lesieur and Dupeyre 9 found a mean SE of −0.06 ± 0.32D for the Isopure, −0.51 ±0.28D for the Synthesis+ and 0.11 ±0.31D for the Lucidis IOLs.…”

Section: Discussionmentioning

confidence: 99%

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Prospective Randomized Single-Masked Study of Bilateral Isofocal Optic-Design or Monofocal Intraocular Lenses

Ang¹,

Stodůlka²,

Poyales³

2023

OPTH

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Purpose To assess refractive and visual outcomes of bilateral implantation of an isofocal optic-design intraocular lens (IOL) or a monofocal IOL following cataract surgery. Methods A total of 127 patients were recruited into a prospective, single-masked, randomized trial. Sixty-five patients bilaterally implanted with the Isopure Isofocal IOL and 62 patients with the Micropure Monofocal IOL were followed for 4–6 months. Refraction, monocular and binocular uncorrected-distance-visual acuity, corrected-distance-visual acuity (CDVA), uncorrected-intermediate-visual acuity and distance-corrected-intermediate-visual acuity (DCIVA, 66/80 cm), uncorrected-near-visual acuity, and distance-corrected-near-visual acuity (DCNVA, 40 cm) were evaluated. Binocular defocus curve, binocular contrast sensitivity (photopic, mesopic with/without glare), and glare and halo phenomena were also measured. Results 99.23% of eyes were within ±1.00D and 84.62% of eyes within ±0.50D for the Isopure patients and 98.39% and 82.26% for the Micropure patients, respectively. The mean spherical-equivalent was −0.06 ± 0.36D and 0.10 ± 0.32D for the Isopure and Micropure patients, respectively. 98.5% and 100% of patients implanted with the Isopure and Micropure IOLs showed a cumulative binocular CDVA value ≥20/20, respectively. 80% and 67.70% of patients implanted with the Isopure presented a binocular DCIVA ≥20/25 at 80 and 66 cm, respectively. These percentages were 46.8% and 40.3% with the Micropure IOL, respectively. For Isopure, 7.7%, 30.8%, and 58.5% of patients presented a DCNVA ≥20/25, ≥20/32 and ≥20/40, respectively. These values were lower for the Micropure: 1.6%, 19.4% and 46.8%, respectively. Defocus curves showed similar good visual acuity at distance for both lenses with better intermediate vision for the Isopure. Both groups presented good contrast sensitivity, and the size and intensity of halo and glare phenomena were similar between the two. No adverse-events were reported. Conclusion Our trial shows that both IOLs provide excellent visual acuity and contrast sensitivity for far vision with similar photic phenomena, and the Isopure IOL improved unaided intermediate vision performance.

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Prospective Randomized Single-Masked Study of Bilateral Isofocal Optic-Design or Monofocal Intraocular Lenses

Ang¹,

Stodůlka²,

Poyales³

2023

OPTH

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“…Table 3 shows the visual outcomes of LuxSmart IOL, Vivity IOL, as well as a number of EDOF IOLs of different designs. 11 , 19 , 21 – 28 …”

Section: Discussionmentioning

confidence: 99%

Evaluation of extended depth-of-focus hydrophobic intraocular lens with an optic concept based on combination of high-order aberrations

Stodulka,

Pracharova

2023

Ophthalmol Eye Dis

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Background: Extended depth-of-focus (EDOF) intraocular lenses (IOLs) provide a continuous range of uncorrected vision at different distances. Objective: To assess visual acuity, refractive outcomes, and patient satisfaction after cataract surgery using the LuxSmart EDOF IOL (Bausch+Lomb). Design: A two-center, prospective observational clinical study. Methods: This study includes patients who have undergone bilateral phacoemulsification with bilateral implantation of the LuxSmart EDOF IOL, with the aim of achieving emmetropia. Visual acuity (VA) and subjective refraction were obtained in all patients preoperatively and at 1 week, 1 month, 3 months, and 6 months postoperatively. Subjective measures were obtained using the Catquest-9SF questionnaire and the Patient-Reported Spectacle Independence Questionnaire (PRSIQ). Contrast sensitivity and a glare assessment were undertaken postoperatively. Safety outcomes were additionally assessed. Results: Sixty eyes from thirty patients were recruited for this study. The mean spherical equivalent was 1.04 ± 1.67 D preoperatively and −0.30 ± 0.46 D at 6 months. Monocular uncorrected distance VA was 0.57 ± 0.32 (logMAR) preoperatively and 0.09 ± 0.12 (logMAR) at 6 months. Mean 6-month monocular uncorrected VA was 0.11 ± 0.13, 0.12 ± 0.15, and 0.31 ± 0.15 (logMAR) at 80, 66, and 40 cm, respectively. More than 90% of patients were either fairly or very satisfied with their vision. There was one case of suspected vitreomacular traction postoperatively. Conclusion: The LuxSmart EDOF IOL offers good refractive, VA, and safety outcomes. The single elongated focal point designed to enhance the DOF shows good results for VA and patient satisfaction.

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Fellow-Eye Comparison of Monocular Visual Outcomes Following Monofocal Extended Depth-of-Focus (EDOF) and Trifocal EDOF Intraocular Lens Implantation

Danzinger,

Schartmüller,

Lisy

et al. 2024

American Journal of Ophthalmology

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Clinical Outcomes of a New Non-Diffractive Extended Depth-of-Focus Intraocular Lens Targeted for Mini-Monovision

Cited by 10 publications

References 32 publications

Prospective Randomized Single-Masked Study of Bilateral Isofocal Optic-Design or Monofocal Intraocular Lenses

Prospective Randomized Single-Masked Study of Bilateral Isofocal Optic-Design or Monofocal Intraocular Lenses

Evaluation of extended depth-of-focus hydrophobic intraocular lens with an optic concept based on combination of high-order aberrations

Fellow-Eye Comparison of Monocular Visual Outcomes Following Monofocal Extended Depth-of-Focus (EDOF) and Trifocal EDOF Intraocular Lens Implantation

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