Comparison Between an Intraocular Lens With Extended Depth of Focus (Tecnis Symfony ZXR00) and a New Monofocal Intraocular Lens With Enhanced Intermediate Vision (Tecnis Eyhance ICB00)

Abstract

Purpose: This study compared the extended depth of focus (EDOF) intraocular lens (IOL) (ZXR00; Tecnis Symfony, Johnson & Johnson Vision, Santa Ana, CA, US) to a novel, higher-order aspheric monofocal IOL (ICB00; Tecnis Eyhance, Johnson & Johnson Vision, Santa Ana, CA, US) which uses the same platform and material. Methods: Medical records of patients undergoing cataract surgery with ZXR00 or ICB00 implantation between March 2020 and January 2021 and with the data available for the 3-month visit were reviewed. The uncorrected near, intermediate, and distance visual acuity (VA); corrected distance VA; and optical quality parameters were the main outcome measures. Results: Among the 174 enrolled patients, 72 and 102 received the ZXR00 and ICB00, respectively. The average patient ages were 59.6 ± 10.6 (range: 49 to 70) and 65.2 ± 8.2 (range: 45 to 82) years in the ZXR00 and ICB00 groups, respectively, with significantly older patients in the ICB00 group. The other baseline parameters were not different for the 2 groups. Compared to the ICB00 group, the ZXR00 group showed markedly superior near VA ( P < 0.05) at 3 months postoperatively. In terms of optical quality, ICB00 was, statistically, significantly superior to ZXR00. Conclusions: The ZXR00 showed remarkable near vision and defocus curve smoothness, while the ICB00 achieved better optical quality. The 2 IOLs had comparable distance and intermediate vision.

Comparison of visual results and optical quality of two presbyopia-correcting intraocular lenses: TECNIS symfony versus TECNIS synergy

“…A previous clinical study demonstrated that these results were consistent with the results of the present study. Earlier studies have reported monocular UDVAs of 0.13 ± 0.13 6 for ZXR00 and 0.04 ± 0.10 12,30 for ZFR00. Earlier studies have reported monocular CDVA of 0.05 ± 0.08 6 and 0.01 ± 0.02 25 for ZXR00 and −0.02 ± 0.07 12 and −0.04 ± 0.02 25 for ZFR00.…”

“…Earlier studies have reported monocular UDVAs of 0.13 ± 0.13 6 for ZXR00 and 0.04 ± 0.10 12,30 for ZFR00. Earlier studies have reported monocular CDVA of 0.05 ± 0.08 6 and 0.01 ± 0.02 25 for ZXR00 and −0.02 ± 0.07 12 and −0.04 ± 0.02 25 for ZFR00. Likewise, within our study, the UDVA values were 0.08 ± 0.06 and 0.04 ± 0.07 and the CDVA values were 0.01 ± 0.03 and 0.02 ± 0.04 in ZXR00 and ZFR00 groups, respectively.…”

“…5 Using the Echelette diffraction technology and achromatic technology, it generates various overlapping focus points to increase the depth of focus. 6 It provides excellent distant vision; however, near vision is relatively poor. 7…”

Visual outcomes of non-diffractive extended-depth-of-focus and enhanced monofocal intraocular lenses: A case-control study

“…In our study, relatively good UIVA and DCIVA were obtained with both IOLs. Previous studies have compared the Tecnis Eyhance IOL with other EDoF IOLs, such as Tecnis Symphony, a diffractive EDoF IOL 11–13 ; however, no study has evaluated the AcrySof IQ Vivity IOL to other EDoF IOLs. Lee et al 11 and Jeon et al 12 reported comparable monocular and binocular DCIVA with Tecnis Symphony and Tecnis Eyhance IOLs, respectively, whereas Corbelli et al 13 reported better monocular and binocular DCIVA with Tecnis Symphony.…”

Comment on “Objective Optical Quality With Multifocal Intraocular Lenses Should Stop to Be Used or Cautiously Interpreted”

“…We appreciate the interest of Manuel Rodriguez-Vallejo in our paper, 1 and the comments made to it. There seem to be 2 main points regarding the article.…”