The Vivity Extended Range of Vision IOL vs the PanOptix Trifocal, ReStor 2.5 Active Focus and ReStor 3.0 Multifocal Lenses: A Comparison of Patient Satisfaction, Visual Disturbances, and Spectacle Independence

Abstract

Purpose To compare patient-reported outcomes (PROs) after intraocular lens (IOL) implantation with the AcrySof IQ Vivity IOL or Vivity Toric IOL to those achieved with other multifocal IOLs. Patients and Methods Prospective, open-label, multicenter analysis of PROs, including spectacle independence, dysphotopsia, and overall satisfaction among patients who underwent cataract surgery at least 1 month previously with bilateral Vivity or Vivity Toric lenses (n=60). Results were compared to outcomes from two similar prospective studies of bilateral AcrySof IQ PanOptix or PanOptix Toric trifocal IOLs (n = 59), blended AcrySof ReSTOR 2.5/3.0 IOLs (n=72) or bilateral ReSTOR ActiveFocus 2.5 D IOLs with a mini-monovision target [n = 95]). Results Patients in the Vivity cohort were significantly less likely to notice glare and halo in dim light (85% “none” or “just a little”) compared to PanOptix (69%, p<0.03), 2.5 mini-monovision (75%, p< 0.05) or 2.5/3.0 (71%, p< 0.05) patients. Complete spectacle independence for all visual activities combined (never need glasses) with Vivity was comparable to the mini-monovision and 2.5/3.0 groups (33%, 36%, and 31%, respectively) but significantly lower than in the PanOptix cohort (83%, p < 0.0001). Satisfaction was high across all groups. There were no statistically significant differences in best-corrected visual acuity, and no new safety concerns were reported. Conclusion The AcrySof IQ Vivity extended depth of focus IOL offers an expanded range of vision and better spectacle independence than has typically been achieved with traditional monofocal IOLs, with high rates of satisfaction and a favorable dysphotopsia profile compared to diffractive multifocal IOLs.

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

“…A recent study comparing AcrySof IQ Panoptix, a quadrifocal IOL, with the AcrySof IQ Vivity IOL described that the former provided greater near visual acuity than the AcrySof IQ Vivity IOL. 16 Furthermore, the mini-monovision technique has reportedly been used to improve near vision using EDoF IOLs. [17][18][19][20] Amelsfort et al 17 reported that when they adjusted emmetropia in the dominant eye and slight myopia in the nondominant eye (−0.25 D to −0.50 D), patients reported improved near visual acuity, better satisfaction, and higher spectacle independence.…”

Latest Development in Extended Depth-of-Focus Intraocular Lenses: An Update

“…98 The most complained postoperative visual discomfort were halos and glares, with that it was included in a score range of high satisfaction and tolerability of this IOL 98 and the dysphotopsia profile is significantly better in the Vivity lens when compared with MFs. 102 In a study performed by our research group, evaluating the quality of the retinal optical image following implantation of the Vivity EDOF IOL and compared with a monofocal and a trifocal IOL, it was found that although trifocal IOLs provided significantly better retinal image quality, this IOL also demonstrated to be the most sensitive to residual refractive errors. Both Vivity and monofocal IOLs showed a comparable retinal image quality.…”

Randomized and double-blind comparison of clinical visual outcomes of 2 EDOF intraocular lenses

“…17,18 In addition, the Vivity IOL has been reported to provide less visual disturbances compared with multifocal IOLs. 19…”