Visual Outcomes and Patient Satisfaction for Trifocal, Extended Depth of Focus and Monofocal Intraocular Lenses

Rodov, Luba; Reitblat, Olga; Levy, Adi; Assia, Ehud I.; Kleinmann, Guy

doi:10.3928/1081597x-20190618-01

Cited by 90 publications

(88 citation statements)

References 19 publications

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“…1,2 The multifocal IOLs, particularly the trifocals, generally provide the highest likelihood of complete spectacle independence. [3][4][5] EDOF lenses are likely to provide good vision at distance and intermediate, with slightly worse near vision, but the expectation is that visual disturbances will be lower with an EDOF IOL because there are not two (or three) distinct foci. 5 This expectation may be in error.…”

Section: Introductionmentioning

confidence: 99%

“…[3][4][5] EDOF lenses are likely to provide good vision at distance and intermediate, with slightly worse near vision, but the expectation is that visual disturbances will be lower with an EDOF IOL because there are not two (or three) distinct foci. 5 This expectation may be in error. Several studies of the Symfony ® EDOF lens (Johnson & Johnson Vision, Santa Ana, CA) have shown that the visual disturbances experienced by patients are not significantly different than for a trifocal IOL.…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Spectacle-Induced Low Myopia in the Non-Dominant Eye on the Binocular Defocus Curve with a Non-Diffractive Extended Vision Intraocular Lens

Gundersen¹,

Potvin²

2021

OPTH

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Purpose: To quantify the changes in the binocular defocus curve associated with the Vivity™ non-diffractive extended vision intraocular lens when the dominant eye was targeted for emmetropia and the non-dominant eye was artificially targeted for slight myopia using spectacles. Patients and Methods: This was a non-interventional research study of the corrected binocular defocus curve associated with binocular emmetropia (Setting A) and with emmetropia in the dominant eye and two different levels of myopia simulated in the non-dominant eye (−0.50 D, Setting B and −1.00 D, Setting C). Subjects were patients implanted with the AcrySof ® IQ Vivity ® intraocular lens in both eyes 3 to 12 months previously. Using the defocus data, the percentage of subjects with a continuous 2.5 D range of vision (distance to 40 cm) was calculated for various levels of minimum visual acuity (VA). Results: Forty subjects were enrolled. The mean spherical equivalent refraction was −0.06 D ± 0.36 D, with 0.37 D ± 0.29 D of refractive cylinder. There was no statistically significant difference in the mean VA at −0.25 D or at −0.50 D vergences between the test Settings, but there was a statistically significant difference at all other vergences. Differences were particularly noticeable at −2.00 D, −2.50 D and −3.00 D, where higher myopia in the nondominant eye yielded better binocular VA. A 2.5 D range of functional vision (20/25) was achieved by 38% of subjects at Setting A, 68% of subjects at Setting B and 85% of subjects at Setting C. At setting C, all but one subject (39/40, 97.5%) had a 2.5 D range of vision with a VA of 20/32 or better. Conclusion: Significant gains in binocular near vision, with only a nominal effect on distance vision, can be achieved with the Vivity IOL by leaving the non-dominant eye of patients with 0.50 D or 1.00 D of myopia.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Effect of Spectacle-Induced Low Myopia in the Non-Dominant Eye on the Binocular Defocus Curve with a Non-Diffractive Extended Vision Intraocular Lens

Gundersen¹,

Potvin²

2021

OPTH

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“…To overcome these issues, there is a growing interest in new technology that may improve the intermediate performance of monofocal IOLs and minimize the unwanted photic phenomena of multifocality. More than one-third of patients receiving multifocal IOLs reported often experiencing halos or glare [7]. The newly developed monofocal lens, Tecnis Eyhance ICB00 (Johnson & Johnson Vision, Santa Ana, CA, USA) provides reasonable distance vision as well as aspherical lenses with increased power from the periphery to the center and strengthened intermediate vision [3,8].…”

mentioning

confidence: 99%

Visual Performance and Optical Quality after Implantation of a New Generation Monofocal Intraocular Lens

Kang

Song

Kim

et al. 2021

Korean J Ophthalmol

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Purpose To evaluate the performance of two intraocular lenses (IOLs). The new monofocal IOL using a higher-order aspheric optic (Tecnis Eyhance ICB00) was compared to a standard monofocal IOL (Tecnis monofocal ZCB00) of the identical platform and material. Methods The medical records of the patients who had undergone cataract surgery with implantation of either the ZCB00 or the ICB00 in the dominant eye from March 2020 to August 2020 and with available data from the 3-month visit were reviewed. Subjects with ocular comorbidities or corneal astigmatism greater than 1.00 diopters were excluded. The uncorrected near, intermediate, distance visual acuity and corrected distance visual acuity were the main outcome measures. Optical quality parameters measured using an optical quality analysis system, clinical records including age, sex, laterality, ocular dominance, and information related to refractory errors was also collected. Parameters related to the refractory errors were all uniformly based on the Barrett Universal II formula. Results Of the 197 recruited patients, 111 and 86 were implanted with the ICB00 and ZCB00, respectively. No statistically significant differences in baseline parameters were observed between the two groups. While no statistically significant differences in distance visual acuity or optical quality were found between the two groups, compared to the ZCB00 group, the ICB00 group showed significantly higher intermediate visual acuity ( p < 0.001) and near visual acuity ( p < 0.05) 3 months postoperatively. Conclusions ICB00 provided superior intermediate vision and comparable distance performance and photic phenomena compared to a standard monofocal IOL.

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“… 3 On the other hand, more than a third of patients receive multifocal IOLs experiencing photic phenomena. 4 …”

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confidence: 99%

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)

Jeon

Yoon

Kim

et al. 2021

Asia-Pacific Journal of Ophthalmology

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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.

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Visual Outcomes and Patient Satisfaction for Trifocal, Extended Depth of Focus and Monofocal Intraocular Lenses

Cited by 90 publications

References 19 publications

The Effect of Spectacle-Induced Low Myopia in the Non-Dominant Eye on the Binocular Defocus Curve with a Non-Diffractive Extended Vision Intraocular Lens

The Effect of Spectacle-Induced Low Myopia in the Non-Dominant Eye on the Binocular Defocus Curve with a Non-Diffractive Extended Vision Intraocular Lens

Visual Performance and Optical Quality after Implantation of a New Generation Monofocal Intraocular Lens

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)

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