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Wendelstein JA, Casazza M, Reifeltshammer S, Riaz K, Pantanelli S, Mariacher S, Seiler TG, Kohnen T, Bolz M. Unilateral intraindividual comparison and bilateral performance of a monofocal spherical and diffractive extended depth of field intraocular lens mix-and-match approach. Clin Exp Ophthalmol 2024; 52:31-41. [PMID: 38050340 DOI: 10.1111/ceo.14315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2023] [Revised: 10/04/2023] [Accepted: 10/08/2023] [Indexed: 12/06/2023]
Abstract
BACKGROUND To evaluate the intraindividual visual performance of a spherical and extended depth of field (EDOF) IOL used in a mix-and-match approach. METHODS Single centre (tertiary care centre), retrospective consecutive case series. Included patients had uneventful cataract surgery with implantation of a spherical monofocal IOL (CT Spheris 204) in the dominant eye and a diffractive EDOF IOL (AT LARA 829) in the non-dominant eye. Monocular and binocular defocus curves and visual acuity at various distances were assessed. In addition, binocular reading speed, contrast sensitivity, and patient satisfaction using QOV, Catquest 9SF, and glare/halo questionnaires are reported. RESULTS A total of 29 patients (58 eyes) were included. We observed significant intra-individual differences for monocular DCIVA, DCNVA, UIVA, and UNVA. There were no differences in monocular BCDVA or UDVA. The monocular defocus curves for the two IOLs significantly differed at defocus steps between -1.0 and -3.5 D. 93.10% of patients reported they would opt for the same combination of IOLs. CONCLUSION Excellent uncorrected and corrected distance visual acuity was demonstrated in both groups. The mix-and-match approach described in this study yielded good intermediate vision and improved near vision with high-patient satisfaction.
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Affiliation(s)
- Jascha A Wendelstein
- Medical Faculty, Johannes Kepler University Linz, Linz, Austria
- Department of Ophthalmology and Optometry, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria
- Institute of Experimental Ophthalmology, Saarland University, Homburg, Germany
- IROC-Institut für Refraktive und Ophthalmo-Chirurgie, Zürich, Switzerland
| | - Marina Casazza
- Medical Faculty, Johannes Kepler University Linz, Linz, Austria
- Department of Ophthalmology and Optometry, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria
| | - Sophia Reifeltshammer
- Medical Faculty, Johannes Kepler University Linz, Linz, Austria
- Department of Ophthalmology and Optometry, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria
| | - Kamran Riaz
- Dean A. McGee Eye Institute, University of Oklahoma, Oklahoma City, Oklahoma, USA
| | - Seth Pantanelli
- Department of Ophthalmology, Penn State College of Medicine, Hershey, Pennsylvania, USA
| | - Siegfried Mariacher
- Medical Faculty, Johannes Kepler University Linz, Linz, Austria
- Department of Ophthalmology and Optometry, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria
| | - Theo G Seiler
- IROC-Institut für Refraktive und Ophthalmo-Chirurgie, Zürich, Switzerland
- Klinik für Augenheilkunde, Universitätsklinikum Düsseldorf, Duesseldorf, Germany
- Universitätsklinik für Augenheilkunde, Bern, Switzerland
| | - Thomas Kohnen
- Department of Ophthalmology, Goethe University, Frankfurt, Germany
| | - Matthias Bolz
- Medical Faculty, Johannes Kepler University Linz, Linz, Austria
- Department of Ophthalmology and Optometry, Kepler University Hospital GmbH, Johannes Kepler University Linz, Linz, Austria
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Rangu N, Seiler TG, Riaz KM, Cooke DL, Langenbucher A, Fischinger IR, Kohnen T, Wendelstein J. Considerations on the Calculation of Multifocal Duet Implantation in a Monovision Scenario for the Correction of Presbyopia - A Case Example. Klin Monbl Augenheilkd 2023; 240:1284-1291. [PMID: 37647937 DOI: 10.1055/a-2162-7758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
Affiliation(s)
- Neal Rangu
- The University of Oklahoma College of Medicine, Oklahoma City, United States
| | - Theo G Seiler
- Institute for refractive and ophthalmic surgery (IROC), Zürich, Switzerland
- Department of Ophthalmology, Inselspital, Bern, Switzerland
- Department of Ophthalmology, University Hospital Düsseldorf, Düsseldorf, Germany
| | - Kamran M Riaz
- Department of Ophthalmology, University of Oklahoma, Dean McGee Eye Institute, Oklahoma City, Oklahoma, United States
| | - David L Cooke
- Great Lakes Eye Care, St. Joseph, Michigan, United States
- Department of Neurology and Ophthalmology, Michigan State University, East Lansing, Michigan, United States
| | - Achim Langenbucher
- Institute of Experimental Ophthalmology, Saarland University, Homburg/Saar, Germany
| | - Isaak Raphael Fischinger
- Eye Day Clinic at the Spreebogen, Berlin, Germany
- Department of Ophthalmology and Optometry, Kepler University Hospital, Linz, Austria
| | - Thomas Kohnen
- Department of Ophthalmology, Goethe-University, Frankfurt, Germany
| | - Jascha Wendelstein
- Institute for refractive and ophthalmic surgery (IROC), Zürich, Switzerland
- Institute of Experimental Ophthalmology, Saarland University, Homburg/Saar, Germany
- Department of Ophthalmology and Optometry, Kepler University Hospital, Linz, Austria
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