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Soscia WL, DeRojas JO, Mathews PM, Brutsky A, Solomon KD, Potvin R, Sandoval HP. Clinical performance after implantation of an EDOF intraocular lens in the dominant eye and a presbyopia-correcting intraocular lens in the nondominant eye. J Cataract Refract Surg 2024; 50:578-584. [PMID: 38305420 PMCID: PMC11146179 DOI: 10.1097/j.jcrs.0000000000001412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Revised: 01/09/2024] [Accepted: 01/29/2024] [Indexed: 02/03/2024]
Abstract
PURPOSE To evaluate subjective and objective outcomes after combined implantation of an extended depth-of-focus (EDOF) intraocular lens (IOL) and a combined technology multifocal lens (CT-IOL). SETTING 2 clinical practices (Carolina Eyecare Physicians, Center For Sight) in the United States. DESIGN Prospective, unmasked, multicenter, nonrandomized bilateral eye study. METHODS Patients interested in reducing their dependence on spectacles were implanted with an EDOF IOL in the dominant eye and a CT-IOL in the nondominant eye. Refractive and visual acuity (VA) data at various distances (4 m, 66 cm, 40 cm, and 33 cm) were collected 3 months postsurgery, along with the distance-corrected binocular defocus curve and responses to questionnaires related to spectacle independence, visual disturbances, and overall visual function. RESULTS Data from 37 participants were analyzed. The distance-corrected binocular defocus curve showed a mean VA better than 0.1 logMAR (20/25) at all vergences from +1.00 to -2.50 diopters (D). 36 participants (97%) had an uncorrected binocular VA of 0.3 logMAR or better, at all test distances. 70% of participants (26/37) reported never wearing spectacles at any distance, and 84% (31/37) were "completely" or "mostly" satisfied with their overall vision after surgery. Halos were the disturbance reported most frequently and reported as most bothersome, with difficulty driving at night the most common visual function issue. Difficulty reading was the next most reported issue. Overall eyesight was rated as "excellent" or "good" by 92% (34/37) of participants. CONCLUSIONS This combined EDOF/CT-IOL approach was well-tolerated by participants and provided some potential benefits relative to bilateral implantation of either lens.
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Affiliation(s)
- William L. Soscia
- From the Center For Sight/US Eye, Sarasota, Florida (Soscia, DeRojas, Mathews, Brutsky); Carolina Eyecare Physicians/US Eye, Mt. Pleasant, South Carolina (Solomon, Sandoval); Science in Vision, Frisco, Texas (Potvin)
| | - Joaquin O. DeRojas
- From the Center For Sight/US Eye, Sarasota, Florida (Soscia, DeRojas, Mathews, Brutsky); Carolina Eyecare Physicians/US Eye, Mt. Pleasant, South Carolina (Solomon, Sandoval); Science in Vision, Frisco, Texas (Potvin)
| | - Priya M. Mathews
- From the Center For Sight/US Eye, Sarasota, Florida (Soscia, DeRojas, Mathews, Brutsky); Carolina Eyecare Physicians/US Eye, Mt. Pleasant, South Carolina (Solomon, Sandoval); Science in Vision, Frisco, Texas (Potvin)
| | - Amy Brutsky
- From the Center For Sight/US Eye, Sarasota, Florida (Soscia, DeRojas, Mathews, Brutsky); Carolina Eyecare Physicians/US Eye, Mt. Pleasant, South Carolina (Solomon, Sandoval); Science in Vision, Frisco, Texas (Potvin)
| | - Kerry D. Solomon
- From the Center For Sight/US Eye, Sarasota, Florida (Soscia, DeRojas, Mathews, Brutsky); Carolina Eyecare Physicians/US Eye, Mt. Pleasant, South Carolina (Solomon, Sandoval); Science in Vision, Frisco, Texas (Potvin)
| | - Richard Potvin
- From the Center For Sight/US Eye, Sarasota, Florida (Soscia, DeRojas, Mathews, Brutsky); Carolina Eyecare Physicians/US Eye, Mt. Pleasant, South Carolina (Solomon, Sandoval); Science in Vision, Frisco, Texas (Potvin)
| | - Helga P. Sandoval
- From the Center For Sight/US Eye, Sarasota, Florida (Soscia, DeRojas, Mathews, Brutsky); Carolina Eyecare Physicians/US Eye, Mt. Pleasant, South Carolina (Solomon, Sandoval); Science in Vision, Frisco, Texas (Potvin)
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Kim J, Kim T, Tchah H, Koh K. Long-term Results after Bilateral Implantation of Extended Depth of Focus Intraocular Lenses with Mini-Monovision. KOREAN JOURNAL OF OPHTHALMOLOGY 2024; 38:129-136. [PMID: 38414249 PMCID: PMC11016687 DOI: 10.3341/kjo.2023.0139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Revised: 02/12/2024] [Accepted: 02/26/2024] [Indexed: 02/29/2024] Open
Abstract
PURPOSE To assess long-term clinical results following bilateral Tecnis Symfony ZXR00 intraocular lens implantation with mini-monovision. METHODS The medical records of cataract patients who underwent bilateral implantation of ZXR00 with intended mini-monovision (target refraction of -0.3 diopters [D] in dominant eye and -0.6 D in nondominant eye) between April 2019 and March 2021 were assessed. Postoperative uncorrected distance visual acuity (UDVA), corrected distance VA (CDVA), uncorrected intermediate VA (UIVA), uncorrected near VA (UNVA), and rate of spectacle dependence for near distance were investigated at 3 months and 2 years after surgery. RESULTS This study included 61 patients (122 eyes) with average age of 61.8 ± 7.7 years. At 2 years postoperatively, binocular logarithm of the minimum angle of resolution UDVA, UIVA, UNVA, and CDVA were 0.086 ± 0.094, 0.056 ± 0.041, 0.140 ± 0.045, and 0.012 ± 0.024, respectively. The monocular manifest refraction spherical equivalent was -0.31 ± 0.38 in the dominant eye and -0.53 ± 0.47 in the nondominant eye at 3 months postoperatively, and -0.38 ± 0.43 in the dominant eye and -0.61 ± 0.54 in the nondominant eye at 2 years postoperatively. Eight out of 61 patients (13.1%) needed glasses 3 months after surgery, and nine out of 61 patients (14.8%) needed glasses 2 years after surgery. CONCLUSIONS The bilateral implantation of ZXR00s with mini-monovision allows for a good VA at wide range of distance from far to near, thereby resulting in high rate of spectacle independence. These results have held up well even after 2 years after surgery.
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Affiliation(s)
- Jeongmin Kim
- Department of Ophthalmology, Kim’s Eye Hospital, Konyang University College of Medicine, Seoul,
Korea
| | - Taeeun Kim
- Crean Lutheran High School, Irvine, CA,
USA
| | - Hungwon Tchah
- Department of Ophthalmology, Kim’s Eye Hospital, Konyang University College of Medicine, Seoul,
Korea
| | - Kyungmin Koh
- Department of Ophthalmology, Kim’s Eye Hospital, Konyang University College of Medicine, Seoul,
Korea
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A Comparative Study of Two Extended Depth of Focus Intraocular Lenses. Eye Contact Lens 2022; 48:433-438. [PMID: 36155949 DOI: 10.1097/icl.0000000000000931] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/28/2022] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To assess and compare the visual performance of two extended depth-of-focus intraocular lenses (IOLs), Tecnis Symfony (Symfony; Johnson & Johnson Vision, Santa Ana, CA) and Acrysof IQ Vivity (Vivity; Alcon Inc, Fort Worth, TX). METHODS The medical records of patients undergoing cataract surgery with Symfony or Vivity implantation from May 2021 to September 2021 and the data available for the 3-month follow-up were reviewed. The main measures of the findings were uncorrected and corrected distance (4 m) visual acuity (VA), uncorrected intermediate (66 cm) VA (UIVA) and uncorrected near (40 and 33 cm) VA (UNVA), refractive error (RE), defocus profiles analysis, optical quality parameters, and patient-reported quality of vision questionnaire results. RESULTS Of the 40 patients, 19 patients (31 eyes) were treated with the Symfony IOL and 21 (32 eyes) with the Vivity IOL. The mean age of the patients was 63.4±7.8 (range, 40-76) years in the Symfony group and 61.8±9.7 (range, 40-77) years in the Vivity group. There was no meaningful difference between the two groups in the preoperative parameters, except that the Vivity group had a better CDVA. Among the main measures of results, there was no statistically significant difference, except for the UNVA (33 cm). The Symfony group also showed a smoother defocus curve at 3 months postoperatively. CONCLUSION There was no significant difference between the two groups regarding uncorrected/corrected distance VA, UIVA, UNVA (40 cm), RE, optical quality parameters, and patient-reported quality of vision questionnaire results. The Symfony group demonstrated a significantly superior UNVA (33 cm) and a smoother defocus curve with a broad landing zone.
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Shin DE, Lee H, Koh K. Comparative analysis of a presbyopia-correcting intraocular lens that combines extended depth-of-focus and bifocal profiles with a standard monofocal intraocular lens. BMC Ophthalmol 2022; 22:302. [PMID: 35836144 PMCID: PMC9284875 DOI: 10.1186/s12886-022-02516-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Accepted: 06/21/2022] [Indexed: 12/01/2022] Open
Abstract
Background Recently, a new presbyopia-correcting intraocular lens (IOL) that combines extended depth-of-focus and bifocal profiles (ZFR00: Tecnis® Synergy®, Johnson & Johnson Vision, Santa Ana, CA, USA) has been established and several studies have been reported. We attempted to compare the performance with a standard IOL (ZCB00: Tecnis® monofocal, Johnson & Johnson Vision, Santa Ana, CA, USA) manufactured using the same material from the same company, which has been extensively used worldwide. Methods The medical records of patients undergoing cataract surgery with ZCB00 or ZFR00 implantation between March 2021 and September 2021 and with available 3-month visit data were reviewed. Uncorrected near, intermediate, and distance visual acuity (VA), corrected distance VA, and optical quality were the main outcome measures. Results This study included forty-six patients (64 eyes), with twenty-one patients (32 eyes) implanted with ZCB00 and twenty-five patients (32 eyes) implanted with ZFR00. The average age of the patients was 66.0 ± 10.1 (range: 40 to 82) and 65.1 ± 4.7 (range: 59 to 77) years in the ZCB00 and ZFR00 groups, respectively. The preoperative characteristics did not differ significantly between the two groups. Compared to the ZCB00 group, the ZFR00 group demonstrated significantly superior intermediate and near VA (p < 0.001) at 3 months postoperatively. The ZFR00 group showed significantly lower objective measured optical quality than that in the ZCB00 group. Conclusions The ZFR00 exhibited a continuous range of vision and a smooth defocus curve, while the ZCB00 provided superior objective optical quality. Supplementary Information The online version contains supplementary material available at 10.1186/s12886-022-02516-6.
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Affiliation(s)
- Da Eun Shin
- Department of Ophthalmology, Kim's Eye Hospital, Konyang University College of Medicine, 136 Youngshinro, Youngdeungpo-gu, Seoul, 07301, Republic of Korea
| | - Hun Lee
- Department of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea
| | - Kyungmin Koh
- Department of Ophthalmology, Kim's Eye Hospital, Konyang University College of Medicine, 136 Youngshinro, Youngdeungpo-gu, Seoul, 07301, Republic of Korea.
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