Aug 2026· [Zhonghua yan ke za zhi] Chinese journal of ophthalmology· Vol 62 8, pp.
629-637
· 0 citations
Medicine
TL;DR
The subjective and objective visual outcomes after implantation of monofocal, bifocal, and extended depth-of-focus (EDOF) intraocular lenses (IOLs) were compared to compare the subjective and objective visual outcomes after implantation of monofocal, bifocal, and extended depth-of-focus (EDOF) intraocular lenses (IOLs).
Bilateral mix-and-match implantation of EDOF and trifocal IOL implantation showed good visual outcomes for distance, intermediate, and near vision until 12 months, while more than 70% of patients consistently reported that they would recommend the surgery to others.
Hye Rin An, S. Nam, J. Han et al.· Korean Journal of Ophthalmol...· 0 citations
Postoperative VF sensitivity improved after all three IOL types, whereas multifocal IOLs, particularly trifocal IOLs, showed higher MS in paracentral and peripheral zones.
Shuangqing Yao, Fengjie Li, Jia-Ning Shi et al.· Journal of cataract and refr...· 0 citations
Purpose To comparatively analyze visual quality after cataract surgery with implantation of the extended depth of focus (EDOF) refractive-diffractive hybrid bifocal intraocular lens (IOL) AM3UH and the refractive-diffractive hybrid trifocal intraocular lens AT LISA tri 839MP. Methods This was a multicenter, retrospective and prospective bidirectional cohort study. Sixty-nine patients (69 eyes) with AM3UH IOL implantation were enrolled in the AM3UH group. Sixty-two patients (62 eyes) implanted with AT LISA tri 839MP IOL were enrolled in the 839MP group. Uncorrected distance visual acuity (UDVA, logMAR), uncorrected intermediate visual acuity (UIVA, logMAR), uncorrected near visual acuity (UNVA, logMAR) and best corrected distance visual acuity (BCDVA) were assessed before and 3 months after surgery. The visual function index 11R (VF-11R) was used to evaluate the quality of life after cataract surgery. Light interference, spectacle independence and postoperative satisfaction were evaluated by questionnaires. Results The preoperative UDVA of AM3UH group and 839MP group was (0.93 ± 0.38) logMAR and (0.90 ± 0.47) logMAR, respectively. At 3 months postoperatively, the UDVA, UIVA, UNVA and BCDVA of the AM3UH group were (0.14 ± 0.19) logMAR, (0.13 ± 0.12) logMAR, (0.15 ± 0.1) logMAR, and (0.09 ± 0.11) logMAR, respectively; and those of the 839MP group were (0.90 ± 0.47) logMAR, (0.12 ± 0.08) logMAR, (0.07 ± 0.08) logMAR, (0.12 ± 0.06) logMAR, and (0.05 ± 0.04) logMAR, respectively. Both IOLs (AM3UH and 839MP) significantly improved postoperative UDVA. No significant differences were observed between groups regarding distance, near, or best-corrected distance visual acuity (P > 0.05); however, the trifocal 839MP group demonstrated significantly superior UIVA. Patient satisfaction with intermediate and near vision was also higher in the 839MP group, though far vision satisfaction was similar. Both lenses showed low and comparable levels of glare and halos (the majority of patients were either asymptomatic or reported only mild symptoms), with a slight trend toward less glare and more halos in the 839MP group. Rates of spectacle independence at all distances did not differ significantly (P > 0.05). Conclusion Both lenses offer good visual quality and increased spectacle independence. The AT LISA tri 839MP provides superior intermediate vision and related patient satisfaction, with a similar overall side-effect profile.
Yanfeng Zeng, Qiyao Ma, Yuancheng Qu et al.· Frontiers in Medicine· 0 citations
To evaluate visual performance, contrast sensitivity (CS), optical quality, and subjective satisfaction of Vivity extended depth-of-focus (EDOF) premium intraocular lens (pIOL) in early keratoconus (KC). In this prospective, interventional, single-center clinical study, ten patients with mild bilateral KC and cataract received AcrySof IQ Vivity pIOL. Pre- and postoperative assessments included monocular and binocular uncorrected and distance-corrected visual acuities at 4 m (UDVA, DCVA), uncorrected and distance-corrected intermediate and near visual acuities at 66 cm (UI66VA, DCI66VA) and 40 cm (UNVA, DCNVA), defocus curve, CS, wavefront aberrometry (RMS, PSF, Strehl ratio), halometry, and subjective outcomes. At 3 months, mean ± SD monocular DCVA in the dominant eyes (primary endpoint) was 0.06 ± 0.13 logMAR. A statistically significant improvement was observed between preoperative and postoperative monocular and binocular UDVA, UNVA, DCNVA (p < 0.001), and DCVA (p = 0.03). Binocular DCI66VA and UI66VA were 0.10 ± 0.15 and 0.14 ± 0.16 logMAR, respectively. The defocus curve was ≤ 0.20 logMAR from + 0.50 D to – 2.00 D. CS peaked under scotopic conditions at 6 cpd, total ocular RMS improved from 2.15 ± 1.98 to 1.09 ± 0.77 (p = 0.09). NEI-RQL-42 scores indicated favourable patient-reported outcomes, particularly for glare, clarity of vision, and satisfaction with correction. In this small prospective pilot study, bilateral implantation of a non-diffractive EDOF IOL was associated with favourable short-term visual outcomes in highly selected patients with stable early keratoconus. These preliminary findings suggest that early stable KC may not represent an absolute contraindication to non-diffractive EDOF IOL implantation, but larger comparative studies with longer follow-up are required.
E. Bonacci, Camilla Pagnacco, A. Fasolo et al.· International ophtalmology· 0 citations
Patients undergoing cataract surgery have different postoperative visual priorities. Some primarily seek excellent uncorrected distance vision and accept the need for near spectacles, whereas others aim for greater spectacle independence across distance, intermediate, and near activities. This study compared visual and patient-reported outcomes after bilateral implantation of an extended depth-of-focus (EDOF) intraocular lens (IOL), an enhanced monofocal (EM) IOL and a standard monofocal IOL. This retrospective consecutive comparative case series included patients who underwent bilateral phacoemulsification with implantation of the same IOL model in both eyes. The evaluated IOLs were Tecnis ZCB00 (standard monofocal), Tecnis Eyhance ICB00 (EM), and Asqelio ETLIO130C (EDOF). At 6 months postoperatively, monocular and binocular uncorrected visual acuity were assessed at distance (6 m), intermediate (66 cm), and near (40 cm). Additional outcome measures included manifest refraction, binocular defocus curves, patient-reported halo and glare symptoms, spectacle independence, and patient satisfaction. A total of 197 patients were included (78 monofocal, 65 EM, and 54 EDOF). Baseline demographic and preoperative ocular characteristics were comparable across groups. Postoperative uncorrected distance visual acuity was similar among groups. Intermediate visual acuity was better in the EM and EDOF groups than in the monofocal group, with the best intermediate performance observed in the EDOF group. Near visual acuity remained limited in all groups but was better in the EDOF group than in the other groups. Defocus-curve findings were consistent with these results. Patient reported halo and glare scores were low and comparable across groups, whereas spectacle independence was highest in the extended depth-of-focus group. In this retrospective comparative case series, bilateral implantation of the Asqelio EDOF IOL was associated with better intermediate visual acuity and modestly better near visual acuity than implantation of the enhanced and standard monofocal IOLs, without compromising distance visual acuity or increasing patient-reported halo and glare at 6 months.
A. Boz, Mahmut Atum· BMC Ophthalmology· 0 citations
Bilateral implantation of the PanOptix trifocal IOL provides excellent and early stable visual performance at distance, intermediate, and near in Chinese cataract patients and high refractive predictability and a high rate of spectacle independence are associated with substantial patient satisfaction in real-world clinical practice.
Yan Wen, Qi-zhi Liao, Shuai Chen et al.· Frontiers in Medicine· 0 citations