Abstract
Purpose :
To evaluate and compare distance and near visual acuity, spectacle independence, and visual disturbances of the trifocal intraocular lens Acrysof Panoptix and the extended-depth-of-focus lenses Acrysof Vivity, Tecnis Eyhance, and Tecnis Symfony.
Methods :
One hundred and twenty-seven eyes of 68 patients who underwent bilateral or unilateral cataract surgery with implantation of the non-toric or toric Acrysof Panoptix, Acrysof Vivity, Tecnis Eyhance, and Tecnis Symfony IOL between 2019 and 2021 were included in this retrospective study. Eyes with pre-existing ocular comorbidities were included in this study and 23 eyes undergoing concurrent glaucoma surgery. Pre- and postoperative corrected visual acuities, spectacle independence and visual disturbances were collected and analyzed. Descriptive statistics (mean and standard deviation) were calculated for all visual acuities. Comparison of more than two groups was performed using the Kruskal-Wallis test, non-parametric type of the one-way analysis of variance, and Chi-squared test. P values of 0.05 or less were considered to be statistically significant in all cases.
Results :
No statistically significant differences were noted in the best corrected distance visual acuity (BCDVA) after surgery between the cohorts (p-value = 0.3302, Kruskal-Wallis test p<0.05). However, there was a significant difference between the best corrected near visual acuity (BCNVA) after surgery between the four cohorts (p=0.00497, Kruskal-Wallis test, p<0.05). The Symfony lens had the best average BCNVA. There was no statistical difference for spectacle independence at distance between the cohorts (p = 0.247; Chi-squared test p<0.05). However, the rate of spectacle independence at near between the four cohorts was significantly different (the p-value is < 0.00001, Chi-squared test) and Panoptix has the greatest proportion of spectacle independence. There wasn’t a significant difference between the cohorts in regards to visual disturbances (p-value =.06127, Chi-squared test p<0.05)
Conclusions :
All lenses were similarly effective in visual acuity and spectacle independence with minimal visual disturbances at distance. However, at near, each lens has its own advantages and disadvantages and the preference of each patient should be considered when selecting a trifocal or extended-depth-of-focus lens.
This abstract was presented at the 2022 ARVO Annual Meeting, held in Denver, CO, May 1-4, 2022, and virtually.