Abstract
Purpose :
To evaluate the clinical outcomes at 6 months after mix-and-match implantation of Extended Depth of Focus (EDOF) and trifocal intraocular lenses (IOLs)
Methods :
This was a retrospective study. All patients who had met all inclusion and exclusion criteria underwent bilateral cataract surgery. The EDOF or EDOF toric IOL (Symfony, J&J Inc.) was implanted in the dominant eye, and the trifocal or trifocal toric IOL (PanOptix, Alcon Inc.) was in the non-dominant eye. Uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), corrected distance visual acuity (CDVA), defocus curve, contrast sensitivity, and satisfaction questionnaire were obtained at 1 month and 6 months after surgery.
Results :
68 eyes of 34 patients were enrolled. At 6 months after surgery, the mean UDVA (logMAR) was 0.07±0.11 in the EDOF IOL-implanted eyes, 0.09±0.11 in the trifocal IOL-implanted eyes, and 0.00±0.01 with both eyes. The mean UIVA was 0.09±0.08 in the EDOF IOL-implanted eyes, 0.11±0.14 logMAR in the trifocal IOL-implanted eyes, and 0.03±0.04 logMAR with both eyes. The mean UNVA was 0.46±0.22 in the EDOF IOL-implanted eyes, 0.24±0.20 in the trifocal IOL-implanted eyes, and 0.18±0.15 with both eyes. 86.2% of patients were satisfied at 6 months, and 10 patients showed better satisfaction scores compared to 1 month.
Conclusions :
The mix-and-match implantation with the EDOF and trifocal IOLs showed a good visual outcome for distance, intermediate, and near vision over 6 months. Most of the patients were satisfied with their visual quality, but patients were dissatisfied with dry eye symptoms and poor near vision instead of photopic symptoms like glare and halos.
This abstract was presented at the 2023 ARVO Annual Meeting, held in New Orleans, LA, April 23-27, 2023.