Visual performance and photic disturbances with diffractive and nondiffractive EDOF intraocular lenses using mini-monovision: randomized trial.
J Cataract Refract Surg
; 50(2): 153-159, 2024 Feb 01.
Article
em En
| MEDLINE
| ID: mdl-37847119
ABSTRACT
PURPOSE:
To compare visual performance and photic visual disturbances of patients implanted with 2 different extended depth-of-focus (EDOF) intraocular lenses (IOLs) using mini-monovision.SETTING:
Ambulatory surgical center at the University of São Paulo in Ribeirão Preto, Brazil.DESIGN:
Prospective, examiner-masked, randomized clinical trial.METHODS:
Patients were assigned to either a bilateral Symfony (SYM) or Vivity (VIV) IOL group, with 1 eye targeted for myopia (-0.75 diopter [D]). Defocus curve, contrast sensitivity (Pelli-Robson), Patient-Reported Spectacle Independence Questionnaire, and Quality of Vision questionnaire were recorded at 3 months postoperatively.RESULTS:
A total of 126 patients finished the follow-up group SYM n = 60 and group VIV n = 66. Regarding near visual acuity, 80% of patients in the SYM group and 84% of patients in the VIV group achieved J2 or better on the near-planned eye ( P = .3840). No significant differences were found between groups for distance visual acuity, defocus profiles, PRISC, contrast sensitivity, or reading speed ( P > .05). Notably, significant between-group differences were observed for bothersome visual disturbances ( P = .0235), with 45% of patients in the SYM group with a score of 0 for bothersome disturbances compared with 66% in the VIV group.CONCLUSIONS:
Mini-monovision using these EDOF IOLs was well-tolerated in the patient cohort. No significant differences were found for visual performance tests between the VIV and SYM groups. However, the data suggest that Vivity IOL is associated with a lower probability of bothersome visual disturbances compared with Symfony IOL.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Facoemulsificação
/
Lentes Intraoculares
Limite:
Humans
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article