Expanding visual horizons: comparative outcomes of bilateral implantation of an extended depth-of-focus versus enhanced and standard monofocal intraocular lenses - Summary - MDSpire
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Expanding visual horizons: comparative outcomes of bilateral implantation of an extended depth-of-focus versus enhanced and standard monofocal intraocular lenses
To compare visual outcomes and patient-reported experience after bilateral implantation of an EDOF IOL with those after bilateral implantation of an EM IOL and a monofocal IOL.
Approach:
Study Design: Retrospective consecutive comparative case series conducted at a single center between June 2019 and January 2024.
Participants: Eligible patients had bilateral age-related cataracts; exclusion criteria included significant ocular comorbidities and prior surgeries.
Intraocular Lenses: Three IOL models were evaluated: standard monofocal (Tecnis ZCB00), enhanced monofocal (Tecnis Eyhance ICB00), and EDOF (Asqelio EDOF ETLIO130C).
Surgical Procedure: All surgeries were performed by a single experienced surgeon using standard phacoemulsification and in-the-bag IOL implantation.
Examinations and Outcome Measures: Comprehensive preoperative and postoperative examinations were conducted, including visual acuity assessments at various distances.
Key Findings:
EDOF IOLs provide better intermediate vision compared to EM and standard monofocal IOLs.
Patient-reported outcomes indicated varying satisfaction levels based on individual visual needs.
Photic phenomena were reported with multifocal designs but less so with EDOF IOLs.
Interpretation:
Limitations:
Retrospective design may introduce selection bias.
Single-center study limits generalizability of findings.
Exclusion of certain patient populations may affect outcome applicability.
