A Comparative Evaluation of Visual, Refractive, and Patient-Reported Outcomes of Three Extended Depth of Focus (EDOF) Intraocular Lenses

A Comparative Evaluation of Visual, Refractive, and Patient-Reported Outcomes of Three Extended Depth of Focus (EDOF) Intraocular Lenses

Robert Edward T Ang,1,2 Gian Carlo S Picache,2 Mark Christian R Rivera,1 Lord Ryan L Lopez,1 Emerson M Cruz1 1Asian Eye Institute, Rockwell Center, Makati, Philippines; 2Department of Ophthalmology, Cardinal Santos Medical Center, San Juan, PhilippinesCorrespondence: Robert Edward T Ang Email angbob...

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Autores principales: Ang RE, Picache GCS, Rivera MCR, Lopez LRL, Cruz EM
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2020
Materias:
edof
symfony
ic-8
wiol
diffractive echelette
small aperture
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/11c9f9dae8eb4c2cb857a2fbbd777477
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spelling oai:doaj.org-article:11c9f9dae8eb4c2cb857a2fbbd7774772021-12-02T10:06:59ZA Comparative Evaluation of Visual, Refractive, and Patient-Reported Outcomes of Three Extended Depth of Focus (EDOF) Intraocular Lenses1177-5483https://doaj.org/article/11c9f9dae8eb4c2cb857a2fbbd7774772020-08-01T00:00:00Zhttps://www.dovepress.com/a-comparative-evaluation-of-visual-refractive-and-patient-reported-out-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Robert Edward T Ang,1,2 Gian Carlo S Picache,2 Mark Christian R Rivera,1 Lord Ryan L Lopez,1 Emerson M Cruz1 1Asian Eye Institute, Rockwell Center, Makati, Philippines; 2Department of Ophthalmology, Cardinal Santos Medical Center, San Juan, PhilippinesCorrespondence: Robert Edward T Ang Email angbobby@hotmail.comObjective: To compare visual, refractive, and patient-reported outcomes of patients implanted with one of three types of extended depth of focus (EDOF) intraocular lenses.Setting: Asian Eye Institute, Philippines.Design: Retrospective cohort study.Methods: Subjects implanted with Symfony (Johnson and Johnson, USA), IC-8 (AcuFocus, USA), and WIOL (Medicem, Czech Republic) EDOF intraocular lenses were recruited. Spherical equivalent, uncorrected and corrected visual acuity, defocus curve, and modulation-transfer function, Strehl ratio, and visual Strehl optical transfer function values, photic phenomena, and questionnaire answers were measured and assessed.Results: A total of 32 eyes with the Symfony lens, 30 with the IC-8 lens, and 32 with the WIOL lens were included in the study. Mean postoperative spherical equivalent was − 0.24 D for the Symfony, − 0.17 D for the IC-8, and 0.27 D for WIOL. There were no significant differences in postoperative monocular and binocular uncorrected and corrected visual acuity. On a monocular defocus curve, the IC-8 and Symfony showed significantly better vision than WIOL. The Symfony had significantly better modulation-transfer function, Strehl ratio, and visual Strehl optical transfer function. No difference was seen among the three lenses with regard to glare or starburst, while patient satisfaction remained high in all groups for far, intermediate, and near vision.Conclusion: All eyes implanted with the three EDOF designs achieved excellent far and intermediate vision, with acceptable near vision. The IC-8 and Symfony exhibited a better range of vision on defocus-curve testing. The Symfony showed superior results in quality of vision. Patient satisfaction was high in all three EDOF groups.Keywords: EDOF, Symfony, IC-8, WIOL, diffractive echelette, small apertureAng REPicache GCSRivera MCRLopez LRLCruz EMDove Medical Pressarticleedofsymfonyic-8wioldiffractive echelettesmall apertureOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 2339-2351 (2020)
institution DOAJ
collection DOAJ
language EN
topic edof
symfony
ic-8
wiol
diffractive echelette
small aperture
Ophthalmology
RE1-994
spellingShingle edof
symfony
ic-8
wiol
diffractive echelette
small aperture
Ophthalmology
RE1-994
Ang RE
Picache GCS
Rivera MCR
Lopez LRL
Cruz EM
A Comparative Evaluation of Visual, Refractive, and Patient-Reported Outcomes of Three Extended Depth of Focus (EDOF) Intraocular Lenses
description Robert Edward T Ang,1,2 Gian Carlo S Picache,2 Mark Christian R Rivera,1 Lord Ryan L Lopez,1 Emerson M Cruz1 1Asian Eye Institute, Rockwell Center, Makati, Philippines; 2Department of Ophthalmology, Cardinal Santos Medical Center, San Juan, PhilippinesCorrespondence: Robert Edward T Ang Email angbobby@hotmail.comObjective: To compare visual, refractive, and patient-reported outcomes of patients implanted with one of three types of extended depth of focus (EDOF) intraocular lenses.Setting: Asian Eye Institute, Philippines.Design: Retrospective cohort study.Methods: Subjects implanted with Symfony (Johnson and Johnson, USA), IC-8 (AcuFocus, USA), and WIOL (Medicem, Czech Republic) EDOF intraocular lenses were recruited. Spherical equivalent, uncorrected and corrected visual acuity, defocus curve, and modulation-transfer function, Strehl ratio, and visual Strehl optical transfer function values, photic phenomena, and questionnaire answers were measured and assessed.Results: A total of 32 eyes with the Symfony lens, 30 with the IC-8 lens, and 32 with the WIOL lens were included in the study. Mean postoperative spherical equivalent was − 0.24 D for the Symfony, − 0.17 D for the IC-8, and 0.27 D for WIOL. There were no significant differences in postoperative monocular and binocular uncorrected and corrected visual acuity. On a monocular defocus curve, the IC-8 and Symfony showed significantly better vision than WIOL. The Symfony had significantly better modulation-transfer function, Strehl ratio, and visual Strehl optical transfer function. No difference was seen among the three lenses with regard to glare or starburst, while patient satisfaction remained high in all groups for far, intermediate, and near vision.Conclusion: All eyes implanted with the three EDOF designs achieved excellent far and intermediate vision, with acceptable near vision. The IC-8 and Symfony exhibited a better range of vision on defocus-curve testing. The Symfony showed superior results in quality of vision. Patient satisfaction was high in all three EDOF groups.Keywords: EDOF, Symfony, IC-8, WIOL, diffractive echelette, small aperture
format article
author Ang RE
Picache GCS
Rivera MCR
Lopez LRL
Cruz EM
author_facet Ang RE
Picache GCS
Rivera MCR
Lopez LRL
Cruz EM
author_sort Ang RE
title A Comparative Evaluation of Visual, Refractive, and Patient-Reported Outcomes of Three Extended Depth of Focus (EDOF) Intraocular Lenses
title_short A Comparative Evaluation of Visual, Refractive, and Patient-Reported Outcomes of Three Extended Depth of Focus (EDOF) Intraocular Lenses
title_full A Comparative Evaluation of Visual, Refractive, and Patient-Reported Outcomes of Three Extended Depth of Focus (EDOF) Intraocular Lenses
title_fullStr A Comparative Evaluation of Visual, Refractive, and Patient-Reported Outcomes of Three Extended Depth of Focus (EDOF) Intraocular Lenses
title_full_unstemmed A Comparative Evaluation of Visual, Refractive, and Patient-Reported Outcomes of Three Extended Depth of Focus (EDOF) Intraocular Lenses
title_sort comparative evaluation of visual, refractive, and patient-reported outcomes of three extended depth of focus (edof) intraocular lenses
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/11c9f9dae8eb4c2cb857a2fbbd777477
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