Clinical Outcomes with a Novel Extended Depth of Focus Presbyopia-Correcting Intraocular Lens: Pilot Study

María T Iradier,1 Verónica Cruz,1 Naty Gentile,1 Priscila Cedano,1 David P Piñero2 1Iradier Eye Clinic, Madrid, Spain; 2Department of Optics, Pharmacology and Anatomy, University of Alicante, Alicante, SpainCorrespondence: David P PiñeroDepartment of Optic...

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Autores principales:	Iradier MT, Cruz V, Gentile N, Cedano P, Piñero DP
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	presbyopia cataract surgery presbyopia-correcting iol extended depth of focus iol defocus curve Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/49c9073ae9bb44b588ed7517953dac44
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spelling	oai:doaj.org-article:49c9073ae9bb44b588ed7517953dac442021-12-02T17:05:08ZClinical Outcomes with a Novel Extended Depth of Focus Presbyopia-Correcting Intraocular Lens: Pilot Study1177-5483https://doaj.org/article/49c9073ae9bb44b588ed7517953dac442021-03-01T00:00:00Zhttps://www.dovepress.com/clinical-outcomes-with-a-novel-extended-depth-of-focus-presbyopia-corr-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483María T Iradier,1 Verónica Cruz,1 Naty Gentile,1 Priscila Cedano,1 David P Piñero2 1Iradier Eye Clinic, Madrid, Spain; 2Department of Optics, Pharmacology and Anatomy, University of Alicante, Alicante, SpainCorrespondence: David P PiñeroDepartment of Optics, Pharmacology and Anatomy, University of Alicante, Crta San Vicente del Raspeig s/n, San Vicente del Raspeig (Alicante), 03690, SpainEmail david.pinyero@ua.esPurpose: To evaluate the clinical outcomes of cataract surgery with implantation of a novel model of extended depth of focus (EDOF) intraocular lens (IOL).Methods: Pilot case series enrolling a total of 27 eyes of 16 patients (49 to 84 years) undergoing uncomplicated phacoemulsification cataract surgery with implantation of the EDOF IOL Synthesis PLUS (Cutting Edge, Montpellier, France). Near (UNVA, uncorrected near visual acuity; DCNVA, distance-corrected near visual acuity) and distance visual acuity (uncorrected and corrected distance visual acuity, UDVA and CDVA), monocular defocus curve and refractive outcomes were evaluated during a 3-month follow-up.Results: Mean postoperative UDVA, UNVA and DCNVA were 0.11± 0.17, 0.14± 0.22 and 0.37± 0.36 logMAR, respectively. A total of 84.6%, 91.7%, and 96.3% of eyes achieved postoperative UDVA, UNVA and CDVA of 0.20 logMAR or better. A total of 78.6% of eyes achieved postoperative DCNVA of 0.30 logMAR or better. Mean postoperative spherical equivalent was − 0.76± 0.53 D. The distance-corrected visual acuity was maintained on average over a value of 0.30 logMAR for the range of defocus levels between +1.00 and − 1.50 D.Conclusion: The implantation of the Synthesis plus EDOF IOL after cataract surgery seems to provide functional levels of distance, intermediate and near visual acuity. The near visual performance with this new IOL might be significantly enhanced using a micro-monovision approach. The results of this pilot study should be confirmed in future clinical trials.Keywords: presbyopia, cataract surgery, presbyopia-correcting IOL, extended depth of focus IOL, defocus curveIradier MTCruz VGentile NCedano PPiñero DPDove Medical Pressarticlepresbyopiacataract surgerypresbyopia-correcting iolextended depth of focus ioldefocus curveOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 1215-1221 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	presbyopia cataract surgery presbyopia-correcting iol extended depth of focus iol defocus curve Ophthalmology RE1-994
spellingShingle	presbyopia cataract surgery presbyopia-correcting iol extended depth of focus iol defocus curve Ophthalmology RE1-994 Iradier MT Cruz V Gentile N Cedano P Piñero DP Clinical Outcomes with a Novel Extended Depth of Focus Presbyopia-Correcting Intraocular Lens: Pilot Study
description	María T Iradier,1 Verónica Cruz,1 Naty Gentile,1 Priscila Cedano,1 David P Piñero2 1Iradier Eye Clinic, Madrid, Spain; 2Department of Optics, Pharmacology and Anatomy, University of Alicante, Alicante, SpainCorrespondence: David P PiñeroDepartment of Optics, Pharmacology and Anatomy, University of Alicante, Crta San Vicente del Raspeig s/n, San Vicente del Raspeig (Alicante), 03690, SpainEmail david.pinyero@ua.esPurpose: To evaluate the clinical outcomes of cataract surgery with implantation of a novel model of extended depth of focus (EDOF) intraocular lens (IOL).Methods: Pilot case series enrolling a total of 27 eyes of 16 patients (49 to 84 years) undergoing uncomplicated phacoemulsification cataract surgery with implantation of the EDOF IOL Synthesis PLUS (Cutting Edge, Montpellier, France). Near (UNVA, uncorrected near visual acuity; DCNVA, distance-corrected near visual acuity) and distance visual acuity (uncorrected and corrected distance visual acuity, UDVA and CDVA), monocular defocus curve and refractive outcomes were evaluated during a 3-month follow-up.Results: Mean postoperative UDVA, UNVA and DCNVA were 0.11± 0.17, 0.14± 0.22 and 0.37± 0.36 logMAR, respectively. A total of 84.6%, 91.7%, and 96.3% of eyes achieved postoperative UDVA, UNVA and CDVA of 0.20 logMAR or better. A total of 78.6% of eyes achieved postoperative DCNVA of 0.30 logMAR or better. Mean postoperative spherical equivalent was − 0.76± 0.53 D. The distance-corrected visual acuity was maintained on average over a value of 0.30 logMAR for the range of defocus levels between +1.00 and − 1.50 D.Conclusion: The implantation of the Synthesis plus EDOF IOL after cataract surgery seems to provide functional levels of distance, intermediate and near visual acuity. The near visual performance with this new IOL might be significantly enhanced using a micro-monovision approach. The results of this pilot study should be confirmed in future clinical trials.Keywords: presbyopia, cataract surgery, presbyopia-correcting IOL, extended depth of focus IOL, defocus curve
format	article
author	Iradier MT Cruz V Gentile N Cedano P Piñero DP
author_facet	Iradier MT Cruz V Gentile N Cedano P Piñero DP
author_sort	Iradier MT
title	Clinical Outcomes with a Novel Extended Depth of Focus Presbyopia-Correcting Intraocular Lens: Pilot Study
title_short	Clinical Outcomes with a Novel Extended Depth of Focus Presbyopia-Correcting Intraocular Lens: Pilot Study
title_full	Clinical Outcomes with a Novel Extended Depth of Focus Presbyopia-Correcting Intraocular Lens: Pilot Study
title_fullStr	Clinical Outcomes with a Novel Extended Depth of Focus Presbyopia-Correcting Intraocular Lens: Pilot Study
title_full_unstemmed	Clinical Outcomes with a Novel Extended Depth of Focus Presbyopia-Correcting Intraocular Lens: Pilot Study
title_sort	clinical outcomes with a novel extended depth of focus presbyopia-correcting intraocular lens: pilot study
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/49c9073ae9bb44b588ed7517953dac44
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Clinical Outcomes with a Novel Extended Depth of Focus Presbyopia-Correcting Intraocular Lens: Pilot Study

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