Visual Results After Extended Depth-of-Focus Lens Implantation in Patients Undergoing Clear Lens Surgery

Background/Objectives: To evaluate the efficacy and visual quality provided by the extended depth-of-focus AcrySof IQ Vivity lens (Alcon Laboratories, Inc., Fort Worth, TX, USA) in patients undergoing refractive lens exchange (RLE) surgery for presbyopia correction. Methods: This descriptive prospec...

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Detalles Bibliográficos
Autores: Barberá Loustaunau, Emanuel, Couñago Lorenzo, Felipe, Sánchez Tena, Miguel Ángel, Garzón, Nuria
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universidad Europea (UEM)
Repositorio:ABACUS. Repositorio de Producción Científica
Idioma:inglés
OAI Identifier:oai:abacus.universidadeuropea.com:11268/16585
Acceso en línea:https://hdl.handle.net/11268/16585
Access Level:acceso abierto
Palabra clave:Oftalmología
Lentes intraoculares
Salud
Goal 3: Ensure healthy lives and promote well-being for all at all ages
Descripción
Sumario:Background/Objectives: To evaluate the efficacy and visual quality provided by the extended depth-of-focus AcrySof IQ Vivity lens (Alcon Laboratories, Inc., Fort Worth, TX, USA) in patients undergoing refractive lens exchange (RLE) surgery for presbyopia correction. Methods: This descriptive prospective single-arm clinical study included 30 patients (60 eyes) aged 49-69 years (mean 60.2) who underwent clear lens surgery for presbyopia correction. Postoperative 3-month assessments included uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), distance-corrected intermediate visual acuity (DCIVA), and distance-corrected near visual acuity (DCNVA) measurements. Patient satisfaction and visual disturbances were evaluated using a standardized questionnaire. Results: Postoperative binocular visual acuity results were as follows: UDVA, 0.00 ± 0.06 logMAR; UIVA 0.08 ± 0.07 logMAR; and UNVA, 0.18 ± 0.10 logMAR. Refractive outcomes showed mean spherical equivalent values of -0.15 D ± 0.28 diopters (D) for the right eye and -0.18 D ± 0.30 D for the left eye postoperatively. Most patients (93.2%) were satisfied or very satisfied with the surgery, and 63.3% never needed glasses at any distance postoperatively. Mild and non-disabling photic phenomena were reported by 23% of patients for halos and 30% for glares. Conclusions: The study IOL provides excellent visual acuity for far and intermediate distances, as well as functional near vision under photopic conditions, with high levels of patient satisfaction and minimal visual disturbances. This lens is a promising option for non-cataract patients undergoing RLE for presbyopia correction.