Visual Outcomes and Patient Satisfaction with a Hydrophobic Acrylic Monofocal IOL Delivered Using a Manual System
Joseph Christenbury,1 Brad Hall2 1Eye Consultants of Atlanta, Atlanta, GA, USA; 2Sengi, Penniac, NB, CanadaCorrespondence: Joseph Christenbury, Eye Consultants of Atlanta, Atlanta, GA, USA, Tel +1-404-351-2220, Email jchristenbury@eyeconsultants.netPurpose: To evaluate visual outcomes and patient sa...
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Dove Medical Press
2024-11-01
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| description | Joseph Christenbury,1 Brad Hall2 1Eye Consultants of Atlanta, Atlanta, GA, USA; 2Sengi, Penniac, NB, CanadaCorrespondence: Joseph Christenbury, Eye Consultants of Atlanta, Atlanta, GA, USA, Tel +1-404-351-2220, Email jchristenbury@eyeconsultants.netPurpose: To evaluate visual outcomes and patient satisfaction at far and intermediate distances, up to 3 months postoperatively, in patients implanted with a hydrophobic acrylic intraocular lens (IOL) using a manual delivery system.Methods: This was a prospective single-arm study of visual outcomes and patient satisfaction after successful bilateral cataract surgery with the Clareon monofocal and monofocal toric IOL using the Monarch IV delivery system. Endpoints included bilateral visual acuity, manifest refraction, and satisfaction assessed at 1 and 3 months post-operatively, as well as a surgeon survey of in-the-bag placement and satisfaction.Results: A total of 28 patients (56 eyes) completed the study. At 3 months postoperatively, mean uncorrected and corrected binocular visual acuities at distance were 0.03 ± 0.04 logMAR and 0.00 ± 0.02 logMAR, respectively. For intermediate vision (66cm), 98% of eyes (55/56) had corrected monocular visual acuity 20/25 or better. In addition, mean uncorrected and corrected binocular visual acuities at intermediate (66cm) were 0.09 ± 0.05 logMAR and 0.04 ± 0.05 logMAR, respectively. Patient reported satisfaction with their vision was 88% (25/28). The IOL was delivered smoothly into the capsular bag in 89% (50/56) of eyes.Conclusion: Clareon monofocal and monofocal toric IOL delivered with Monarch IV can provide excellent distance vision and intermediate vision, good spectacle independence, high reported patient satisfaction, consistent in-the-bag delivery, and high surgeon satisfaction.Plain Language Summary: When the natural lens inside the eye becomes opaque (develops a cataract) it can be removed and replaced with an artificial intraocular lens (IOL). There are many different types of IOLs available for patients and surgeons to choose from. Monofocal IOLs are traditionally designed to provide clear vision at a single distance. However, recent advancements in optical designs for monofocal IOLs may provide functional vision when viewing objects at intermediate distances. The purpose of this study was to evaluate visual outcomes and patient satisfaction in patients with a new monofocal IOL, implanted with a manual delivery system, up to 3 months postoperatively. The results of this study suggest that the Clareon monofocal and monofocal toric IOL delivered with Monarch IV delivery system can provide excellent distance vision and functional intermediate vision.Keywords: cataract surgery, monofocal, clareon, monarch IV |
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| institution | Kabale University |
| issn | 1177-5483 |
| language | English |
| publishDate | 2024-11-01 |
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| spelling | doaj-art-5877cf87d18943e38e4d60efe6875af92024-11-26T17:58:43ZengDove Medical PressClinical Ophthalmology1177-54832024-11-01Volume 183485349197711Visual Outcomes and Patient Satisfaction with a Hydrophobic Acrylic Monofocal IOL Delivered Using a Manual SystemChristenbury JHall BJoseph Christenbury,1 Brad Hall2 1Eye Consultants of Atlanta, Atlanta, GA, USA; 2Sengi, Penniac, NB, CanadaCorrespondence: Joseph Christenbury, Eye Consultants of Atlanta, Atlanta, GA, USA, Tel +1-404-351-2220, Email jchristenbury@eyeconsultants.netPurpose: To evaluate visual outcomes and patient satisfaction at far and intermediate distances, up to 3 months postoperatively, in patients implanted with a hydrophobic acrylic intraocular lens (IOL) using a manual delivery system.Methods: This was a prospective single-arm study of visual outcomes and patient satisfaction after successful bilateral cataract surgery with the Clareon monofocal and monofocal toric IOL using the Monarch IV delivery system. Endpoints included bilateral visual acuity, manifest refraction, and satisfaction assessed at 1 and 3 months post-operatively, as well as a surgeon survey of in-the-bag placement and satisfaction.Results: A total of 28 patients (56 eyes) completed the study. At 3 months postoperatively, mean uncorrected and corrected binocular visual acuities at distance were 0.03 ± 0.04 logMAR and 0.00 ± 0.02 logMAR, respectively. For intermediate vision (66cm), 98% of eyes (55/56) had corrected monocular visual acuity 20/25 or better. In addition, mean uncorrected and corrected binocular visual acuities at intermediate (66cm) were 0.09 ± 0.05 logMAR and 0.04 ± 0.05 logMAR, respectively. Patient reported satisfaction with their vision was 88% (25/28). The IOL was delivered smoothly into the capsular bag in 89% (50/56) of eyes.Conclusion: Clareon monofocal and monofocal toric IOL delivered with Monarch IV can provide excellent distance vision and intermediate vision, good spectacle independence, high reported patient satisfaction, consistent in-the-bag delivery, and high surgeon satisfaction.Plain Language Summary: When the natural lens inside the eye becomes opaque (develops a cataract) it can be removed and replaced with an artificial intraocular lens (IOL). There are many different types of IOLs available for patients and surgeons to choose from. Monofocal IOLs are traditionally designed to provide clear vision at a single distance. However, recent advancements in optical designs for monofocal IOLs may provide functional vision when viewing objects at intermediate distances. The purpose of this study was to evaluate visual outcomes and patient satisfaction in patients with a new monofocal IOL, implanted with a manual delivery system, up to 3 months postoperatively. The results of this study suggest that the Clareon monofocal and monofocal toric IOL delivered with Monarch IV delivery system can provide excellent distance vision and functional intermediate vision.Keywords: cataract surgery, monofocal, clareon, monarch IVhttps://www.dovepress.com/visual-outcomes-and-patient-satisfaction-with-a-hydrophobic-acrylic-mo-peer-reviewed-fulltext-article-OPTHcataract surgerymonofocalclareonmonarch iv |
| spellingShingle | Christenbury J Hall B Visual Outcomes and Patient Satisfaction with a Hydrophobic Acrylic Monofocal IOL Delivered Using a Manual System Clinical Ophthalmology cataract surgery monofocal clareon monarch iv |
| title | Visual Outcomes and Patient Satisfaction with a Hydrophobic Acrylic Monofocal IOL Delivered Using a Manual System |
| title_full | Visual Outcomes and Patient Satisfaction with a Hydrophobic Acrylic Monofocal IOL Delivered Using a Manual System |
| title_fullStr | Visual Outcomes and Patient Satisfaction with a Hydrophobic Acrylic Monofocal IOL Delivered Using a Manual System |
| title_full_unstemmed | Visual Outcomes and Patient Satisfaction with a Hydrophobic Acrylic Monofocal IOL Delivered Using a Manual System |
| title_short | Visual Outcomes and Patient Satisfaction with a Hydrophobic Acrylic Monofocal IOL Delivered Using a Manual System |
| title_sort | visual outcomes and patient satisfaction with a hydrophobic acrylic monofocal iol delivered using a manual system |
| topic | cataract surgery monofocal clareon monarch iv |
| url | https://www.dovepress.com/visual-outcomes-and-patient-satisfaction-with-a-hydrophobic-acrylic-mo-peer-reviewed-fulltext-article-OPTH |
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