Visual Performance of Eyes with Residual Refractive Errors after Implantation of an Extended Vision Intraocular Lens

Background. To analyze the tolerance on distance vision of different combined residual astigmatic situations in patients implanted with a novel wavefront shaping extended depth of focus (EDoF) intraocular lens (IOL). Methods. The study included patients implanted with the Acrysof® IQ Vivity® IOL. Un...

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Main Authors: Laureano A. Rementería-Capelo, Inés Contreras, Aida Morán, Pilar Lorente-Hevia, Laura Mariñas, Javier Ruiz-Alcocer
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2023/7701390
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author Laureano A. Rementería-Capelo
Inés Contreras
Aida Morán
Pilar Lorente-Hevia
Laura Mariñas
Javier Ruiz-Alcocer
author_facet Laureano A. Rementería-Capelo
Inés Contreras
Aida Morán
Pilar Lorente-Hevia
Laura Mariñas
Javier Ruiz-Alcocer
author_sort Laureano A. Rementería-Capelo
collection DOAJ
description Background. To analyze the tolerance on distance vision of different combined residual astigmatic situations in patients implanted with a novel wavefront shaping extended depth of focus (EDoF) intraocular lens (IOL). Methods. The study included patients implanted with the Acrysof® IQ Vivity® IOL. Uncorrected (UDVA) and corrected distance visual acuity (CDVA) were measured three months after surgery, considering CDVA as the reference situation of the study. Distance VA was also measured in different refractive situations: (A) with 0.50 diopters (D) of positive (myopization) and negative (hyperopization) defocus and (B) with a residual mixed astigmatic refraction induced by adding a combination of −0.25 D spherical and 0.50 D cylindrical lenses placed in vertical (against the rule-ATR), oblique, and horizontal (with the rule-WTR) positions. Results. The study included 30 eyes of 30 patients. UDVA and CDVA were −0.04 ± 0.05 and −0.05 ± 0.05 logMAR, respectively. VA values with +0.50 D and −0.50 D of defocus were 0.01 ± 0.06 and 0.00 ± 0.04 logMAR, respectively. VA was better with distance correction (p<0.001) and no differences were found between the myopic and the hyperopic situations (p=0.09). Distance VA for the ATR, oblique, and WTR astigmatic situations was 0.01 ± 0.05, 0.01 ± 0.06, and 0.01 ± 0.04 logMAR, respectively. VA was better for the reference situation (p<0.001) and no differences were found among the three astigmatic situations (p=0.21). Conclusions. Low residual defocus and mixed astigmatic errors, regardless of its orientation, seem to be tolerated by patients implanted with the studied EDoF IOL. This trial is registered with NCT05392998. Registered 26 May 2022-Retrospectively registered.
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spelling doaj-art-6a8a84ba86bc40de8a78417cd05d81342025-08-20T03:18:03ZengWileyJournal of Ophthalmology2090-00582023-01-01202310.1155/2023/7701390Visual Performance of Eyes with Residual Refractive Errors after Implantation of an Extended Vision Intraocular LensLaureano A. Rementería-Capelo0Inés Contreras1Aida Morán2Pilar Lorente-Hevia3Laura Mariñas4Javier Ruiz-Alcocer5Clínica RementeríaClínica RementeríaClínica RementeríaClínica RementeríaClínica RementeríaOptics and Optometry DepartmentBackground. To analyze the tolerance on distance vision of different combined residual astigmatic situations in patients implanted with a novel wavefront shaping extended depth of focus (EDoF) intraocular lens (IOL). Methods. The study included patients implanted with the Acrysof® IQ Vivity® IOL. Uncorrected (UDVA) and corrected distance visual acuity (CDVA) were measured three months after surgery, considering CDVA as the reference situation of the study. Distance VA was also measured in different refractive situations: (A) with 0.50 diopters (D) of positive (myopization) and negative (hyperopization) defocus and (B) with a residual mixed astigmatic refraction induced by adding a combination of −0.25 D spherical and 0.50 D cylindrical lenses placed in vertical (against the rule-ATR), oblique, and horizontal (with the rule-WTR) positions. Results. The study included 30 eyes of 30 patients. UDVA and CDVA were −0.04 ± 0.05 and −0.05 ± 0.05 logMAR, respectively. VA values with +0.50 D and −0.50 D of defocus were 0.01 ± 0.06 and 0.00 ± 0.04 logMAR, respectively. VA was better with distance correction (p<0.001) and no differences were found between the myopic and the hyperopic situations (p=0.09). Distance VA for the ATR, oblique, and WTR astigmatic situations was 0.01 ± 0.05, 0.01 ± 0.06, and 0.01 ± 0.04 logMAR, respectively. VA was better for the reference situation (p<0.001) and no differences were found among the three astigmatic situations (p=0.21). Conclusions. Low residual defocus and mixed astigmatic errors, regardless of its orientation, seem to be tolerated by patients implanted with the studied EDoF IOL. This trial is registered with NCT05392998. Registered 26 May 2022-Retrospectively registered.http://dx.doi.org/10.1155/2023/7701390
spellingShingle Laureano A. Rementería-Capelo
Inés Contreras
Aida Morán
Pilar Lorente-Hevia
Laura Mariñas
Javier Ruiz-Alcocer
Visual Performance of Eyes with Residual Refractive Errors after Implantation of an Extended Vision Intraocular Lens
Journal of Ophthalmology
title Visual Performance of Eyes with Residual Refractive Errors after Implantation of an Extended Vision Intraocular Lens
title_full Visual Performance of Eyes with Residual Refractive Errors after Implantation of an Extended Vision Intraocular Lens
title_fullStr Visual Performance of Eyes with Residual Refractive Errors after Implantation of an Extended Vision Intraocular Lens
title_full_unstemmed Visual Performance of Eyes with Residual Refractive Errors after Implantation of an Extended Vision Intraocular Lens
title_short Visual Performance of Eyes with Residual Refractive Errors after Implantation of an Extended Vision Intraocular Lens
title_sort visual performance of eyes with residual refractive errors after implantation of an extended vision intraocular lens
url http://dx.doi.org/10.1155/2023/7701390
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