Visual, Refractive, Functional, and Patient Satisfaction Outcomes After Implantation of a New Extended Depth-of-Focus Intraocular Lens.

Autor:	Ferrando Gil J; Department of Ophthalmology, Donostia University Hospital, Donostia-San Sebastián, Spain., Churruca Irazola A; Department of Ophthalmology, Donostia University Hospital, Donostia-San Sebastián, Spain., Reparaz I; Department of Ophthalmology, Donostia University Hospital, Donostia-San Sebastián, Spain., Lauzirika G; Miranza Begitek, Donostia-San Sebastián, Spain.; R&D Department, Miranza Group, Donostia-San Sebastián, Spain., Martínez-Soroa I; Department of Ophthalmology, Donostia University Hospital, Donostia-San Sebastián, Spain.; Miranza Begitek, Donostia-San Sebastián, Spain., Mendicute J; Department of Ophthalmology, Donostia University Hospital, Donostia-San Sebastián, Spain.; Miranza Begitek, Donostia-San Sebastián, Spain.
Jazyk:	angličtina
Zdroj:	Clinical ophthalmology (Auckland, N.Z.) [Clin Ophthalmol] 2024 Dec 17; Vol. 18, pp. 3801-3813. Date of Electronic Publication: 2024 Dec 17 (Print Publication: 2024).
DOI:	10.2147/OPTH.S499911
Abstrakt:	Purpose: To describe the visual, refractive, functional, and patient satisfaction outcomes of the Bi-Flex POB-MA 877PEY (Elon ® , Medicontur Medical Engineering Ltd. Zsámbék, Hungary) extended depth-of-focus intraocular lens (EDoF IOL). Patients and Methods: This was a prospective longitudinal descriptive study. Patients who underwent cataract surgery with the implantation of Bi-Flex POB-MA 877PEY IOL were included. Monocular refractive outcomes and visual acuity at distance, intermediate, and near were evaluated 1- and 3-month post-op. Binocular contrast sensitivity (CSV-1000, VectorVision, USA), binocular defocus curve, and patient satisfaction with the Visual Functioning Questionnaire (VFQ) were assessed at 3-month post-op. Results: 20 Bi-Flex POB-MA 877PEY IOL were implanted bilaterally in 10 patients. The mean age of the patients was 68.60±4.45 years. At 1-month post-op the monocular Corrected Distance Visual Acuity (CDVA), intermediate (CIVA) and near (CNVA) was 0.02±0.03, 0.29±0.08, and 0.40±0.05 LogMAR respectively. At 3-month post-op the CDVA decrease to 0.05±0.06 LogMAR (p=0.042), and CIVA and CNVA remained stable at 3-month post-op (p>0.05). No statistical differences were found in post-op spherical equivalent at 1 and 3 month (-0.03±0.19 D and -0.03±0.13 D; p=1.000). 100% of eyes were within ±0.5 D at 1 month and 3-month post-op. Binocular defocus curve shows a peak of maximum visual acuity (VA) at 0 D (0.00±0.04 LogMAR), and a constant and progressive decrease at -1.50 D, and -2.50 D (0.15±0.08 LogMAR and 0.33±0.10 LogMAR, respectively). Contrast sensitivity decreased at high spatial frequencies. In patient satisfaction at 3 months post-op, VFQ reveals that 90% of patients revealed no or minor difficulty with glare/flare and 100% of patients have no or minor difficulty with halos. In overall satisfaction, 80% of patients rate their vision between 8 and 9 from a scale from 0 to 10. Conclusion: The Bi-Flex POB-MA 877PEY EDoF IOL provides good visual outcomes for distance, and adequate intermediate vision, with low visual disturbances. Competing Interests: Javier Mendicute is a consultant for Alcon, and an external researcher for Bausch and Lomb, Santem, Hoya, and Medicontur. The remaining authors have nothing to declare. The authors have no financial or proprietary interests in the medical field or products involved in this manuscript. (© 2024 Ferrando Gil et al.)
Databáze:	MEDLINE
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