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Patient satisfaction after EDOF intraocular lens implantation in vitrectomized eyes

  • Retinal Disorders
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Abstract

Purpose

To report patient satisfaction after unilateral/bilateral extended depth-of-focus (EDOF) intraocular lens (IOL) implantation in a young population after vitrectomy.

Methods

Patients that underwent phaco-vitrectomy or phaco following vitrectomy with an AT LARA EDOF IOL, aged between 18 and 75 years, were asked to fill out a questionnaire to assess overall visual quality, near vision quality, and visual disturbances. The questionnaire was based on the Catquest, NAVQ, and APPLES questionnaires.

Results

A total of 89 participants (average age 56.7 years) filled out the questionnaire of which 53.9% received a unilateral EDOF IOL. The most common indications for vitrectomy were retinal detachments (38.2%), floaters (36.0%), and epiretinal membranes (16.9%). The Catquest and NAVQ score respectively showed a good overall satisfaction (3.44/4.0), a good intermediate vision (3.55/4.0), and an average near vision (2.75/4.0). The APPLES score showed acceptable visual disturbances. There were no differences between the unilateral and bilateral group, except for a higher spectacle dependency in the unilateral group (40% vs. 10.6%). Participants that underwent vitrectomy in case of floaters reported lower satisfaction rates. Other variables, like the pre-operative refraction, had no impact on both satisfaction and visual disturbances.

Conclusion

Both unilateral and bilateral implantation of the AT LARA EDOF IOL showed a high satisfaction with no differences between both groups, except for a lower spectacle use in the latter. Hence, The AT LARA seems to be a possible choice in patients undergoing vitrectomy at a younger age, even for unilateral use.

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Abbreviations

EDOF:

Extended depth-of-focus

ICF:

Informed consent form

IOL:

Intraocular lens

KWS:

Clinical workstation

REDCap:

Research Electronic Data Capture

VA:

Visual acuity

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Acknowledgements

The authors would like to acknowledge Mrs. Inge Vriens, study CTA, for her support during this clinical study.

Funding

Funding support from Carl Zeiss Meditec was received by the UZ Leuven institution to provide the resources to perform this study (grant number S65356). The funders had no role in study design, data collection, analysis, decision to publish, or manuscript preparation. No author has a financial or proprietary interest in any material mentioned.

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Authors and Affiliations

  1. Department of Ophthalmology, University Hospitals Leuven, Leuven, Belgium

    Willem Van Hoe, Joachim Van Calster, Joyce Jansen, Joris Vander Mijnsbrugge, Ann-Laure Delbecq & Peter Stalmans

  2. Ars Statistica, Nivelles, Belgium

    Jean-François Fils

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  1. Willem Van Hoe
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  2. Joachim Van Calster
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  7. Peter Stalmans
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Corresponding author

Correspondence to Peter Stalmans.

Ethics declarations

Ethics approval and consent to participate

All procedures performed were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study was approved by the Ethics Committee of the University Hospital Leuven in January 2022 prior to patient inclusion. Informed consent was obtained from all individual participants included in the study.

Competing interests

Peter Stalmans is a consultant for DORC, Zeiss, and Vitreq/BVI. All other authors declare no competing interests.

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Presentations

OB (Ophthalmologia Belgica) 2022, Brussels, Belgium, 23-11-2022.

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Van Hoe, W., Van Calster, J., Jansen, J. et al. Patient satisfaction after EDOF intraocular lens implantation in vitrectomized eyes. Graefes Arch Clin Exp Ophthalmol 261, 3465–3474 (2023). https://doi.org/10.1007/s00417-023-06204-z

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  • DOI: https://doi.org/10.1007/s00417-023-06204-z

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