Skip to main content

Advertisement

SpringerLink
Log in

The Evaluation of a New IOL with Extended Depth of Focus to Increase Visual Acuity for Intermediate Distance

  • Surgery
  • Published:
SN Comprehensive Clinical Medicine Aims and scope Submit manuscript

Abstract

To compare the visual and refractive outcomes of a new intraocular lens (IOL) with extended depth of focus (Tecnis Eyhance IOL) and Tecnis Monofocal IOL, retrospectively. Eighty-five eyes of 85 patients with cataract who had undergone standard phacoemulsification and Tecnis Eyhance (ICB00) intraocular lens (IOL) implantation operation (group 1), and 83 eyes of 83 patients with cataract who had undergone standard phacoemulsification and Tecnis Monofocal (ZCB00) IOL implantation (group 2) between April 2019 and May 2019 were compared in terms of visual outcomes. There were no significant differences between the two groups with respect to preoperative and postoperative spherical, astigmatic, and spherical equivalent (SE) values (p > 0.05). The mean postoperative spherical, astigmatic, and SE values were significantly lower than those of preoperative values in both groups (p < 0.05). The mean preoperative uncorrected distance visual acuity (UCDVA), best-corrected distance visual acuity (BCDVA), uncorrected intermediate visual acuity (UCIVA), distance-corrected intermediate visual acuity (DCIVA), uncorrected near visual acuity (UNVA), distance-corrected near visual acuity (DCNVA), and corrected near visual acuity (CNVA) of the first group were not different statistically from those of the second group (p > 0.05). The mean postoperative UCDVA, BCDVA, and CNVA of the first group were not different statistically from those of the second group (p > 0.05). However, the mean postoperative 6th month UCIVA, DCIVA, UNVA, and DCNVA of the first group were significantly better than those of the second group (p < 0.05). Also, additional degrees needed for near vision correction was significantly lower in the first group when compared to the second group (p < 0.05). There were no halo and/or glare complaints of patients in either group. Tecnis Eyhance IOL provides good distance and intermediate vision and improves near vision partially, and it does not cause photic phenomenon like halo and glare.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

Data Availability

When requested, all data could be shared by us.

References

  1. Khairallah M, Kahloun R, Bourne R, Limburg H, Flaxman SR, Jonas JB, et al. Number of people blind or visually impaired by cataract worldwide and in world regions, 1990 to 2010. Invest Ophthalmol Vis Sci. 2015;56:6762–9.

    Article  Google Scholar 

  2. Pascolini D, Mariotti SP. Global estimates of visual impairment: 2010. Br J Ophthalmol. 2012;96:614–8.

    Article  Google Scholar 

  3. Hong T, Mitchell P, Burlutsky G, Gopinath B, Liew G, Wang JJ. Visual impairment and depressive symptoms in an older Australian cohort: longitudinal findings from the Blue Mountains Eye Study. Br J Ophthalmol. 2015;99:1017–21.

    Article  Google Scholar 

  4. Thomas BJ, Sanders DS, Oliva MS, Orrs MS, Glick P, Ruit S, et al. Blindness, cataract surgery and mortality in Ethiopia. Br J Ophthalmol. 2016;100:1157–62.

    Article  Google Scholar 

  5. Alió JL, Abdou AA, Puente AA, Zato MA, Nagy Z. Femtosecond laser cataract surgery: updates on technologies and outcomes. J Refract Surg. 2014;30(6):420–7.

    Article  Google Scholar 

  6. Stattin M, Zehetner C, Bechrakis NE, Speicher L. Comparison of IOL-Master 500 vs.Lenstar LS900 concerning the calculation of target refraction: a retrospective analysis. Ophthalmologe. 2015;112(5):444–50.

    Article  CAS  Google Scholar 

  7. Petermeier K, Frank C, Gekeler F, Spitzer MS, Messias A, Szurman P. Influence of the pupil size on visual acuity after implantation of the Tecnis 1-piece intraocular lens. Br J Ophthalmol. 2011;95(1):42–5.

    Article  Google Scholar 

  8. Nixon DR, Woodcock MG. Pattern of posterior capsule opacification models 2 years postoperatively with 2 single-piece acrylic intraocular lenses. J Cataract Refract Surg. 2010;36:929–34.

    Article  Google Scholar 

  9. Mencucci R, Cennamo M, Venturi D, Vignapiano R, Favuzza E. Visual outcome, optical quality, and patient satisfaction with a new monofocal IOL, enhanced for intermediate vision: preliminary results. J Cataract Refract Surg. 2020;46(3):378–87.

    Article  Google Scholar 

  10. Bartol-Puyal FA, Talavero P, Giménez G, Altemir I, Larrosa JM, Polo V, et al. Reading and quality of life differences between Tecnis ZCB00 monofocal and Tecnis ZMB00 multifocal intraocular lenses. Eur J Ophthalmol. 2017;27(4):443–53.

    Article  Google Scholar 

  11. Agresta B, Knorz MC, Kohnen T, Donatti C, Jackson D. Distance and near visual acuity improvement after implantation of multifocal intraocular lenses in cataract patients with presbyopia: a systematic review. J Refract Surg. 2012;28(6):426–35.

    Article  Google Scholar 

  12. Peng C, Zhao J, Ma L, Qu B, Sun Q, Zhang J. Optical performance after bilateral implantation of apodized aspheric diffractive multifocal intraocular lenses with +3,00-D addition power. Acta Ophthalmol. 2012;90(8):e586–93.

    Article  Google Scholar 

  13. Gundersen KG, Potvin R. Comparative visual performance with monofocal and multifocal intraocular lenses. Clin Ophthalmol. 2013;7:1979–85.

    PubMed  PubMed Central  Google Scholar 

  14. Braga-Mele R, Chang D, Dewey S. Multifocal intraocular lenses: relative indications and contraindications for implantation. J Cataract Refract Surg. 2014;40(2):313–22.

    Article  Google Scholar 

  15. Visser N, Nuijts RM, de Vries NE, Bauer NJ. Visual outcomes and patients satisfaction after cataract surgery with toric multifocal intraocular lens implantation. J Cataract Refract Surg. 2011;37(11):2034–42.

    Article  Google Scholar 

  16. de Vries NE, Webers CA, Touwslager WR, Bauer NJ, de Brabander J, Berendschot TT, et al. Dissatisfaction after implantation of multifocal intraocular lenses. J Cataract Refract Surg. 2011;37(5):859–65.

    Article  Google Scholar 

  17. Alio JL, Plaza-Puche AB, Pinero DP. Rotationally asymmetric multifocal IOL implantation with and without capsular tension ring: refractive and visual outcomes and intraocular optical performance. J Refract Surg. 2012;28(4):253–8.

    Article  Google Scholar 

  18. Kleiner RC, Enger C, Alexander MF, Fine SL. Contrast sensitivity in age-related macular degeneration. Arch Ophthalmol. 1988;106(1):55–7.

    Article  CAS  Google Scholar 

  19. Domingo J, Alarcon A, Jackson B, Auffarth G, Janakiraman D. Clinical investigation of an intraocular lens designed to provide an improvement in intermediate vision when compared to an aspheric monofocal intraocular lens control (Poster), ESCRS 2019 Winter Meeting

  20. Canovas C, Alarcon A, Koopman B, Perez G, Auffarth G, Piers P. Optical and predicted visual performance of the next generation TECNIS monofocal intraocular lens (Poster), ESCRS 2019 Winter Meeting

  21. Dyrda A, Martínez-Palmer A, Martín-Moral D, Rey A, Morilla A, Castilla-Martí M, et al. Clinical results of diffractive, refractive, hybrid multifocal, and monofocal intraocular lenses. J Ophthalmol. 2018;2018:8285637.

    Article  Google Scholar 

  22. Ren X , Wang Y , Wang D , Wu B , Wu L , Xu Y, et al. A novel standardized test system to evaluate dynamic visual acuity post trifocal or monofocal intraocular lens implantation: a multicenter study. Eye (Lond). 2020. 0780-9.

  23. Vounotrypidis E, Diener R, Wertheimer C, Kreutzer T, Wolf A, Priglinger S, et al. Bifocal nondiffractive intraocular lens for enhanced depth of focus in correcting presbyopia: clinical evaluation. J Cataract Refract Surg. 2017;43(5):627–32.

    Article  Google Scholar 

  24. Jackson MA, Edmiston AM, Bedi R. Optimum refractive target in patients with bilateral implantation of extended depth of focus intraocular lenses. Clin Ophthalmol. 2020;14:455–62.

    Article  Google Scholar 

  25. Torun Acar B, Duman E, Simsek S. Clinical outcomes of a new diffractive trifocal intraocular lens with enhanced depth of focus (EDOF). BMC Ophthalmol. 2016;16:208.

    Article  Google Scholar 

  26. Liu J, Dong Y, Wang Y. Efficacy and safety of extended depth of focus intraocular lenses in cataract surgery: a systematic review and meta-analysis. BMC Ophthalmol. 2019;19(1):198.

    Article  Google Scholar 

  27. Webers VSC, Bauer NJC, Saelens IEY, Creten OJM, Berendschot TTJM, van den Biggelaar FJHM, et al. Comparison of the intermediate distance of a trifocal IOL with an extended depth-of-focus IOL: results of a prospective randomized trial. J Cataract Refract Surg. 2020;46(2):193–203.

    Article  Google Scholar 

  28. Knorz MC. Presbyopia correction with intraocular lenses. Klin Monatsbl Augenheilkd. 2020;237(2):213–23.

    Article  Google Scholar 

Download references

Code Availability

Not applicable.

Author information

Authors and Affiliations

  1. Konya Eye Hospital, Sancak Mah. Unluer Sok. No:13, 42000, Selcuklu, Konya, Turkey

    Fikret Ucar & Servet Cetinkaya

Authors
  1. Fikret Ucar
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Servet Cetinkaya
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

FU: concept and design, data acquisition. FU,SC: data analysis/interpretation. FU: drafting manuscript. FU, SC: critical revision of the manuscript. FU: statistical analysis, admin, technical or material support. SC: supervision. FU, SC: final approval.

Corresponding author

Correspondence to Fikret Ucar.

Ethics declarations

Ethical Approval

All procedures performed in the study involving human participants 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 protocol was approved by the local ethics committee (Necmettin Erbakan University, Faculty of Medicine Ethics Committee, Konya, Turkey, Project Number: 2019/2043). The authors work at Konya Eye Hospital and the presented study was conducted in this hospital. Konya Eye Hospital is not affiliated to Necmettin Erbakan University. An informed written consent form was obtained from each patient before their surgery.

Consent to Participate

Not applicable.

Consent for Publication

Not applicable.

Conflict of Interest

The authors declare that there is no conflict of interest.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Surgery

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ucar, F., Cetinkaya, S. The Evaluation of a New IOL with Extended Depth of Focus to Increase Visual Acuity for Intermediate Distance. SN Compr. Clin. Med. 3, 2285–2291 (2021). https://doi.org/10.1007/s42399-021-00988-z

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s42399-021-00988-z

Keywords

Search

Navigation