Monocular Clinical Outcomes and Range of Near Vision following Cataract Surgery with Implantation of an Extended Depth of Focus Intraocular Lens

Importance. A full range of near and intermediate vision has not been clinically evaluated for the Symfony extended depth of focus intraocular lens (EDOF IOL). Background. To evaluate the monocular range of near visual acuity with an EDOF IOL. Design. Retrospective case series. Participants. Consecu...

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Main Author: Rahul T. Pandit
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2018/8205824
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author Rahul T. Pandit
author_facet Rahul T. Pandit
author_sort Rahul T. Pandit
collection DOAJ
description Importance. A full range of near and intermediate vision has not been clinically evaluated for the Symfony extended depth of focus intraocular lens (EDOF IOL). Background. To evaluate the monocular range of near visual acuity with an EDOF IOL. Design. Retrospective case series. Participants. Consecutive patients of a single surgeon from January 2017 through March 2018. Methods. Phacoemulsification with implantation of an EDOF IOL. Main Outcome Measures. Uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), corrected distance visual acuity (CDVA), distance-corrected near visual acuity (DCNVA), range of DCNVA, and optimal near focal length. Results. Seventy-six eyes of 48 patients (34 or 71% female, mean age: 68 years) were included with a mean follow-up of 68 days. Mean values were as follows: logarithm of the minimum angle of resolution (logMAR) UDVA 0.02 ± 0.09, logMAR UNVA 0.12 ± 0.09 at a mean distance of 51 cm, logMAR CDVA −0.05 ± 0.07, logMAR DCNVA 0.08 ± 0.07 at a mean distance of 51 cm, and a spherical equivalent of −0.16 diopters ±0.35. Percentage of eyes achieving DCNVA of 20/30 were 84% at 36 cm, 92% at 41 cm, 99% at 51 cm, 93% at 61 cm, and 74% at 71 cm. DCNVA of 20/40 or better was achieved in nearly 100% of eyes over a range of 35 cm. Conclusions and Relevance. The Symfony EDOF IOL achieved excellent distance visual acuity while providing a 35 cm range of near visual acuity at levels useful for many tasks in nearly all patients.
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spelling doaj-art-fc301a34ca884f73bc0f11b82b154d002025-02-03T06:12:35ZengWileyJournal of Ophthalmology2090-004X2090-00582018-01-01201810.1155/2018/82058248205824Monocular Clinical Outcomes and Range of Near Vision following Cataract Surgery with Implantation of an Extended Depth of Focus Intraocular LensRahul T. Pandit0Blanton Eye Institute, Houston Methodist Hospital, Houston, TX, USAImportance. A full range of near and intermediate vision has not been clinically evaluated for the Symfony extended depth of focus intraocular lens (EDOF IOL). Background. To evaluate the monocular range of near visual acuity with an EDOF IOL. Design. Retrospective case series. Participants. Consecutive patients of a single surgeon from January 2017 through March 2018. Methods. Phacoemulsification with implantation of an EDOF IOL. Main Outcome Measures. Uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), corrected distance visual acuity (CDVA), distance-corrected near visual acuity (DCNVA), range of DCNVA, and optimal near focal length. Results. Seventy-six eyes of 48 patients (34 or 71% female, mean age: 68 years) were included with a mean follow-up of 68 days. Mean values were as follows: logarithm of the minimum angle of resolution (logMAR) UDVA 0.02 ± 0.09, logMAR UNVA 0.12 ± 0.09 at a mean distance of 51 cm, logMAR CDVA −0.05 ± 0.07, logMAR DCNVA 0.08 ± 0.07 at a mean distance of 51 cm, and a spherical equivalent of −0.16 diopters ±0.35. Percentage of eyes achieving DCNVA of 20/30 were 84% at 36 cm, 92% at 41 cm, 99% at 51 cm, 93% at 61 cm, and 74% at 71 cm. DCNVA of 20/40 or better was achieved in nearly 100% of eyes over a range of 35 cm. Conclusions and Relevance. The Symfony EDOF IOL achieved excellent distance visual acuity while providing a 35 cm range of near visual acuity at levels useful for many tasks in nearly all patients.http://dx.doi.org/10.1155/2018/8205824
spellingShingle Rahul T. Pandit
Monocular Clinical Outcomes and Range of Near Vision following Cataract Surgery with Implantation of an Extended Depth of Focus Intraocular Lens
Journal of Ophthalmology
title Monocular Clinical Outcomes and Range of Near Vision following Cataract Surgery with Implantation of an Extended Depth of Focus Intraocular Lens
title_full Monocular Clinical Outcomes and Range of Near Vision following Cataract Surgery with Implantation of an Extended Depth of Focus Intraocular Lens
title_fullStr Monocular Clinical Outcomes and Range of Near Vision following Cataract Surgery with Implantation of an Extended Depth of Focus Intraocular Lens
title_full_unstemmed Monocular Clinical Outcomes and Range of Near Vision following Cataract Surgery with Implantation of an Extended Depth of Focus Intraocular Lens
title_short Monocular Clinical Outcomes and Range of Near Vision following Cataract Surgery with Implantation of an Extended Depth of Focus Intraocular Lens
title_sort monocular clinical outcomes and range of near vision following cataract surgery with implantation of an extended depth of focus intraocular lens
url http://dx.doi.org/10.1155/2018/8205824
work_keys_str_mv AT rahultpandit monocularclinicaloutcomesandrangeofnearvisionfollowingcataractsurgerywithimplantationofanextendeddepthoffocusintraocularlens