Comparative Analysis of the Clinical Outcomes of Two Toric Presbyopia-Correcting Intraocular Lenses
Abstract Introduction To evaluate and compare the clinical outcomes of two toric presbyopia-correcting intraocular lenses (IOLs). Methods Non-randomized prospective comparative study including 86 eyes of 51 patients (age 43–83 years) that underwent cataract surgery with implantation of one of the fo...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Adis, Springer Healthcare
2024-01-01
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| Series: | Ophthalmology and Therapy |
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| Online Access: | https://doi.org/10.1007/s40123-023-00878-8 |
| _version_ | 1797275593052520448 |
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| author | Krešimir Gabrić Nikica Gabrić David P. Piñero Ivan Gabrić |
| author_facet | Krešimir Gabrić Nikica Gabrić David P. Piñero Ivan Gabrić |
| author_sort | Krešimir Gabrić |
| collection | DOAJ |
| description | Abstract Introduction To evaluate and compare the clinical outcomes of two toric presbyopia-correcting intraocular lenses (IOLs). Methods Non-randomized prospective comparative study including 86 eyes of 51 patients (age 43–83 years) that underwent cataract surgery with implantation of one of the following two IOLs: TECNIS Toric Synergy (Johnson & Johnson Vision) (Synergy group) or AT LISA tri toric 939MP (Carl Zeiss Meditec) (ATLISA group). Visual and refractive outcomes were evaluated during a 6-month follow-up. Results At 6 months after surgery, all eyes achieved uncorrected distance visual acuity 20/25 or better in both groups, whereas 96.2% and 100% of eyes achieved uncorrected near visual acuity (UNVA) 20/25 or better in the ATLISA and Synergy groups, respectively. All eyes achieved postoperative mesopic UNVA 20/30 or better in both IOL groups; 96.2% and 100% of eyes had a manifest cylinder ≤ 0.50 D at 6 months in ATLISA and Synergy groups, respectively. Mean magnitude of error was 0.04 ± 0.20 and − 0.04 ± 0.09 D in ATLISA and Synergy groups, respectively (p = 0.05). In the defocus curve, significant differences were found between IOL groups for most of distance-corrected visual acuities, except those corresponding to defocus of 0 D (p = 0.268) and − 1 D (p = 0.361). Conclusions The two toric presbyopia-correcting IOLs evaluated provide an efficacious astigmatic correction combined with a successful distance, intermediate and near visual rehabilitation. The visual performance seems to be better for most visual demands with the TECNIS Toric Synergy IOL, especially for distances closer than 40 cm. |
| first_indexed | 2024-03-07T15:15:43Z |
| format | Article |
| id | doaj.art-0abb03a9bdaa456b8ebd174961521ef5 |
| institution | Directory Open Access Journal |
| issn | 2193-8245 2193-6528 |
| language | English |
| last_indexed | 2024-03-07T15:15:43Z |
| publishDate | 2024-01-01 |
| publisher | Adis, Springer Healthcare |
| record_format | Article |
| series | Ophthalmology and Therapy |
| spelling | doaj.art-0abb03a9bdaa456b8ebd174961521ef52024-03-05T17:54:00ZengAdis, Springer HealthcareOphthalmology and Therapy2193-82452193-65282024-01-0113377579010.1007/s40123-023-00878-8Comparative Analysis of the Clinical Outcomes of Two Toric Presbyopia-Correcting Intraocular LensesKrešimir Gabrić0Nikica Gabrić1David P. Piñero2Ivan Gabrić3University Eye Clinic SvjetlostUniversity Eye Clinic SvjetlostDepartment of Optics, Pharmacology and Anatomy, University of AlicanteUniversity Eye Clinic SvjetlostAbstract Introduction To evaluate and compare the clinical outcomes of two toric presbyopia-correcting intraocular lenses (IOLs). Methods Non-randomized prospective comparative study including 86 eyes of 51 patients (age 43–83 years) that underwent cataract surgery with implantation of one of the following two IOLs: TECNIS Toric Synergy (Johnson & Johnson Vision) (Synergy group) or AT LISA tri toric 939MP (Carl Zeiss Meditec) (ATLISA group). Visual and refractive outcomes were evaluated during a 6-month follow-up. Results At 6 months after surgery, all eyes achieved uncorrected distance visual acuity 20/25 or better in both groups, whereas 96.2% and 100% of eyes achieved uncorrected near visual acuity (UNVA) 20/25 or better in the ATLISA and Synergy groups, respectively. All eyes achieved postoperative mesopic UNVA 20/30 or better in both IOL groups; 96.2% and 100% of eyes had a manifest cylinder ≤ 0.50 D at 6 months in ATLISA and Synergy groups, respectively. Mean magnitude of error was 0.04 ± 0.20 and − 0.04 ± 0.09 D in ATLISA and Synergy groups, respectively (p = 0.05). In the defocus curve, significant differences were found between IOL groups for most of distance-corrected visual acuities, except those corresponding to defocus of 0 D (p = 0.268) and − 1 D (p = 0.361). Conclusions The two toric presbyopia-correcting IOLs evaluated provide an efficacious astigmatic correction combined with a successful distance, intermediate and near visual rehabilitation. The visual performance seems to be better for most visual demands with the TECNIS Toric Synergy IOL, especially for distances closer than 40 cm.https://doi.org/10.1007/s40123-023-00878-8Cataract surgeryDiffractive IOLMultifocal IOLNear visual acuity |
| spellingShingle | Krešimir Gabrić Nikica Gabrić David P. Piñero Ivan Gabrić Comparative Analysis of the Clinical Outcomes of Two Toric Presbyopia-Correcting Intraocular Lenses Ophthalmology and Therapy Cataract surgery Diffractive IOL Multifocal IOL Near visual acuity |
| title | Comparative Analysis of the Clinical Outcomes of Two Toric Presbyopia-Correcting Intraocular Lenses |
| title_full | Comparative Analysis of the Clinical Outcomes of Two Toric Presbyopia-Correcting Intraocular Lenses |
| title_fullStr | Comparative Analysis of the Clinical Outcomes of Two Toric Presbyopia-Correcting Intraocular Lenses |
| title_full_unstemmed | Comparative Analysis of the Clinical Outcomes of Two Toric Presbyopia-Correcting Intraocular Lenses |
| title_short | Comparative Analysis of the Clinical Outcomes of Two Toric Presbyopia-Correcting Intraocular Lenses |
| title_sort | comparative analysis of the clinical outcomes of two toric presbyopia correcting intraocular lenses |
| topic | Cataract surgery Diffractive IOL Multifocal IOL Near visual acuity |
| url | https://doi.org/10.1007/s40123-023-00878-8 |
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