Comparison of visual performances of enhanced monofocal versus standard monofocal IOLs in a mini-monovision approach
Abstract Purpose To compare visual performance and quality of life in patients who received either monofocal intraocular lenses (IOLs) or an enhanced monofocal IOL in a mini-monovision target approach. Background Monofocal lenses are the most common intraocular IOLs employed during cataract surgery...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12886-023-02920-6 |
| _version_ | 1797841142969008128 |
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| author | Tim Beltraminelli Angelica Rizzato Katia Toniolo Andrea Galli Moreno Menghini |
| author_facet | Tim Beltraminelli Angelica Rizzato Katia Toniolo Andrea Galli Moreno Menghini |
| author_sort | Tim Beltraminelli |
| collection | DOAJ |
| description | Abstract Purpose To compare visual performance and quality of life in patients who received either monofocal intraocular lenses (IOLs) or an enhanced monofocal IOL in a mini-monovision target approach. Background Monofocal lenses are the most common intraocular IOLs employed during cataract surgery because of their relatively low cost and good performance for distance sight. However, these lenses, generally, do not exonerate patients from spectacle use for near or intermediate tasks. On the other hand, enhanced monofocal IOLs (e.g., Tecnis Eyhance®) feature optical properties providing patients with good intermediate visual outcomes. Satisfactory near visual acuity results, regardless of IOL type, may be achieved through mini-monovision. We assessed visual performance outcomes between these IOLs, in a mini-monovision approach. Methods Retrospective case series of patients who underwent bilateral cataract surgery at our institution with implantation of Alcon SN60WF, J&J Tecnis DCB00 or J&J Tecnis Eyhance® DIB00 with a pre-operative mini-monovision target. The postoperative spherical equivalent was measured by a Nidek® auto-refractometer. Best-uncorrected binocular visual acuity (BUBVA) at far (3 m), intermediate (66 cm), and near (40 cm) distance and binocular contrast sensitivity (100%, 25%, and 5%, all at 1 m) were measured using Snellen and Pelli-Robson charts, respectively. Visual performance in daily life was evaluated with the Cataract VF-14 quality of life survey. Results 71 patients (35 in the monofocal IOL and 37 enhanced IOL group) were enrolled. Patients implanted with enhanced IOL exhibited statistically significant better BUBVA results at 66 cm and 40 cm distances compared to patients in the monofocal group. Additionally, patients in the enhanced IOL group presented a better contrast sensitivity in lower contrast conditions (5%) than patients with monofocal IOL. The quality of life survey showed statistically significant higher scores in daily activities without spectacles for patients with enhanced IOL. Conclusion Enhanced monofocal IOLs, combined with a mini-monovision approach, provided patients with good visual performance at all tested distances, with superiority of enhanced monofocal IOLs at near and intermediate distances. |
| first_indexed | 2024-04-09T16:26:17Z |
| format | Article |
| id | doaj.art-5a8dd3b99033466e920816106ff7fd79 |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-04-09T16:26:17Z |
| publishDate | 2023-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-5a8dd3b99033466e920816106ff7fd792023-04-23T11:12:15ZengBMCBMC Ophthalmology1471-24152023-04-012311710.1186/s12886-023-02920-6Comparison of visual performances of enhanced monofocal versus standard monofocal IOLs in a mini-monovision approachTim Beltraminelli0Angelica Rizzato1Katia Toniolo2Andrea Galli3Moreno Menghini4Clinic of Ophthalmology, Institute of Clinical Neurosciences of Southern Switzerland (INSI), Ente Ospedaliero Cantonale (EOC)Clinic of Ophthalmology, Institute of Clinical Neurosciences of Southern Switzerland (INSI), Ente Ospedaliero Cantonale (EOC)Clinic of Ophthalmology, Institute of Clinical Neurosciences of Southern Switzerland (INSI), Ente Ospedaliero Cantonale (EOC)Clinic of Ophthalmology, Institute of Clinical Neurosciences of Southern Switzerland (INSI), Ente Ospedaliero Cantonale (EOC)Clinic of Ophthalmology, Institute of Clinical Neurosciences of Southern Switzerland (INSI), Ente Ospedaliero Cantonale (EOC)Abstract Purpose To compare visual performance and quality of life in patients who received either monofocal intraocular lenses (IOLs) or an enhanced monofocal IOL in a mini-monovision target approach. Background Monofocal lenses are the most common intraocular IOLs employed during cataract surgery because of their relatively low cost and good performance for distance sight. However, these lenses, generally, do not exonerate patients from spectacle use for near or intermediate tasks. On the other hand, enhanced monofocal IOLs (e.g., Tecnis Eyhance®) feature optical properties providing patients with good intermediate visual outcomes. Satisfactory near visual acuity results, regardless of IOL type, may be achieved through mini-monovision. We assessed visual performance outcomes between these IOLs, in a mini-monovision approach. Methods Retrospective case series of patients who underwent bilateral cataract surgery at our institution with implantation of Alcon SN60WF, J&J Tecnis DCB00 or J&J Tecnis Eyhance® DIB00 with a pre-operative mini-monovision target. The postoperative spherical equivalent was measured by a Nidek® auto-refractometer. Best-uncorrected binocular visual acuity (BUBVA) at far (3 m), intermediate (66 cm), and near (40 cm) distance and binocular contrast sensitivity (100%, 25%, and 5%, all at 1 m) were measured using Snellen and Pelli-Robson charts, respectively. Visual performance in daily life was evaluated with the Cataract VF-14 quality of life survey. Results 71 patients (35 in the monofocal IOL and 37 enhanced IOL group) were enrolled. Patients implanted with enhanced IOL exhibited statistically significant better BUBVA results at 66 cm and 40 cm distances compared to patients in the monofocal group. Additionally, patients in the enhanced IOL group presented a better contrast sensitivity in lower contrast conditions (5%) than patients with monofocal IOL. The quality of life survey showed statistically significant higher scores in daily activities without spectacles for patients with enhanced IOL. Conclusion Enhanced monofocal IOLs, combined with a mini-monovision approach, provided patients with good visual performance at all tested distances, with superiority of enhanced monofocal IOLs at near and intermediate distances.https://doi.org/10.1186/s12886-023-02920-6Cataract surgeryTecnis EyhanceMini-monovisionIOL |
| spellingShingle | Tim Beltraminelli Angelica Rizzato Katia Toniolo Andrea Galli Moreno Menghini Comparison of visual performances of enhanced monofocal versus standard monofocal IOLs in a mini-monovision approach BMC Ophthalmology Cataract surgery Tecnis Eyhance Mini-monovision IOL |
| title | Comparison of visual performances of enhanced monofocal versus standard monofocal IOLs in a mini-monovision approach |
| title_full | Comparison of visual performances of enhanced monofocal versus standard monofocal IOLs in a mini-monovision approach |
| title_fullStr | Comparison of visual performances of enhanced monofocal versus standard monofocal IOLs in a mini-monovision approach |
| title_full_unstemmed | Comparison of visual performances of enhanced monofocal versus standard monofocal IOLs in a mini-monovision approach |
| title_short | Comparison of visual performances of enhanced monofocal versus standard monofocal IOLs in a mini-monovision approach |
| title_sort | comparison of visual performances of enhanced monofocal versus standard monofocal iols in a mini monovision approach |
| topic | Cataract surgery Tecnis Eyhance Mini-monovision IOL |
| url | https://doi.org/10.1186/s12886-023-02920-6 |
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