Visual outcomes and patient satisfaction after bilateral implantation of an enhanced monofocal intraocular lens: a single-masked prospective randomized study

Rosa Giglio; Alex Lucia Vinciguerra; Marianna Presotto; Kamil Jonak; Robert Rejdak; Mario Damiano Toro; Mayank Ambarish Nanavaty; Daniele Tognetto

doi:10.1007/s10792-024-02946-9

Visual outcomes and patient satisfaction after bilateral implantation of an enhanced monofocal intraocular lens: a single-masked prospective randomized study

Int Ophthalmol. 2024 Feb 26;44(1):112. doi: 10.1007/s10792-024-02946-9.

Authors

Rosa Giglio¹, Alex Lucia Vinciguerra², Marianna Presotto¹, Kamil Jonak^{3

4}, Robert Rejdak⁵, Mario Damiano Toro^{5

6}, Mayank Ambarish Nanavaty⁷, Daniele Tognetto¹

Affiliations

¹ Department of Medicine, Surgery and Health Sciences, University of Trieste, Ospedale Maggiore, Piazza Ospedale 1, 34129, Trieste, Friuli-Venezia Giulia, Italy.
² Department of Medicine, Surgery and Health Sciences, University of Trieste, Ospedale Maggiore, Piazza Ospedale 1, 34129, Trieste, Friuli-Venezia Giulia, Italy. alexluciavinciguerra@libero.it.
³ Department of Biomedical Engineering, Lublin University of Technology, 20-618, Lublin, Poland.
⁴ Department of Psychiatry, Psychotherapy and Early Intervention, Medical University of Lublin, 20-093, Lublin, Poland.
⁵ Department of General and Pediatric Ophthalmology, Medical University of Lublin, 20-093, Lublin, Poland.
⁶ Eye Clinic, Public Health Department, University of Naples Federico II, 80138, Naples, Italy.
⁷ Sussex Eye Hospital, University Hospitals Brighton NHS Foundation Trust, Brighton, UK.

Abstract

Purpose: To evaluate and compare the visual outcomes of an enhanced monofocal intraocular lens (IOL) with two different monofocal IOLs.

Setting: Eye Clinic, Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.

Design: Prospective, single-center, single-masked, randomized controlled clinical study.

Methods: The study included patients undergoing phacoemulsification and IOL implantation. Patients were consecutively randomized by block randomization and assigned in a 1:1:1 allocation ratio to three study arms to bilaterally receive Tecnis Eyhance™ (model ICB00) or Tecnis^® monofocal 1-piece (model PCB00) or Clareon^® monofocal (model CNA0T0), respectively. Monocular and binocular (both corrected and uncorrected) visual acuities for far, intermediate and near were registered and compared among groups at 3 months. To track changes in patient quality of life, the Catquest-9SF questionnaire was administered to each patient before and after cataract extraction.

Results: Ninety patients (30 for each group) were enrolled. At 3 months follow-up, statistically significant differences for intermediate visual acuities were found between the three groups. Nonstatistically significant differences were observed for distance visual acuities and the changes in Catquest-9SF scores.

Conclusion: Tecnis Eyhance™ provided better results in intermediate visual outcomes without adverse effects on patients' quality of life.

Keywords: Cataract surgery; Enhanced monofocal IOL; Intermediate vision; Spectacle independence.

Publication types

Randomized Controlled Trial

MeSH terms

Eye, Artificial
Humans
Lenses, Intraocular*
Patient Satisfaction*
Prospective Studies
Quality of Life