DOI: 10.1097/j.jcrs.0000000000001374 ISSN: 0886-3350

Comparison of Visual Outcomes of Bilateral Dual-Technology Diffractive IOL versus Blended Enhanced Monofocal with Dual-Technology IOL

Wilson Takashi Hida, Bernardo Kaplan Moscovici, Cesar Martins Cortez, Guilherme Novoa Colombo-Barboza, Patrick Frensel de Moraes Tzelikis, Antonio Francisco Pimenta Motta, Andre Lins De Medeiros, Walton Nose, Pedro Carlos Carricondo
  • Sensory Systems
  • Ophthalmology
  • Surgery
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Purpose:

To compare clinical outcomes following implantation of Tecnis Synergy (ZFR00V) IOLs in both eyes and implantation of the Tecnis Synergy and Tecnis Eyhance (ICB00) combination in patients undergoing cataract surgery.

Methods:

Setting:

Department of Cataract at the Hospital Oftalmológico de Brasilia(HOB).

Design:

Prospective, interventional, randomized, parallel-group study.

Results:

Visual acuity was similar between the two groups (95% CI < 0.1 logMAR). A superior visual acuity of ≥ 20/25 (at -2.00 to -2.50 D) was achieved in Group 1 (bilateral ZFR00V) than in Group 2 (combination of ZFR00V/ICB00). The binocular defocus curve demonstrated better visual acuity at 40 cm (-2.00D) and 50 cm (-2.50D) in Group 1 than in Group 2 (p < 0.05). Similar contrast sensitivity values were observed between the two groups. Patients in Group 1 reported higher satisfaction (completely satisfied) than those in Group 2 (p < 0.05). However, halos and glare were more pronounced in Group 1 than in Group 2 (p < 0.05).

Conclusion:

Both presbyopia-correcting IOL combinations showed similar binocular visual acuity results. Group 1 demonstrated enhanced visual acuity in the defocus curve at 40 cm (-2.00D) and 50 cm (-2.50D). Comparable contrast sensitivity outcomes were observed in both groups. Patients were more completely satisfied in Group 1 than Group 2, despite the higher frequency of postoperative nighttime halos and glare.

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