Clinical evaluation of reading performance in refractive lens exchange with a diffractive continuous-range-of-vision intraocular lens

Purpose - Evaluation of reading performance with a novel presbyopia correcting intraocular lens (IOL) in refractive lens exchange using an electronic reading desk. - Design - Prospective interventional before-and-after clinical study. - Methods - In total, 56 eyes of 28 patients were included. Bilat...

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Main Authors: Baur, Isabella (Author) , Auffarth, Gerd U. (Author) , Łabuz, Grzegorz (Author) , Stengele, Annette (Author) , Hallak, Mustafa (Author) , Khoramnia, Ramin (Author)
Format: Article (Journal)
Language:English
Published: 28 February 2023
In: American journal of ophthalmology
Year: 2023, Volume: 250, Pages: 25-37
ISSN:1879-1891
DOI:10.1016/j.ajo.2023.01.011
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.ajo.2023.01.011
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0002939423000211
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Author Notes:Isabella D. Baur, Gerd U. Auffarth, Grzegorz Łabuz, Annette Stengele, Mustafa K. Hallak, and Ramin Khoramnia

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520 |a Purpose - Evaluation of reading performance with a novel presbyopia correcting intraocular lens (IOL) in refractive lens exchange using an electronic reading desk. - Design - Prospective interventional before-and-after clinical study. - Methods - In total, 56 eyes of 28 patients were included. Bilateral implantation of the TECNIS Synergy IOL (Johnson & Johnson Surgical Vision) during a bilateral delayed sequential refractive lens exchange procedure. Uncorrected and distance corrected reading acuity, reading distance, reading speed, and the smallest print size that could be read effectively at a set (40 cm/80 cm) and subjectively chosen near and intermediate distance were assessed using the Salzburg Reading Desk preoperatively and 6 months after surgery. - Results - Uncorrected near reading acuity increased from 0.61 ± 0.16 logarithm of the minimum angle of resolution (logMAR) preoperatively to 0.05 ± 0.09 logMAR postoperatively at the set near distance (40 cm) and from 0.60 ± 0.11 logMAR to 0.07 ± 0.08 logMAR at the subjectively preferred distance (39.6 ± 5.3 cm and 37.7 ± 4.3 cm). Uncorrected intermediate reading acuity was 0.39 ± 0.19 logMAR preoperatively and 0.08 ± 0.07 logMAR postoperatively at the set intermediate distance (80 cm) and 0.43 ± 0.21 logMAR preoperatively and 0.07 ± 0.08 logMAR postoperatively at the preferred intermediate distance (73.5 ± 9.5 cm and 73.3 ± 5.9 cm). - Conclusions - Uncorrected intermediate and near reading function considerably improved after bilateral implantation of the TECNIS Synergy IOL. Patients preferred a closer near and intermediate distance to the set distances. However, reading function was comparable for the set and subjectively preferred distances. 
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