Eyeworld

MARCH 2020 | EYEWORLD | 23 Contact Hwang: hwangt@ohsu.edu without further analysis of the patient satis- faction questionnaire data. However, properly educating patients of the optical advantage and disadvantages of the different lenses will help them identify which lens best fits their specific lifestyle and visual needs. In conclusion, both the Symfony and IC-8 IOL platforms provide excellent options to help patients undergoing cataract surgery to improve their vision and become less reliant on reading glasses. of you, it is important to recognize that they will most often be using their binocular, rather than monocular, vision. Additionally, when translating these results to patient care, it is important to remember that this study aimed for a mini-monovision refractive goal, and therefore these results may not directly apply when both eyes are targeted for emmetropia. Although the study reported that subjective pa- tient satisfaction was higher in the IC-8 group, it is difficult to make any concrete conclusions Prospective randomized comparative trial: Visual performance comparison of two enhanced depth of focus IOLs – Symfony and IC-8 Merita Schojai, MD, Tim Schultz, MD, Corinna Jerke, MS-V, Jörg Böcker, Dipl Ing, H. Burkhard Dick, MD J Cataract Refract Surg. 2020;46(3):388–396. n Results: In both groups no intra- or postoperative complications occurred. The target refraction was reached in both groups without statistically significant differences. The uncorrected distance visual acuity (UDVA, photopic and mesopic light conditions) was excellent in both groups with statistically significant better results in the IC-8 group (logMAR; IC-8 group –0.1 ± 0.07, Symfony group 0.07 ± 0.1, p value 0.02 [photopic]; IC-8 group 0.12 ± 0.09, Symfony group 0.22 ± 0.1, p value <0.01 [mesopic]). Binocular uncorrected intermediate visual acuity (UIVA) and uncorrected near visual acuity (UNVA) were also good in both groups without significant differences (UIVA IC-8 group 0.01 ± 0.07, Symfony group –0.01 ± 0.08, p value 0.35; UNVA IC-8 group 0.14 ± 0.11, Symfony group 0.09 ± 0.08, p value 0.14). Subjective satisfaction was high in both groups. n Conclusion: Both EDOF IOLs provided a very good UDVA with superior results in the IC-8 group, good UIVA and UNVA under photopic light conditions. Subjective patient satisfaction was higher in the IC-8 group. n Purpose: To compare the visual acuity and satisfaction outcomes of two different concepts of enhanced depth of focus intraocular lenses (EDOF IOLs). n Setting: University Eye Hospital Bochum, Germany n Design: Prospective randomized comparative clinical trial n Methods: This study included a sample of 76 eyes of 38 patients undergoing cataract surgery with the implantation of two different EDOF concepts. In the first group (IC-8 group) a monofocal one-piece Tecnis ZCB00 IOL (Johnson & Johnson Vision) was implanted in the dominant eye and an IC-8 IOL (AcuFocus) was implanted in the non-dominant eye. In the second group (Symfony group) a Tecnis Symfony IOL (Johnson & Johnson Vision) was implanted in both eyes. The target refraction of the dominant eye was emmetropia and slight myopia (mini- monovision; –0.75 D) in the non-dominant eye. Visual and refractive outcomes and patient satisfaction rates were evaluated 3 months after surgery. References 1. Cochener B, Concerto Study Group. Clinical outcomes of a new extended range of vision intraocu- lar lens: International Multicenter Concerto Study. J Cataract Re- fract Surg. 2016;42:1268–1275. 2. Grabner G, et al. The small-ap- erture IC-8 intraocular lens: A new concept for added depth of focus in cataract patients. Am J Oph- thalmol. 2015;160:1176–1184. 3. Seyeddain O, et al. Femtosec- ond laser-assisted small-aperture corneal inlay implantation for cor- neal compensation of presbyopia: two-year follow-up. J Cataract Refract Surg. 2013;39:234–241.

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