Patient satisfaction after EDOF intraocular lens implantation in vitrectomized eyes

• Published in: Graefe's archive for clinical and experimental ophthalmology 2023-12, Vol.261 (12), p.3465-3474
• Main Authors: Van Hoe, Willem, Van Calster, Joachim, Jansen, Joyce, Vander Mijnsbrugge, Joris, Delbecq, Ann-Laure, Fils, Jean-François, Stalmans, Peter
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Depth Perception; Eye lens; Humans; Intraocular lenses; Lens Implantation, Intraocular; Lenses, Intraocular; Medicine; Medicine & Public Health; Middle Aged; Ophthalmology; Patient Satisfaction; Phacoemulsification; Prosthesis Design; Pseudophakia; Questionnaires; Refraction, Ocular; Retinal Disorders; Vision; Visual Acuity; Young Adult
• ISSN: 0721-832X; 1435-702X; 1435-702X
• DOI: 10.1007/s00417-023-06204-z

Purpose To report patient satisfaction after unilateral/bilateral extended depth-of-focus (EDOF) intraocular lens (IOL) implantation in a young population after vitrectomy. Methods Patients that underwent phaco-vitrectomy or phaco following vitrectomy with an AT LARA EDOF IOL, aged between 18 and 75 years, were asked to fill out a questionnaire to assess overall visual quality, near vision quality, and visual disturbances. The questionnaire was based on the Catquest, NAVQ, and APPLES questionnaires. Results A total of 89 participants (average age 56.7 years) filled out the questionnaire of which 53.9% received a unilateral EDOF IOL. The most common indications for vitrectomy were retinal detachments (38.2%), floaters (36.0%), and epiretinal membranes (16.9%). The Catquest and NAVQ score respectively showed a good overall satisfaction (3.44/4.0), a good intermediate vision (3.55/4.0), and an average near vision (2.75/4.0). The APPLES score showed acceptable visual disturbances. There were no differences between the unilateral and bilateral group, except for a higher spectacle dependency in the unilateral group (40% vs. 10.6%). Participants that underwent vitrectomy in case of floaters reported lower satisfaction rates. Other variables, like the pre-operative refraction, had no impact on both satisfaction and visual disturbances. Conclusion Both unilateral and bilateral implantation of the AT LARA EDOF IOL showed a high satisfaction with no differences between both groups, except for a lower spectacle use in the latter. Hence, The AT LARA seems to be a possible choice in patients undergoing vitrectomy at a younger age, even for unilateral use.