Clinical Outcomes After Implantation of Extended Depth-of-focus AcrySof® Vivity® Intraocular Lens in Eyes with Low-grade Epiretinal Membrane

Overview

Journal Graefes Arch Clin Exp Ophthalmol

Specialty Ophthalmology

Date 2022 Jul 7

PMID 35796821

Authors

Sohee Jeon

Ayoung Choi

Hyunggoo Kwon

Affiliations

Soon will be listed here.

Abstract

Purpose: To evaluate the clinical outcomes of extended depth-of-focus (EDoF) AcrySof® Vivity® intraocular lens in eyes with low-grade epiretinal membrane (ERM).

Methods: Forty-five eyes with low-grade ERM and history of Vivity implantation were compared with 50 age-matched controls with Vivity implantation and no ERM. Eyes with ERM showing widening of the outer nuclear layer and loss of the foveal depression, but no ectopic inner foveal layer or outer retinal defect were eligible. Corrected and uncorrected distant visual acuity (CDVA and UDVA), uncorrected intermediate and near visual acuity (UIVA and UNVA), contrast sensitivity detected by area under the log contrast sensitivity function (AULCSF), Strehl ratio, area ratio, and occurrence of dysphotopsia were compared between groups.

Results: UDVA and CDVA were similar between groups (UDVA: 0.01 ± 0.05 vs 0.03 ± 0.06, P = 0.154; CDVA: 0.00 ± 0.00 vs 0.00 ± 0.02, P = 0.125). UIVA and mesopic AULCSF were significantly worse in eyes with ERM compared to those with no ERM (UIVA: 0.09 ± 0.09 vs 0.14 ± 0.10, P = 0.028; mesopic AULCSF: 1.26 ± 0.15 vs 1.17 ± 0.10, P = 0.013). The occurrence of dysphotopsia was similar in both groups (glare: P = 0.465; halo: P = 0.218; starburst: P = 0.457).

Discussion: Eyes with low-grade ERM showed comparable outcomes to eyes without ERM after Vivity IOL implantation. Implantation of this newly developed EDoF IOL with low addition can be of benefit to eyes with low-grade, reversible ERM that is limited to the inner retina.

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References

Braga-Mele R, Chang D, Dewey S, Foster G, Henderson B, Hill W . Multifocal intraocular lenses: relative indications and contraindications for implantation. J Cataract Refract Surg. 2014; 40(2):313-22. DOI: 10.1016/j.jcrs.2013.12.011. View

Koizumi H, Spaide R, Fisher Y, Freund K, Klancnik Jr J, Yannuzzi L . Three-dimensional evaluation of vitreomacular traction and epiretinal membrane using spectral-domain optical coherence tomography. Am J Ophthalmol. 2008; 145(3):509-517. DOI: 10.1016/j.ajo.2007.10.014. View

Kim B, Kwon S, Choi A, Jeon S . Influence of mild non-foveal involving epiretinal membrane on visual quality in eyes with multifocal intraocular lens implantation. Graefes Arch Clin Exp Ophthalmol. 2021; 259(9):2723-2730. DOI: 10.1007/s00417-021-05225-w. View

Shimozono M, Oishi A, Hata M, Matsuki T, Ito S, Ishida K . The significance of cone outer segment tips as a prognostic factor in epiretinal membrane surgery. Am J Ophthalmol. 2012; 153(4):698-704, 704.e1. DOI: 10.1016/j.ajo.2011.09.011. View

Jeon S, Jung B, Lee W . Spectral-Domain Optical Coherence Tomography Findings in Patients With Macropsia. Ophthalmic Surg Lasers Imaging Retina. 2018; 49(9):656-663. DOI: 10.3928/23258160-20180831-02. View

Govetto A, Lalane 3rd R, Sarraf D, Figueroa M, Hubschman J . Insights Into Epiretinal Membranes: Presence of Ectopic Inner Foveal Layers and a New Optical Coherence Tomography Staging Scheme. Am J Ophthalmol. 2016; 175:99-113. DOI: 10.1016/j.ajo.2016.12.006. View

Jeon S, Jung B, Lee W . LONG-TERM PROGNOSTIC FACTORS FOR VISUAL IMPROVEMENT AFTER EPIRETINAL MEMBRANE REMOVAL. Retina. 2018; 39(9):1786-1793. DOI: 10.1097/IAE.0000000000002211. View

Schmid R, Borkenstein A . Analysis of higher order aberrations in recently developed wavefront-shaped IOLs. Graefes Arch Clin Exp Ophthalmol. 2021; 260(2):609-620. DOI: 10.1007/s00417-021-05362-2. View

Arrigo A, Gambaro G, Fasce F, Aragona E, Figini I, Bandello F . Extended depth-of-focus (EDOF) AcrySof® IQ Vivity® intraocular lens implant: a real-life experience. Graefes Arch Clin Exp Ophthalmol. 2021; 259(9):2717-2722. DOI: 10.1007/s00417-021-05245-6. View

10.

van Amelsfort T, Webers V, Bauer N, Clement L, Biggelaar F, Nuijts R . Visual outcomes of a new nondiffractive extended depth-of-focus intraocular lens targeted for minimonovision: 3-month results of a prospective cohort study. J Cataract Refract Surg. 2021; 48(2):151-156. DOI: 10.1097/j.jcrs.0000000000000825. View

11.

Kohnen T, Petermann K, Bohm M, Hemkeppler E, Ahmad W, Hinzelmann L . Nondiffractive wavefront-shaping extended depth-of-focus intraocular lens: visual performance and patient-reported outcomes. J Cataract Refract Surg. 2021; 48(2):144-150. DOI: 10.1097/j.jcrs.0000000000000826. View

12.

Ozulken K, Kiziltoprak H, Yuksel E, Mumcuoglu T . A Comparative Evaluation of Diffractive Trifocal and New Refractive/Extended Depth of Focus Intraocular Lenses for Refractive Lens Exchange. Curr Eye Res. 2020; 46(6):811-817. DOI: 10.1080/02713683.2020.1833347. View

13.

Choi A, Kwon H, Jeon S . Accuracy of theoretical IOL formulas for Panoptix intraocular lens according to axial length. Sci Rep. 2021; 11(1):7346. PMC: 8016841. DOI: 10.1038/s41598-021-86604-5. View

14.

Patel S, Snyder M, Riemann C, Foster R, Sisk R . Short-term outcomes of combined pars plana vitrectomy for epiretinal membrane and phacoemulsification surgery with multifocal intraocular lens implantation. Clin Ophthalmol. 2019; 13:723-730. PMC: 6485319. DOI: 10.2147/OPTH.S195928. View

15.

Grzybowski A, Kanclerz P, Tuuminen R . Multifocal intraocular lenses and retinal diseases. Graefes Arch Clin Exp Ophthalmol. 2020; 258(4):805-813. PMC: 7575463. DOI: 10.1007/s00417-020-04603-0. View

16.

Hwang J, Sohn J, Moon B, Joe S, Lee J, Kim J . Assessment of macular function for idiopathic epiretinal membranes classified by spectral-domain optical coherence tomography. Invest Ophthalmol Vis Sci. 2012; 53(7):3562-9. DOI: 10.1167/iovs.12-9762. View

17.

Li D, Horiguchi M, Kishi S . Tomographic and multifocal electroretinographic features of idiopathic epimacular membranes. Arch Ophthalmol. 2004; 122(10):1462-7. DOI: 10.1001/archopht.122.10.1462. View

18.

Forshaw T, Parpounas A, Sorensen T . Correlation of macular sensitivity measures and visual acuity to vision-related quality of life in patients with age-related macular degeneration. BMC Ophthalmol. 2021; 21(1):149. PMC: 7988949. DOI: 10.1186/s12886-021-01901-x. View