Good rotational stability, visual outcomes seen with Tecnis Eyhance toric II IOL
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In a study, the Tecnis Eyhance toric II IOL had good rotational stability over 3 months, significant reduction of cylinder, significant improvement of distance vision and some gain at intermediate.
The outcomes of this new lens from Johnson & Johnson Vision, a monofocal toric with slightly extended depth of focus, were analyzed after implantation in one eye each of 46 patients at the Vienna Institute of Research in Ocular Surgery.
“Photographs were taken at 1 hour, 1 week and 3 months after surgery, and rotation analysis was performed manually as well as using IOL rotation software. At 1 week, 100% of the cases showed rotation by less than 5°, with a mean absolute IOL rotation of 1.09°. At 3 months, rotation was less than 5° in 90% of the eyes, with a mean absolute rotation of 2.92°,” Johannes Zeilinger, MD, said at the virtual European Society of Cataract and Refractive Surgeons winter meeting.
Mean refractive cylinder was reduced by 86% at 1 week, with a mean residual cylinder of 0.2 D. At 3 months, mean cylinder was reduced from 1.8 D preop to 0.4 D postop. Spherical refraction was set for emmetropia and was within –0.25 D of intended correction at 3 months.
“Mean BCDVA at 3 months was –0.1 logMAR (20/16), with 85% of participants seeing better than 0.1 logMAR and a highly significant improvement compared to the preoperative BCDVA. The mean values for UCDVA were at 0.07 logMAR,” Zeilinger said.
A parameter of particular interest for this lens is the improvement in intermediate vision, he said. At 3 months, more than 50% had an intermediate visual performance better than 0.1 logMAR.
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Zeilinger J. Rotational stability of a toric monofocal intraocular lens with an extended depth of focus. Presented at: European Society of Cataract and Refractive Surgeons winter meeting; Feb. 18-20, 2022 (virtual meeting).
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