Vivity, Vivity toric perform well in eyes with comorbidities
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MILAN — In difficult eyes or eyes with comorbidities in which diffractive trifocal IOLs are not an option, the AcrySof IQ Vivity and Vivity toric extended depth of focus lenses are a useful alternative, according to one specialist here.
At the European Society of Cataract and Refractive Surgeons meeting, Ruth Lapid-Gortzak, MD, PhD, presented the results of a group of 39 patients who underwent immediate sequential bilateral implantation of the Vivity or Vivity toric IOL (both Alcon) with mini-monovision in a private refractive clinic in Driebergen, the Netherlands. Preexisting ocular abnormalities included prior corneal refractive surgery, epiretinal membrane, floaters, glaucoma, high myopia, esotropia, amblyopia, macular scar, irregular topography and eye injury.
The dominant eye was targeted for emmetropia, and the nondominant eye was targeted for –0.5 D.
“We achieved a mean uncorrected distance visual acuity close to 20/20, which increased by two letters with correction. Intermediate was even a little higher, thanks to our mini-monovision strategy, and binocular near at 40 cm was 20/25 uncorrected and 20/22 with correction,” Lapid-Gortzak said. “I have to remark that the binocular near correction is at the patient’s preferred distance, not necessarily 40 cm. Dutch people are quite tall and have long arms.”
Vivity showed good predictability in terms of sphere and cylinder correction in both the dominant and nondominant eyes.
“In terms of satisfaction, over 95% of the patients were happy or very happy. The Catquest questionnaire showed they did not have any trouble reading newspapers, price markings and subtitles on TV, as well as performing manual activities including sewing and woodworking,” Lapid-Gortzak said.
One-third of patients achieved complete spectacle independence, and 44% used readers only some of the time.
Answering questions from the audience, Lapid-Gortzak said that bilateral surgery is overall safer but needs careful preparation.
“In our clinic, we do it according to Dutch guidelines, using separate custom packs from two different manufacturers and cleaning up the surgical setting between the two procedures with the patient sitting outside the OR,” she said.
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Lapid-Gortzak R, et al. Immediate sequential bilateral implantation with mini-monovision of a novel wavefront-shaping presbyopia correcting intraocular lens in eyes with ocular co-morbidity. Presented at: European Society of Cataract and Refractive Surgeons meeting; Sept. 16-20, 2022; Milan.
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