Presbyopia-correcting IOL demonstrates good visual acuity in light, dark settings
Key takeaways:
- Patients reported high satisfaction with the Tecnis Odyssey IOL.
- Most patients were not bothered by most visual disturbances.
LOS ANGELES — Patients implanted with a presbyopia-correcting IOL reported high satisfaction after surgery and preserved visual acuity in low light environments, according to a study.
“We know our patients require spectacle independence, and their requirements are getting more robust as our technology tries to keep pace. But we can’t cheat optics and we can’t cheat physics, and so the range in vision that our patients achieve is often met with unwelcome dysphotopsias,” Alexander G. Hacopian, MD, said at the American Society of Cataract and Refractive Surgery meeting. “Our practice has been using the Tecnis Odyssey for about a year now, and there is minimal data thus far demonstrating post-market clinical outcomes.”
Hacopian and colleagues conducted an ambispective single-arm study of 80 eyes of 40 patients aged 50 years and older who underwent cataract surgery with bilateral implantation of the Tecnis Odyssey IOL (Johnson & Johnson Vision). Patients were prospectively assessed 3 months after their second eye surgery. Those with significant ocular comorbidities such as macular degeneration or glaucoma, recent YAG capsulotomy or best corrected distance visual acuity worse than 20/25 were excluded.
The study’s main endpoints included binocular and monocular corrected and uncorrected vision in light and dark settings and results from a patient satisfaction questionnaire.
Distance, intermedia and near visual acuity in photopic settings were “excellent,” Hacopian said, with good distance, intermediate and near visual acuity in low light settings.
Questionnaire responses showed that 85% of patients were “completely” or “very” satisfied with their surgical results and were able to see “very” well or “perfectly” without glasses. Ninety-three percent of patients wore glasses “not at all” or “a little of the time.” Glare and halos were reported to be the biggest issues, but overall, most patients were not bothered by most visual disturbances.
“Our results show excellent postoperative outcomes following bilateral implantation of the Odyssey IOL,” Hacopian said. “The visual acuity was notably preserved in low light environments in addition to the distance and near visual acuities that patients were satisfied with. They were seldom bothered by the dysphotopsias that they invariably experienced.”
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Hacopian AG. Patient reported outcomes and visual acuity after bilateral implantation of a next generation presbyopia correcting intraocular lens. Presented at: American Society of Cataract and Refractive Surgery meeting; April 25-28, 2025; Los Angeles.
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