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Published: 2025-07-28
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DOI: https://doi.org/10.52852/tcncyh.v192i7.3629
Issue
Vol. 192 No. 7 (2025)
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How to Cite
Cường, L. V., Giang, K. B., & Vân, T. T. K. (2025). 38. Comparison of the effect of extended depth-of-focus and monofocal intraocular lens. Journal of Medical Research, 192(7), 353-363. https://doi.org/10.52852/tcncyh.v192i7.3629

38. Comparison of the effect of extended depth-of-focus and monofocal intraocular lens

Le Viet Cuong, Kim Bao Giang, Tham Truong Khanh Van

Main Article Content

Abstract

This study compared the efficacy of the extended depth-of-focus (EDOF) intraocular lens, Vivity, with a monofocal intraocular lens (IOL). A prospective clinical intervention study with a control group was conducted on 92 eyes diagnosed with cataract and divided into two groups with Vivity and Lucia at the Department of Ophthalmology, Friendship Hospital, from March 2024 to December 2024. At the 3-month examination, the visual acuity of the Vivity group was LogMAR 0.06 ± 0.15, equivalent to the Lucia group (p = 0.35); the near and intermediate vision of the Vivity group was better than the Lucia group (p = 0.03; p < 0.01). Visual disturbance of the two groups was similar (p = 0.42); satisfaction and the spectacle independence of the Vivity group were better than the Lucia group (p < 0.01). According to ANSI standards, the Vivity IOL met ¾ of the criteria of a 1 EDOF IOL. The Vivity IOL provides distance vision and visual disturbances comparable to those of a monofocal IOL, while offering better intermediate and near vision. Patients with Vivity IOL insertion report high satisfaction reflected by high VF14 score and a high rate of spectacle independence. According to ANSI standards, the Vivity IOL meets ¾ of the criteria for an EDOF IOL.

Article Details

Keywords

EDOF, Vivity, ANSI

References

1. Breyer DRH, Kaymak H, Ax T, Kretz FTA, Auffarth GU, Hagen PR. Multifocal Intraocular Lenses and Extended Depth of Focus Intraocular Lenses. Asia-Pac J Ophthalmol Phila Pa. 2017; 6(4): 339-349.
2. Böhm M, Petermann K, Hemkeppler E, Kohnen T. Defocus curves of 4 presbyopia-correcting IOL designs: Diffractive panfocal, diffractive trifocal, segmental refractive, and extended-depth-of-focus. J Cataract Refract Surg. 2019; 45(11): 1625-1636.
3. Häring G, Dick HB, Krummenauer F, Weissmantel U, Kröncke W. Subjective photic phenomena with refractive multifocal and monofocal intraocular lenses. results of a multicenter questionnaire. J Cataract Refract Surg. 2001; 27(2): 245-249.
4. Savini G, Balducci N, Carbonara C, et al. Functional assessment of a new extended depth-of-focus intraocular lens. Eye Lond Engl. 2019; 33(3): 404-410.
5. A Extended Depth of Focus Intraocular Lenses- NSI Z80.35-2018 - Ophthalmics.
6. Bala C, Poyales F, Guarro M, et al. Multicountry clinical outcomes of a new nondiffractive presbyopia-correcting IOL. J Cataract Refract Surg. 2022; 48(2): 136-143.
7. Đoàn Thị Phương Nhi. Đánh giá kết quả phẫu thuật phaco đặt thuỷ tinh thể nhân tạo EDOF không nhiễu xạ điều trị bệnh đục thuỷ tinh thể tại Bệnh viện Mắt- Răng Hàm Mặt Cần Thơ năm 2023-2024. Tạp chí Y dược học Cần Thơ số 85/2025 Accessed May 22, 2025. https://tapchi.ctump.edu.vn/index.php/ctump/article/view/3532/2316
8. McCabe C, Berdahl J, Reiser H, et al. Clinical outcomes in a U.S. registration study of a new EDOF intraocular lens with a nondiffractive design. J Cataract Refract Surg. 2022; 48(11): 1297-1304. doi:10.1097/j.jcrs.0000000000000978
9. Kerr NM, Moshegov S, Lim S, Simos M. Visual Outcomes, Spectacle Independence, and Patient-Reported Satisfaction of the Vivity Extended Range of Vision Intraocular Lens in Patients with Early Glaucoma: An Observational Comparative Study. Clin Ophthalmol Auckl NZ. 2023; 17: 1515-1523. doi:10.2147/OPTH.S411561.
10. Howes F, Rementeria-Capelo LA, Poyales F, et al. Visual Performance and Patient Satisfaction of Bilaterally Implanted Extended Depth of Focus Intraocular Lens: Outcomes of a Multicenter Registry. J Refract Surg Thorofare NJ 1995. 2025; 41(2): e131-e143. doi:10.3928/1081597X-20241230-01.
11. Hovanesian JA, Jones M, Allen Q. The Vivity Extended Range of Vision IOL vs the PanOptix Trifocal, ReStor 2.5 Active Focus and ReStor 3.0 Multifocal Lenses: A Comparison of Patient Satisfaction, Visual Disturbances, and Spectacle Independence. Clin Ophthalmol Auckl NZ. 2022; 16: 145-152.
12. Monaco G, Gari M, Di Censo F, Poscia A, Ruggi G, Scialdone A. Visual performance after bilateral implantation of 2 new presbyopia-correcting intraocular lenses: Trifocal versus extended range of vision. J Cataract Refract Surg. 2017; 43(6): 737-747. doi:10.1016/j.jcrs.2017.03.037.
13. Guarro M, Sararols L, Londoño GJ, et al. Visual disturbances produced after the implantation of 3 EDOF intraocular lenses vs 1 monofocal intraocular lens. J Cataract Refract Surg. 2022; 48(12): 1354-1359. doi:10.1097/j.jcrs.0000000000000988.
14. Sabur H, Unsal U. Visual outcomes of non-diffractive extended-depth-of-focus and enhanced monofocal intraocular lenses: A case-control study. Eur J Ophthalmol. 2023; 33(1): 262-268. doi:10.1177/11206721221125004.
15. Bhasin P, Sarkar D, Bhasin P, Dhanapal PP, Ubhal GN, Bhargava M. Visual performance and patient satisfaction with AcrySof® IQ Vivity® IOL: Experience from a tertiary care center in central India. Indian J Ophthalmol. 2024; 72(4): 554-557. doi:10.4103/IJO.IJO_1018_23.
16. Lee MW. Visual outcomes following bilateral implantation of a non-diffractive extended depth of focus toric intraocular lens using a mini-monovision approach. Int Ophthalmol. 2024; 44(1): 334. doi:10.1007/s10792-024-03247-x.
17. Giannuzzi F, Carlà MM, Margollicci F, et al. Functional outcomes and quality of life after AcrySof IQ Vivity intraocular lens implantation in a real-world study. Sci Rep. 2024; 14: 20620. doi:10.1038/s41598-024-69960-w.