Indian Journal of ophthalmology
JRS, Journal of Refractive Surgery

A prospective study of a new presbyopia pseudophakic intraocular lens: Safety, efficacy and satisfaction

German R Bianchi, MD

A study of 56 patients who received the Intensity IOL after femtosecond laser-assisted cataract surgery showed significant improvements in visual acuity and spectacle independence. Six months post-surgery, 94% of patients achieved a spherical equivalent within ±0.50 D, with stable corneal and endothelial health. Patients reported high satisfaction, meeting their preoperative expectations for vision correction.

A study of 56 patients who received the Intensity IOL after femtosecond laser-assisted cataract surgery showed significant improvements in visual acuity and spectacle independence. Six months post-surgery, 94% of patients achieved a spherical equivalent within ±0.50 D, with stable corneal and endothelial health. Patients reported high satisfaction, meeting their preoperative expectations for vision correction.

ABSTRACT

To compare the clinical and aberrometric outcomes obtained with a new diffractive pentafocal intraocular lens (IOL) and a diffractive trifocal IOL.
METHODS: Patients bilaterally implanted with the pentafocal Intensity SeeLens IOL (Hanita Lenses) (n = 30) and the trifocal FineVision POD F IOL (PhysIOL) (n = 30) during cataract surgery were studied after 1 month for refraction, visual acuity, defocus curve, contrast sensitivity, Hartmann-Shack aberration, and double-pass aberration. The Quality of Vision (QoV) questionnaire was used to evaluate visual comfort.

RESULTS

Distance and near visual acuities were similar with the two IOLs, but distance-corrected intermediate visual acuity was better with the Intensity IOLs (0.03 ± 0.04 vs 0.11 ±0.04 logMAR in the FineVision eyes, P < .01). The difference between objective and subjective refraction was more myopic for the Intensity IOL (-1.15 vs -0.29 diopters [D]). The defocus curve was flatter with the Intensity IOL. Contrast sensitivity was similar in both IOLs. Hartmann-Shack aberration and double-pass aberration were similar, but the modulation transfer function cut-off value was worse with the Intensity IOL: 11.6 ± 2.7 vs 15.3 ± 4.9 (P < .01). QoV scores were better with the Intensity IOL, in particular for glare, halos, and starburst.

CONCLUSIONS

In this comparative series, the pentafocal Intensity IOL provided better intermediate vision and better defocus curve than the FineVision IOL, with comparable distance and near vision. The optical disturbances as reported by the patients were higher with the FineVision IOL. Additional studies will better define the aberration profile obtained with the pentafocal IOL.

A study of 56 patients who received the Intensity IOL after femtosecond laser-assisted cataract surgery showed significant improvements in visual acuity and spectacle independence. Six months post-surgery, 94% of patients achieved a spherical equivalent within ±0.50 D, with stable corneal and endothelial health. Patients reported high satisfaction, meeting their preoperative expectations for vision correction.

ABSTRACT

To compare the clinical and aberrometric outcomes obtained with a new diffractive pentafocal intraocular lens (IOL) and a diffractive trifocal IOL.
METHODS: Patients bilaterally implanted with the pentafocal Intensity SeeLens IOL (Hanita Lenses) (n = 30) and the trifocal FineVision POD F IOL (PhysIOL) (n = 30) during cataract surgery were studied after 1 month for refraction, visual acuity, defocus curve, contrast sensitivity, Hartmann-Shack aberration, and double-pass aberration. The Quality of Vision (QoV) questionnaire was used to evaluate visual comfort.

RESULTS

Distance and near visual acuities were similar with the two IOLs, but distance-corrected intermediate visual acuity was better with the Intensity IOLs (0.03 ± 0.04 vs 0.11 ±0.04 logMAR in the FineVision eyes, P < .01). The difference between objective and subjective refraction was more myopic for the Intensity IOL (-1.15 vs -0.29 diopters [D]). The defocus curve was flatter with the Intensity IOL. Contrast sensitivity was similar in both IOLs. Hartmann-Shack aberration and double-pass aberration were similar, but the modulation transfer function cut-off value was worse with the Intensity IOL: 11.6 ± 2.7 vs 15.3 ± 4.9 (P < .01). QoV scores were better with the Intensity IOL, in particular for glare, halos, and starburst.

CONCLUSIONS

In this comparative series, the pentafocal Intensity IOL provided better intermediate vision and better defocus curve than the FineVision IOL, with comparable distance and near vision. The optical disturbances as reported by the patients were higher with the FineVision IOL. Additional studies will better define the aberration profile obtained with the pentafocal IOL.

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Related publications

JRS- Journal of Refractive Surgery

JRS, Journal of Refractive Surgery

Comparison of Objective and Subjective Visual Outcomes Between Pentafocal and Trifocal Diffractive Intraocular Lenses

Dr. Bellucci
A clinical study comparing the new Intensity pentafocal IOL and a trifocal IOL showed that the Intensity IOL provides superior intermediate vision and a flatter defocus curve, with comparable distance and near vision. Patients reported fewer optical disturbances, such as glare and halos, with the Intensity IOL. Further research will clarify the specific benefits of the pentafocal design.

Journal of Current Ophthalmology

Corneal Endothelial Health after Phacoemulsification Cataract Surgery without Viscoelastic Substance

German R Bianchi, MD; Dr Nano
A study of 1,324 eyes undergoing cataract surgery without viscoelastic substance (VS) showed a 9.4% decrease in endothelial cell density (ECD) and a 1.2% increase in central corneal thickness (CCT) one year after surgery. The majority of changes occurred within the first six months, and no significant complications were reported. The results suggest that phacoemulsification cataract surgery can be safely performed without VS, with minimal impact on corneal health.

Medical Hypothesis, Discovery & Innovation Ophthalmology Journal

Spectacle Independence After Cataract Surgery: A Prospective Study With a Multifocal Intraocular Lens

German R Bianchi, MD
A study of 240 patients who received the FullRange multifocal IOL showed excellent visual outcomes, with 98.3% achieving 20/20 to 20/25 distance vision and 92% reporting spectacle independence one year after cataract surgery. Refractive accuracy was high, with 82.9% of eyes within ±0.5 D of target refraction. Patient satisfaction was notable, with strong near and intermediate visual performance and no reported complications. Future studies with longer follow-up will help further confirm these results.

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