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Visual outcomes and higher-order aberrations in eyes implanted with hybrid extended depth of focus intraocular lens
Vaishal P Kenia1, Raj V Kenia2, Laxmi Mudaliya1, Onkar H Pirdankar3
1 Department of Cataract and Refractive Surgery, Kenia Eye Hospital, Mumbai, Maharashtra, India
2 Department of Ophthalmology, Kenia Foundation, Mumbai, Maharashtra, India
3 Department of Clinical Research, Kenia Medical and Research Foundation, Mumbai, Maharashtra, India
Correspondence Address:
Onkar H Pirdankar,
Kenia Medical and Research Foundation, Rizvi Nagar, Corner of Milan Subway, Mumbai - 400 054, Maharashtra
India
 Source of Support: None, Conflict of Interest: None DOI: 10.4103/tjo.tjo_16_22
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PURPOSE: To study the visual outcomes and higher order aberrations in eyes implanted with Hybrid EDOF IOL, particularly in Indian eyes.
MATERIALS AND METHODS: This is retrospective case series where subjects aged between 40-65 years and were implanted with LUCIDIS IOL by single surgeon were included. Subjects with Pre surgery corneal astigmatism > 1.50 D, corneal guttae, IOP >22mmHg, any ocular Co morbidities, Intra or post operative complication were excluded. At 1 month follow up, uncorrected visual acuities at distance (UCDVA), intermediate (UCIVA) and near (UCNVA), refraction were recorded. Internal Higher order aberrations and strehl ratio for a fixed pupil of 4mm and 6mm were calculated using NIDEK OPD Scan. Monocular defocus curve was obtained at 4 meter logMAR chart.
RESULTS: Total of 55 eyes of 35 patients with mean±SD age of 58.50±7.49 years were evaluated. 89.09% of the eyes achieved visual acuity of 6/6. 49.09% could read N10 font at intermediate distance without any correction and 85.45% of the eyes had uncorrected near visual acuity of N6. Around 67% of the eyes did not require any refractive correction whereas around 26% of the eyes required correction upto ±0.25D. The defocus curve showed that visual acuity also ranges from 0.05 logMAR to 0.2 logMAR for Plano to -3.00D respectively. Mean±SD Strehl ratio at 4 and 6 mm pupil size was 0.06±0.04 and 0.02±0.02 respectively.
CONCLUSION: Hybrid EDOF IOL such as LUCIDIS provides excellent vision at all distances. This could be attributed to IOL design which is spherical aberration neutral lens.
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