Refractive Results of a Novel Non-Diffractive Extended Focus Lens Implanted After Cataract Surgery, First Mexican Experience
Main Article Content
http://orcid.org/0009-0008-2621-0598
Dr. Arturo Iván Pérez Pacheco
http://orcid.org/0000-0002-1150-1463
Dr. Roberto Varela González
Dr. Inés Ortega Cervantes
http://orcid.org/0009-0004-1213-4310
Abstract
Introduction: Nowadays vision impairment, drastically affects the patient's and family members quality of life. In the other hand, cataracts remain the leading cause of blindness, with approximately 15.2 million cases comprising 45% of global blindness, as cataracts arise for an aging global population, the knowledge of the capabilities and the diverse intraocular lenses (IOL) can provide to each patient, becomes essential to the current cataract surgeon.
Objective: The aim of this study was to determine the refractive results of a novel non-diffractive extended focus lens implanted after Cataract Surgery, been the first Mexican experience.
Methodology: The execution of this original article was possible through metasearch engines like Wiley Online Library, EBSCO, Cochrane, Clinicalkey, and MEDLINE PubMed, retrieve studies from January, 2024, to January, 2025. With MeSH Terms associated with "Cataract surgery AND non-diffractive extended focus lens AND LuxSmart". The study design was a retrospective cohort study, where 48 patients were included, corresponding to 71 eyes, performed by a single surgeon and within the same clinic during all this time.
Results: The intervention improved near visual acuity, reducing both the median and variability of values. Wilcoxon test was performed. We found excellent performance in distance visual acuity and Jaeger from J6 to J2 for near vision, with the possibility of functional intermediate vision and independence from glasses for properly selected patients.
Conclusion: There is a significant reduction in the measured variables after LuxSmart IOL implantation surgery. The statistical analysis is moderate to large, suggesting a significant improvement in each patient.
Article Details
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References
2. Rua Amaro D, Bertelmann E, von Sonnleithner C. Clinical outcomes and optical performance of a new segmental refractive extended depth-of-focus intraocular lens. BMC Ophthalmol 2024;24. https://doi.org/10.1186/s12886-024-03586-4.
3. Megiddo-Barnir E, Alió JL. Latest Development in Extended Depth-of-Focus Intraocular Lenses: An Update. Asia-Pacific Journal of Ophthalmology 2023;12:58–79. https://doi.org/10.1097/apo.0000000000000590.
4. American National Standards Institute - ANSI Home. (s. f.-b). American National Standards Institute - ANSI. https://www.ansi.org/
5. Megiddo-Barnir E, Alió JL. Latest Development in Extended Depth-of-Focus Intraocular Lenses: An Update. Asia-Pacific Journal of Ophthalmology 2023;12:58–79. https://doi.org/10.1097/apo.0000000000000590
6. Schmid R, Borkenstein AF. Analysis of higher order aberrations in recently developed wavefront-shaped IOLs. Graefes Arch Clin Exp Ophthalmol 2021;2 60:609–20. https://doi.org/10.1007/s00417-021-05362-2.
7. Borkenstein AF, Borkenstein E-M, Luedtke H, Schmid R. Optical Bench Analysis of 2 Depth of Focus Intraocular Lenses. Biomed Hub 2021;6:77–85. https://doi.org/10.1159/000519139.
8. Schmid R, Luedtke H, Borkenstein AF. Enhanced Depth-of-focus Intraocular Lenses: Latest Wavefront-shaped Optics versus Diffractive Optics. Optom Vis Sci 2022;99:335–41. https://doi.org/10.1097/opx.0000000000001894
9. Campos N, Loureiro T, Rodrigues-Barros S, Rita Carreira A, Gouveia-Moraes F, Carreira P, et al. Preliminary Clinical Outcomes of a New Enhanced Depth of Focus Intraocular Lens. OPTH 2021;Volume 15:4801–7. https://doi.org/10.2147/opth.s344379.
10. Tahmaz V, Siebelmann S, Koch KR, Cursiefen C, Langenbucher A, Hoerster R. Evaluation of a Novel Non-Diffractive Extended Depth of Focus Intraocular Lens – First Results from a Prospective Study. Current Eye Research 2022;47:1149–55. https://doi.org/10.1080/02713683.2022.2074046.
11. Schmid R, Fuchs C, Luedtke H, Borkenstein AF. Depth of focus of four novel extended range of vision intraocular lenses. European Journal of Ophthalmology 2022;33:257–61. https://doi.org/10.1177/11206721221125081.
12. Schmid R, Luedtke H, Borkenstein AF. Effect of decentration and tilt on four novel extended range of vision intraocular lenses regarding far distance. European Journal of Ophthalmology 2022;33:933–42. https://doi.org/10.1177/11206721221128864.
13. Azor JA, Vega F, Armengol J, Millan MS. Optical Assessment and Expected Visual Quality of Four Extended Range of Vision Intraocular Lenses. J Refract Surg 2022;38:688–97 . https://doi.org/10.3928/1081597x-20220926-01.
14. Schmid R, Borkenstein AF. Enhanced Depth of Focus Intraocular Lenses: Through Focus Evaluation of Wavefront-Shaping versus Diffractive Optics. Biomed Hub 2023;8:25–30. https://doi.org/10.1159/000529234.
15. Gawęcki M, Prądzyńska N, Kiciński K, Ratajczak A, Karska-Basta I, Grzybowski A. Patient reported outcomes after implementation of an enhanced depth of focus intraocular lens with low postoperative myopia. Advances in Ophthalmology Practice and Research 2023;3:86–92. https://doi.org/10.1016/j.aopr.2023.02.003.
16. Nowrouzi A, Alió del Barrio JL, D’Oria F, Kamel NR, Alió JL. Visual Performance After Unilateral Implantation of an Extended Depth-of-Focus Intraocular Lens in Patients With Unilateral Cataract. J Refract Surg 2023;39:518–23. https://doi.org/10.3928/1081597x-20230710-01.
17. Kohnen T, Berdahl JP, Hong X, Bala C. The Novel Optical Design and Clinical Classification of a Wavefront-Shaping Presbyopia-Correcting Intraocular Lens. OPTH 2023;Volume 17:2449–57. https://doi.org/10.2147/opth.s400083.
18. Stodulka P, Pracharova Z. Evaluation of extended depth-of-focus hydrophobic intraocular lens with an optic concept based on combination of high-order aberrations. Ophthalmol Eye Dis 2023;15. https://doi.org/10.1177/25158414231200108.
19. Ruiz-Mesa R, de Luna GC, Ruiz-Santos M, Jiménez-Nieto A, Tañá-Rivero P. Clinical Outcomes of a Toric Enhanced Depth-of-Focus Intraocular Lens Based on the Combination of 4th- and 6th-Order Spherical Aberration. J Refract Surg 2024;40. https://doi.org/10.3928/1081597x-20240501-02.
20. Campos N. Clinical Outcomes and Patient Satisfaction of an Enhanced Depth of Focus Intraocular Lens Targeted for Mini-Monovision. OPTH 2024;Volume 18:1607–13. https://doi.org/10.2147/opth.s459868.
21. Campos N. Clinical Outcomes and Patient Satisfaction of an Enhanced Depth of Focus Intraocular Lens Targeted for Mini-Monovision. Clin Ophthalmol. 2024;18:1607-1613. Published 2024 Jun 4. doi:10.2147/OPTH.S459868.
22. Mendroch D, Oberheide U, Altmeyer S. Functional Design Analysis of Two Current Extended-Depth-of-Focus Intraocular Lenses. Trans Vis Sci Tech 2024;13:33. https://doi.org/10.1167/tvst.13.8.33.
23. Vega F, Garzón N, García-Montero M, Millán MS. Power profile and optical performance of two extended range-of-vision intraocular lens designs. J Cataract Refract Surg 2024;50:1065–73. https://doi.org/10.1097/j.jcrs.0000000000001528.
24. Baur ID, Yan W, Auffarth GU, Khoramnia R, Łabuz G. Optical Quality and Higher Order Aberrations of Refractive Extended Depth of Focus Intraocular Lenses. J Refract Surg 2023;39:668–74. https://doi.org/10.3928/1081597x-20230831-01.
25. Dorronzoro-Ramirez E, Sanchez-Tena MA, Alvarez-Peregrina C, Cardenas Rebollo JM, Flores Cervantes D, Sánchez-Ramos C. Visual Outcomes of a Non-Diffractive Extended Depth-of-Focus Intraocular Lens in Patients with Early-Stage Age-Related Macular Degeneration. J Clin Med. 2025;14(17):5953. Published 2025 Aug 23. doi:10.3390/jcm14175953.