Author:
Nanavaty Mayank A.,Ashena Zahra,Gallagher Sean,Borkum Steven,Frattaroli Paul,Barbon Emma
Abstract
PURPOSE:
To compare uniocular and binocular visual acuity, wavefront aberrations, and defocus curves using the TECNIS Eyhance (Johnson & Johnson) and RayOne (Rayner) intraocular lenses (IOLs).
METHODS:
In this prospective, randomized, comparative study, 50 patients (100 eyes) were randomized to receive the same IOL bilaterally (
ClinicalTrials.gov
Identifier: NCT04175951). Follow-up visits were at 1 and 3 to 9 months postoperatively. Primary outcome measures were uncorrected distance (UDVA) and uncorrected intermediate (UIVA) visual acuity (logMAR) at 66 cm. Secondary outcome measures were corrected distance (CDVA) and distance-corrected intermediate (DCIVA) visual acuity at 66 cm, manifest refraction, spherical (Z
4
0
) and vertical coma (Z
3
−1
) aberrations (total, internal eye, and corneal) at normal pupil size, defocus curves, and Catquest 9SF and Glare and Halos questionnaire on Likert scale (1 = no glare and halos and 4 = continuous).
RESULTS:
Uniocular UDVA (
P
= .02), UIVA (
P
= .02), and binocular UIVA (
P
< .01) and uniocular (
P
= .01) and binocular (
P
< .01) DCIVA were better with the TECNIS Eyhance IOL at 3 to 9 months. At 3 to 9 months, both uniocular and binocular defocus curves were significantly broader with the TECNIS Eyhance IOL between −0.50 and −3.00 diopters (D). For total and internal eye, there was a statistically but clinically insignificant difference in Z
4
0
with the TECNIS Eyhance IOL. Rasch scores improved (TECNIS Eyhance: 2.04 ± 1.34 to 2.91 ± 0.81 and RayOne:1.61 ± 1.35 to 2.97 ± 0.16) at 3 to 9 months. Refraction, Z
3
−1
, glare, and halos were not different.
CONCLUSIONS:
The TECNIS Eyhance IOL provided better DCIVA and broader defocus curves than the RayOne IOL. There was no difference in CDVA or patient-reported outcomes. Although there were some differences in aberrations when measured with normal pupil size, they were not clinically significant.
[
J Refract Surg
. 2022;38(1):10–20.]
Cited by
15 articles.
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