Visual outcomes and patient satisfaction after implantation of a presbyopia-correcting intraocular lens that combines EDOF and Multifocal profiles

Purpose To evaluate clinical outcomes delivered by a new hybrid presbyopia-correcting intraocular lens: Tecnis Synergy ZFR00V IOL model (Johnson & Johnson Vision) SETTING:: Hospital da Luz Lisboa, Lisbon, Portugal DESIGN:: Prospective observational study METHODS:: A total of 27 patients undergoing bilateral IOL implantation were included. Visual acuity (VA) was measured for far distance, intermediate (66 cm) and near (40 cm) vision under both photopic and mesopic conditions. In addition, at the 3-month follow-up visit, the defocus curve was obtained for binocular vision and questionnaires were administered to measure spectacle-independence and level of satisfaction (QoV and Catquest-SF9) with the surgical outcomes. Results At 3-month follow-up, under photopic conditions, VA values were: CDVA = -0.02 ± 0.07, DCIVA = 0.03 ± 0.11, and DCNVA = 0.00 ± 0.08, while under mesopic conditions, VA values were: CDVA = -0.01 ± 0.05, and DCNVA = 0.07 ± 0.09. The binocular defocus curve revealed that mean visual acuity was better than 0.30 LogMAR within the +1.00 D to -4.00 D interval, and better than 0.10 LogMAR between +0.50 D and -3.00 D. All patients achieved distance-vision spectacle freedom, while 3.7% of them said they used them in certain intermediate- or near-vision situations. As much as 88% of the patients reported being fairly satisfied or very satisfied. Conclusions The Tecnis Synergy ZFR00V intraocular lens model used for cataract surgery is capable of restoring visual function while providing very good intermediate and near vision, under both photopic and mesopic conditions, resulting in a high level of patient satisfaction.