Purpose: To evaluate visual performance and quality of vision of new intraocular lenses (IOLs) for presbyopia correction with a super aspheric inverted meniscus optical design (ArtIOLs; Voptica SL, Murcia, Spain) in patients undergoing bilateral cataract surgery.
Methods: Thirty patients were implanted bilaterally with Art40 and Art70 IOLs in each eye. These new IOLs were designed with an inverted meniscus shape to improve the peripheral performance and with aspheric surfaces to induce different amounts of negative spherical aberration in each IOL model. Distance-corrected and uncorrected through-focus visual acuities and contrast sensitivity were measured 1 to 3 months after surgery.
Results: Mean binocular (Art40/70) corrected distance visual acuity (CDVA) was zero logMAR (20/20). Binocular uncorrected distance visual acuity (UDVA) at far, intermediate (66 cm), and near (40 cm) distances was 0.00 ± 0.01, 0.01 ± 0.03, and 0.09 ± 0.09 logMAR, respectively. Spectacle independence was achieved by 24 (85.7%) patients for far and intermediate vision and 20 patients (71.4%) for near vision. The percentage of patients never reporting experiencing glare, halos, and starbursts was 100%, 96.4%, and 92.9%, respectively.
Conclusions: The binocular combination of two super aspheric ArtIOLs models (Art40 and Art70) significantly extended the depth of focus up to at least 40 cm. This combination resulted in a full range of vision with a high level of spectacle independence and without the compromise of halos or dysphotopsias.
