Optimal near and distance stereoacuity after binocular implantation of extended range of vision intraocular lenses

Abstract

To evaluate stereopsis and visual quality after bilateral implantation of extended range of vision intraocular lenses (ERV IOLs). R.P. Centre for Ophthalmic Sciences, AIIMS, New Delhi, India. Prospective interventional study. Patients underwent phacoemulsification with bilateral implantation of ERV IOLs. The primary outcome measures were stereopsis (distance and near Randot) and visual quality (ray-tracing aberrometry). The secondary outcome measures were visual acuity and patient satisfaction. Follow-up was performed on day 1 and at 1, 3, 6, and 12months postoperatively. The study comprised 50 patients (100 eyes). The mean age of the patients was 58.9years±8.9 (SD). At 1year, the mean distance stereopsis was 103.6±49.1seconds of arc (arcsec) and near stereopsis was 21.1±2.3 arcsec. Perfect near stereopsis of 20 arcsec was present in 80% of cases, and 82% had good distance stereopsis of 100 arcsec or better. Stereopsis correlated well with the patient satisfaction score (P<.001) and average internal modulation transfer function (MTF) (P<.015). The mean Strehl ratio was 0.029±0.021, MTF was 0.24±0.08, total higher-order aberrations were 0.62±0.41μm, and coma was 0.25±0.18μm. The mean binocular uncorrected decimal visual acuities were 0.98±0.07 (distance), 0.82±0.09 (intermediate) and 0.64±0.08 (near). The mean patient satisfaction score was 9.08±1.1, and no case required IOL explantation because of visually disturbing phenomena or patient dissatisfaction. Excellent stereoacuity was observed after bilateral implantation of ERV IOLs, which correlated well with patient satisfaction and quality of vision.