Mixing and matching Lucidis extended depth of focus intraocular lenses with other eyes being phakic or having monofocal intraocular lenses.

PURPOSE: The purpose of the study was to evaluate the mixing and matching of Lucidis extended depth of focus (EDOF) intraocular lenses (IOLs) implanted in one eye with another eye being phakic or having monofocal IOLs, in terms of improving visual outcomes, addressing presbyopia, and any associated discomfort.

METHODS

This comparative cross-sectional study examines the compatibility of EDOF in one eye with the other being phakic or having monofocal lenses in cataract surgery. It included 50 patients with age-related cataracts, excluding those with other ocular issues. Surgeries followed standard techniques, patients underwent postoperative assessments over 6 months. Primary outcomes included visual acuity (VA) at distance and near and patient satisfaction.

RESULTS

Among 50 patients (52% male, 48% female, age 62.8 ± 10.98 years.), 18 patients received bilateral Lucidis implants, 18 had monofocal implants in one eye, and 14 retained natural lenses with varying opacities. Statistically significant differences were observed for distance uncorrected VA (UCVA) between Group 1 (LB) and Group 2 (LM) (P = 0.013), whereas no significant differences were found among Group 1 (LB), Group 3 (LP), and Group 2 (LM), Group 3 (LP) on the basis of far and near best-corrected VA and UCVA (P > 0.05). There was no statistically significant difference in survey outcomes among all three groups, indicating the absence of significant dysphotopsia in any of the groups.

CONCLUSION

The study highlights the versatility and effectiveness of mixing and matching Lucidis IOLs in one eye with the other eye being phakic or having monofocal lenses. Binocular Lucidis IOL appears ideal but may be combined with monofocal pseudophakic or phakic status of the eye without any undue fear.