Visual Outcomes and Patient Satisfaction with a Hydrophobic Acrylic Monofocal IOL Delivered Using a Manual System.

PURPOSE: To evaluate visual outcomes and patient satisfaction at far and intermediate distances, up to 3 months postoperatively, in patients implanted with a hydrophobic acrylic intraocular lens (IOL) using a manual delivery system.

METHODS

This was a prospective single-arm study of visual outcomes and patient satisfaction after successful bilateral cataract surgery with the Clareon monofocal and monofocal toric IOL using the Monarch IV delivery system. Endpoints included bilateral visual acuity, manifest refraction, and satisfaction assessed at 1 and 3 months post-operatively, as well as a surgeon survey of in-the-bag placement and satisfaction.

RESULTS

A total of 28 patients (56 eyes) completed the study. At 3 months postoperatively, mean uncorrected and corrected binocular visual acuities at distance were 0.03 ± 0.04 logMAR and 0.00 ± 0.02 logMAR, respectively. For intermediate vision (66cm), 98% of eyes (55/56) had corrected monocular visual acuity 20/25 or better. In addition, mean uncorrected and corrected binocular visual acuities at intermediate (66cm) were 0.09 ± 0.05 logMAR and 0.04 ± 0.05 logMAR, respectively. Patient reported satisfaction with their vision was 88% (25/28). The IOL was delivered smoothly into the capsular bag in 89% (50/56) of eyes.

CONCLUSION

Clareon monofocal and monofocal toric IOL delivered with Monarch IV can provide excellent distance vision and intermediate vision, good spectacle independence, high reported patient satisfaction, consistent in-the-bag delivery, and high surgeon satisfaction.