25dgii33 10.3205/25dgii33 urn:nbn:de:0183-25dgii330 Meeting Abstract Son Son Hyeck Soo HS

Heidelberg

author Kim Kim B.K. BK

Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul/ROK

author Khoramnia Khoramnia R. R

Heidelberg

author Auffarth Auffarth G.U. GU

Heidelberg

author Choi Choi C.Y. CY

Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul/ROK

author German Medical Science GMS Publishing House

Düsseldorf

610 20250603 engl This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). M0620 33 Deutschsprachige Gesellschaft für Intraokularlinsen-Implantation, Interventionelle und Refraktive Chirurgie 39. Kongress der Deutschsprachigen Gesellschaft für Intraokularlinsen-Implantation, interventionelle und refraktive Chirurgie Presbyopie und IOL Erlangen 20250213 20250215 25dgii33 TextPurpose: To compare clinical outcomes of bilateral implantation of Tecnis Synergy (DFR00V) IOLs vs. mix-and-match implantation of Tecnis Synergy and Tecnis Symfony (ZXR00) vs. mix-and-match implantation of Tecnis Synergy and Tecnis Eyhance (ICB00) IOLs.Design: Prospective, ramdomized, comparative, mono-centric study.Methods: Patients with bilateral age-related cataract were randomized in one of three groups: Group 1, bilateral Synergy IOL; Group 2, Symfony in the dominant eye, Synergy in the non-dominant eye; Group 3, Eyhance in the dominant eye, Synergy in the non-dominant eye. Assessments at 6 months after surgery included monocular and binocular uncorrected distance visual acuity (UDVA), intermediate (UIVA) and near distance (UNVA) at 40 and 33 cm, defocus curves, contrast sensitivity (CS), reading speed, and questionnaires on quality of vision and photic phenomena.Results: 75 patients (25 per group) were enrolled. There were no statistically significant differences in binocular UDVA and UNVA between groups (p>0.05); binocular UIVA was better for Group 1 and 2 compared to Group 3 (p=0.030). Binocular uncorrected defocus curve showed better performance for Group 1 compared to Group 3 at vergences of –2.00 to –3.50 diopters (D). Significantly higher reading speed was measured for Jaeger 1 font in Group 1. There were no differences in CS between groups, but a higher incidence of starbursts in Group 1 and a higher need for near spectacles in Group 3. Conclusion: Bilateral Synergy IOL implantation resulted in better near vision, but higher rates of photic phenomena compared to the mix-and-match groups. Combinations of IOLs based on the same platform may allow surgeons to fine-tune for individual patient’s needs. 0 0 0 0