Visual function and patient satisfaction with 3 types of monofocal plus intraocular lenses

To compare visual function and patient-reported satisfaction among 3 types of monofocal plus intraocular lenses (IOLs) STUDY DESIGN: Retrospective case series METHODS: This study included 122 eyes from 61 patients who underwent bilateral implantation of DIB00V (Johnson & Johnson Vison Care, 22 patients), NSP-3 (Nidek, 18 patients), or XY1-EM (Hoya Surgical Optics, 21 patients) between July 2023 and October 2024. At 3 months postoperatively, corrected distance visual acuity (CDVA) at 5 m, distance-corrected intermediate visual acuity (DCIVA) at 70 cm and 50 cm, manifest refraction, and letter contrast sensitivity were compared. Responses to a questionnaire assessing subjective satisfaction with daily visual activities were analyzed.

No significant differences were observed among the 3 groups in CDVA at 5 m and DCIVA at 50 cm (P = .45, P = .12). DCIVA at 70 cm was significantly better with the XY1-EM than with the DIB00V (P <.01). Manifest refraction and letter contrast sensitivity showed no significant differences among the groups (P = .55, P = .88). A significant difference in satisfaction scores for night driving was found, with the DIB00V scoring higher than the NSP-3 (P <.05). Spectacle independence was achieved more frequently with the XY1-EM (81.0%) than with the DIB00V (63.6%) and NSP-3 (66.7%) (P <.05).

The 3 monofocal plus IOLs demonstrated comparable visual function in terms of CDVA at 5 m, DCIVA at 50 cm, and letter contrast sensitivity. However, the XY1-EM exhibited significantly better DCIVA at 70 cm and a higher rate of spectacle independence.