Comparative Analysis of Postoperative Visual Outcomes of Light-Adjustable Lens, Toric Monofocal, and Spherical...

This retrospective study compares postoperative visual outcomes among 150 eyes treated with Light-Adjustable Lenses (LAL), toric monofocal lenses, and spherical monofocal lenses at Discover Vision Centers in Missouri and Kansas. The study included individuals with an average age of 68.9 years (25-82 years) who had cataract extraction (CE) within the past five years. Patients with prior corneal refractive procedures, including Radial Keratotomy (RK), Photorefractive Keratectomy (PRK), Laser-Assisted In Situ Keratomileusis (LASIK) or Small Incision Lenticule Extraction (SMILE) were excluded. Sixty-four percent of eyes with LALs achieved uncorrected distance visual acuity (UCDVA) better than 20/20 after the final lock-in, 46.0% with toric monofocal lenses, and 32.0% with spherical monofocal lenses. LAL-treated eyes also showed lowest residual refractive error, with a final mean spherical equivalent of 0.0 ± 0.353D, outperforming toric (0.08 ± 0.386D) and spherical monofocal lenses (0.20 ± 0.631D). These results suggest that LALs offer superior outcomes, though further research is warranted.