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Visual and Patient-Reported Outcomes After Bilateral Implantation of Two Enhanced Monofocal IOLs
Rosa Giglio1, Serena Milan1, Riccardo Leonelli1
1Department of Medical, Surgical Sciences and Health, University of Trieste, 34129 Trieste, Italy.
Journal of Clinical Medicine
|May 27, 2026
Summary
Both TECNIS Eyhance™ and Evolux™ enhanced monofocal intraocular lenses (IOLs) offer equivalent intermediate and distance vision. Exploratory analysis suggested potential near vision benefits for Evolux™, requiring further study.
Area of Science:
- Ophthalmology
- Biomedical Engineering
- Optics
Background:
- Enhanced monofocal intraocular lenses (IOLs) aim to improve intermediate vision while maintaining distance acuity.
- Comparison between TECNIS Eyhance™ and Evolux™ enhanced monofocal IOLs is crucial for clinical decision-making.
Purpose of the Study:
- To compare clinical and patient-reported outcomes of TECNIS Eyhance™ and Evolux™ IOLs.
- To characterize the anterior surface profile of the Evolux™ optic.
Main Methods:
- Retrospective comparative case series of 44 patients with bilateral IOL implantation.
- Primary outcomes: monocular uncorrected and distance-corrected intermediate visual acuity.
- Secondary outcomes: distance, near visual acuity, and patient-reported data; anterior surface profilometry.
Main Results:
- Statistically equivalent monocular and binocular intermediate and distance visual acuity between the two IOL groups.
- Unadjusted binocular near vision was better with Evolux™, but this finding lacked statistical significance after covariate adjustment.
Conclusions:
- Both enhanced monofocal IOLs demonstrated comparable intermediate and distance visual outcomes.
- Further prospective studies are needed to confirm any potential near vision advantages of Evolux™.
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