{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:31:21Z","timestamp":1792089081636,"version":"4.4.0"},"reference-count":24,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T00:00:00Z","timestamp":1744934400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Alcon Lab. Initiated Investigator Trial Grant (IIT)","award":["73499335"],"award-info":[{"award-number":["73499335"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: To evaluate the efficacy and visual quality provided by the extended depth-of-focus AcrySof IQ Vivity lens (Alcon Laboratories, Inc., Fort Worth, TX, USA) in patients undergoing refractive lens exchange (RLE) surgery for presbyopia correction. Methods: This descriptive prospective single-arm clinical study included 30 patients (60 eyes) aged 49\u201369 years (mean 60.2) who underwent clear lens surgery for presbyopia correction. Postoperative 3-month assessments included uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), distance-corrected intermediate visual acuity (DCIVA), and distance-corrected near visual acuity (DCNVA) measurements. Patient satisfaction and visual disturbances were evaluated using a standardized questionnaire. Results: Postoperative binocular visual acuity results were as follows: UDVA, 0.00 \u00b1 0.06 logMAR; UIVA 0.08 \u00b1 0.07 logMAR; and UNVA, 0.18 \u00b1 0.10 logMAR. Refractive outcomes showed mean spherical equivalent values of \u22120.15 D \u00b1 0.28 diopters (D) for the right eye and \u22120.18 D \u00b1 0.30 D for the left eye postoperatively. Most patients (93.2%) were satisfied or very satisfied with the surgery, and 63.3% never needed glasses at any distance postoperatively. Mild and non-disabling photic phenomena were reported by 23% of patients for halos and 30% for glares. Conclusions: The study IOL provides excellent visual acuity for far and intermediate distances, as well as functional near vision under photopic conditions, with high levels of patient satisfaction and minimal visual disturbances. This lens is a promising option for non-cataract patients undergoing RLE for presbyopia correction.<\/jats:p>","DOI":"10.3390\/jcm14082795","type":"journal-article","created":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T03:27:46Z","timestamp":1744946866000},"page":"2795","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Visual Results After Extended Depth-of-Focus Lens Implantation in Patients Undergoing Clear Lens Surgery"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5065-2803","authenticated-orcid":false,"given":"Emanuel","family":"Barber\u00e1-Loustaunau","sequence":"first","affiliation":[{"name":"Instituto Oftalmol\u00f3gico Quir\u00f3nsalud, P.\u00b0 Mar\u00edtimo 1, 15001 A Coru\u00f1a, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7233-0234","authenticated-orcid":false,"given":"Felipe","family":"Cou\u00f1ago","sequence":"additional","affiliation":[{"name":"Hospital Universitario Vithas La Milagrosa, Modesto Lafuente 14, 28010 Madrid, Spain"},{"name":"Hospital Universitario San Francisco de As\u00eds, Joaqu\u00edn Costa 28, 28002 Madrid, Spain"},{"name":"Universidad Europea, Tajo, s\/n, 28670 Villaviciosa de Od\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2583-1789","authenticated-orcid":false,"given":"Miguel A.","family":"S\u00e1nchez-Tena","sequence":"additional","affiliation":[{"name":"Departamento de Optometr\u00eda y Visi\u00f3n, Universidad Complutense de Madrid, Av. Arcos del Jal\u00f3n 118, 28037 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6162-0081","authenticated-orcid":false,"given":"Nuria","family":"Garz\u00f3n","sequence":"additional","affiliation":[{"name":"Departamento de Optometr\u00eda y Visi\u00f3n, Universidad Complutense de Madrid, Av. Arcos del Jal\u00f3n 118, 28037 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,4,18]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"146","DOI":"10.3928\/1081597X-20170217-01","article-title":"Extended Depth of Focus IOLs: The Next Chapter in Refractive Technology?","volume":"33","author":"Rocha","year":"2017","journal-title":"J. Refract. 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