{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T01:29:03Z","timestamp":1793410143852,"version":"4.5.0"},"reference-count":27,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T00:00:00Z","timestamp":1773878400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: We aimed to describe early real-world visual, refractive, and safety outcomes following implantation of a novel hybrid full range of vision intraocular lens (IOL) in patients undergoing cataract surgery. Materials and Methods: This prospective, single-center, non-randomized clinical study included 50 patients (100 eyes) undergoing bilateral sequential cataract surgery with implantation of the Max Vision\u2122 IOL. Uncorrected and corrected distance visual acuity (UDVA, CDVA) and uncorrected near visual acuity (UNVA) at 32 cm and 40 cm were assessed using logarithmic charts. Spherical equivalent (SE) refraction, intraocular pressure (IOP), and safety outcomes were recorded preoperatively and at postoperative day 1, week 1, and month 1. Preoperative and postoperative values were compared statistically. Results: The mean age was 66.1 \u00b1 7.9 years. At 1 month, mean UDVA improved from 0.58 \u00b1 0.24 to 0.01 \u00b1 0.03 logMAR, and mean CDVA from 0.18 \u00b1 0.20 to \u22120.001 \u00b1 0.01 logMAR (both p &lt; 0.001). Mean UNVA improved from 0.64 \u00b1 0.18 to 0.19 \u00b1 0.10 logMAR at 32 cm and from 0.61 \u00b1 0.15 to 0.13 \u00b1 0.11 logMAR at 40 cm (both p &lt; 0.001). Mean SE changed from 1.16 \u00b1 1.7 D preoperatively to 0.04 \u00b1 0.4 D at 1 month (p &lt; 0.001). Mean IOP showed a transient increase on postoperative day 1 followed by a reduction at 1 month, without the need for additional hypotensive therapy. No eyes lost two or more lines of CDVA. One posterior capsular rupture occurred without postoperative sequelae. Conclusions: At 1 month after cataract surgery, implantation of the Max Vision\u2122 IOL was associated with improved distance and near visual acuity, early refractive accuracy, and no major short-term safety concerns, under routine clinical conditions.<\/jats:p>","DOI":"10.3390\/medicina62030576","type":"journal-article","created":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T11:50:36Z","timestamp":1773921036000},"page":"576","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Early Real-World Outcomes with a Novel Hybrid Full Range of Vision Intraocular Lens"],"prefix":"10.3390","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7852-8989","authenticated-orcid":false,"given":"Gerardo","family":"Valvecchia","sequence":"first","affiliation":[{"name":"Department of Anterior Segment Surgery, Centro de Ojos Quilmes, Humberto Primo 298, Quilmes B1878KDF, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom\u00e1s M.","family":"Castro","sequence":"additional","affiliation":[{"name":"Department of Anterior Segment Surgery, Centro de Ojos Quilmes, Humberto Primo 298, Quilmes B1878KDF, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana E.","family":"Calero-Vera","sequence":"additional","affiliation":[{"name":"Department of Anterior Segment Surgery, Centro de Ojos Quilmes, Humberto Primo 298, Quilmes B1878KDF, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuela","family":"Masseroni","sequence":"additional","affiliation":[{"name":"Department of Anterior Segment Surgery, Centro de Ojos Quilmes, Humberto Primo 298, Quilmes B1878KDF, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nazarena","family":"Nasif","sequence":"additional","affiliation":[{"name":"Department of Anterior Segment Surgery, Centro de Ojos Quilmes, Humberto Primo 298, Quilmes B1878KDF, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eddie","family":"Icaza","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Cristiana Para la Salud, Guayaquil 090112, Ecuador"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas","family":"Aguirre","sequence":"additional","affiliation":[{"name":"Department of Anterior Segment Surgery, Centro de Ojos Quilmes, Humberto Primo 298, Quilmes B1878KDF, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicol\u00e1s","family":"Vargas","sequence":"additional","affiliation":[{"name":"Department of Anterior Segment Surgery, Centro de Ojos Quilmes, Humberto Primo 298, Quilmes B1878KDF, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gast\u00f3n","family":"G\u00f3mez-Caride","sequence":"additional","affiliation":[{"name":"Department of Retina, Centro de Ojos Quilmes, Quilmes B1878KDF, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciano","family":"Perrone","sequence":"additional","affiliation":[{"name":"Department of Anterior Segment Surgery, Centro de Ojos Quilmes, Humberto Primo 298, Quilmes B1878KDF, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,3,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1097\/j.jcrs.0000000000000109","article-title":"Extended depth-of-focus technology in intraocular lenses","volume":"46","author":"Kohnen","year":"2020","journal-title":"J. Cataract Refract. Surg."},{"key":"ref_2","first-page":"CD014891","article-title":"Trifocal versus extended depth of focus (EDOF) intraocular lenses after cataract extraction","volume":"7","author":"Tavassoli","year":"2024","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"4325","DOI":"10.2147\/OPTH.S552549","article-title":"Impact of Intraocular Lens Design on Refractive Endpoint Selection: A Call for a New Paradigm","volume":"19","author":"Skrzypecki","year":"2025","journal-title":"Clin. Ophthalmol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"100224","DOI":"10.1016\/j.apjo.2025.100224","article-title":"Controversies, consensuses and guidelines on modern cataract surgery by the academy of Asia-Pacific professors of ophthalmology (AAPPO)","volume":"14","author":"Srinivas","year":"2025","journal-title":"Asia Pac. J. Ophthalmol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1448","DOI":"10.1097\/j.jcrs.0000000000000659","article-title":"Visual outcomes and patient satisfaction after implantation of a presbyopia-correcting intraocular lens that combines extended depth-of-focus and multifocal profiles","volume":"47","author":"Ribeiro","year":"2021","journal-title":"J. Cataract Refract. Surg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1235","DOI":"10.1097\/j.jcrs.0000000000001013","article-title":"Standard for collecting and reporting outcomes of IOL-based refractive surgery: Update for enhanced monofocal, EDOF, and multifocal IOLs","volume":"48","author":"Ribeiro","year":"2022","journal-title":"J. Cataract Refract. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1007\/s40123-023-00840-8","article-title":"Patient Perception and Self-Reported Outcomes with Presbyopia-Correcting Intraocular Lenses (PCIOLs): A Social Media Listening Study","volume":"13","author":"Zhu","year":"2024","journal-title":"Ophthalmol. Ther."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1136\/bjo-2024-325181","article-title":"Comparison of clinical outcomes between different combinations of hybrid multifocal, extended-depth-of-focus and enhanced monofocal intraocular lenses","volume":"109","author":"Kim","year":"2025","journal-title":"Br. J. Ophthalmol."},{"key":"ref_9","unstructured":"(2026, February 07). Available online: https:\/\/ophthalmo-pro.de\/en\/maxvision_en\/."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"2313","DOI":"10.1007\/s40123-025-01212-0","article-title":"Navigating the Lens Labyrinth: A Practical Approach to Intraocular Lens Classification and Selection","volume":"14","author":"Ribeiro","year":"2025","journal-title":"Ophthalmol. Ther."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Hinterberger, S., Artmayr, C., Multani, K., Riaz, K.M., Pantanelli, S.M., Kaiser, K.P., Langenbucher, A., Bolz, M., and Wendelstein, J.A. (2025). Real-World Visual and Refractive Results of Two Different Presbyopia Correcting Intraocular Lenses. J. Clin. Med., 14.","DOI":"10.3390\/jcm14228259"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"3933","DOI":"10.2147\/OPTH.S545977","article-title":"Visual Performance and Refractive Stability of Clareon\u00ae Monofocal Intraocular Lens Implanted with an Automated Delivery System","volume":"19","author":"Tran","year":"2025","journal-title":"Clin. Ophthalmol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1754","DOI":"10.4103\/IJO.IJO_695_25","article-title":"Visual and refractive outcomes and real-world evaluation of patient satisfaction following bilateral implantation of PanOptix Toric intraocular lens implantation","volume":"73","author":"Ganesh","year":"2025","journal-title":"Indian J. Ophthalmol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1465","DOI":"10.1007\/s00417-017-3659-0","article-title":"Reading charts in ophthalmology","volume":"255","author":"Radner","year":"2017","journal-title":"Graefes Arch. Clin. Exp. Ophthalmol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1097\/OPX.0000000000001436","article-title":"Standardization of Reading Charts: A Review of Recent Developments","volume":"96","author":"Radner","year":"2019","journal-title":"Optom. Vis. Sci."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1038\/s41433-022-02180-6","article-title":"A history of visual acuity testing and optotypes","volume":"38","year":"2024","journal-title":"Eye"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"e332","DOI":"10.70313\/2718.7446.v16.n04.256","article-title":"Reading charts in logarithmic scale: Why the Jaeger test is obsolete in the present?","volume":"16","author":"Torres","year":"2023","journal-title":"Oftalmol. Clin. Exp."},{"key":"ref_18","first-page":"5044","article-title":"Which is our true near vision? It depends on how and with what instrument we measure it. Relevance of logarithmic reading charts","volume":"66","author":"Torres","year":"2025","journal-title":"Invest. Ophthalmol. Vis. Sci."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Son, H.S., Labuz, G., Khoramnia, R., Merz, P., Yildirim, T.M., and Auffarth, G.U. (2020). Ray propagation imaging and optical quality evaluation of different intraocular lens models. PLoS ONE, 15, Erratum in PLoS ONE\u00a02020, 15, e0233829. https:\/\/doi.org\/10.1371\/journal.pone.0228342.","DOI":"10.1371\/journal.pone.0233829"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Baur, I.D., Auffarth, G.U., Yan, W., \u0141abuz, G., and Khoramnia, R. (2022). Visualization of Ray Propagation through Extended Depth-of-Focus Intraocular Lenses. Diagnostics, 12.","DOI":"10.3390\/diagnostics12112667"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1097\/j.jcrs.0000000000001082","article-title":"Complementary system vs conventional trifocal intraocular lens: Comparison of optical quality metrics and unwanted light distribution","volume":"49","author":"Naujokaitis","year":"2023","journal-title":"J. Cataract Refract. Surg."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"\u0141abuz, G., Yan, W., Baur, I.D., Khoramnia, R., and Auffarth, G.U. (2023). Comparison of Five Presbyopia-Correcting Intraocular Lenses: Optical-Bench Assessment with Visual-Quality Simulation. J. Clin. Med., 12.","DOI":"10.3390\/jcm12072523"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1673","DOI":"10.2147\/OPTH.S520086","article-title":"Ray Visualization and Through-Focus Optical Quality of Diffractive Enhanced Monofocal and Extended-Depth-of-Focus Intraocular Lenses","volume":"19","author":"Baur","year":"2025","journal-title":"Clin. Ophthalmol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1007\/s10792-025-03777-y","article-title":"A comparative evaluation of visual, refractive, and patient-reported outcomes of four premium intraocular lenses","volume":"45","author":"Medalle","year":"2025","journal-title":"Int. Ophthalmol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"5063","DOI":"10.1364\/BOE.574638","article-title":"Optical and simulated visual outcomes of two presbyopia-correcting intraocular lenses tested in clinically relevant decentration and tilt conditions","volume":"16","author":"Cuellar","year":"2025","journal-title":"Biomed. Opt. Express"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1016\/j.ajo.2025.04.024","article-title":"Two novel extended depth-of-focus intraocular lenses targeted for mini-monovision: A prospective randomized controlled trial","volume":"276","author":"Wanten","year":"2025","journal-title":"Am. J. Ophthalmol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"3205","DOI":"10.1038\/s41598-025-33155-8","article-title":"Clinical and simulated impact of intraocular lens tilt and decentration based on real-world data and optical simulation","volume":"16","year":"2025","journal-title":"Sci Rep."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/62\/3\/576\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T12:29:49Z","timestamp":1773923389000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/62\/3\/576"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,19]]},"references-count":27,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,3]]}},"alternative-id":["medicina62030576"],"URL":"https:\/\/doi.org\/10.3390\/medicina62030576","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,19]]}}}