{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T13:23:27Z","timestamp":1783085007298,"version":"3.54.6"},"reference-count":35,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T00:00:00Z","timestamp":1783036800000},"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: The purpose of this study is to present the clinical results over a 12-month follow-up period in patients after simultaneous bilateral crystalline lens removal with implantation of a Tecnis Eyhance DIB00 monofocal plus lens. Materials and Methods: This is a single-center, 12-month, retrospective study involving 214 eyes of 107 patients operated on between 2021 and 2023. Measurements included uncorrected and best-corrected visual acuity at 30 cm, 70 cm, and distance vision under fixed lighting conditions, instead of focusing on patient-dependent factors, such as pupil size, which varies individually based on sympathetic and parasympathetic nervous systems balance, simulating visual performance in real-world conditions. Contrast sensitivity was also assessed at 6 and 12 months postoperatively. Patients filled out a questionnaire on quality of life after surgery. Results: Uncorrected and best-corrected visual acuity were, respectively, for a 30 cm distance UCVA 0.76\/BCVA 0.18 LogMAR; for a 70 cm distance UCVA 0.03\/BCVA \u22120.036 LogMAR; and for distance vision UCVA 0.05\/BCVA 0.02. None of the patients reported adverse phenomena such as halo, glare, contrast decrease, or other phenomena after surgery. The average rating of patient satisfaction assessed in a special questionnaire was 8.54 out of 10 points. Conclusions: The Tecnis Eyhance DIB00 lens implanted during bilateral cataract surgery produced good results in terms of uncorrected visual acuity under various lighting conditions, which in our population was better than predicted by the lens manufacturer. Through the 12-month observation period, postoperative refractive values remained stable, with no deterioration of vision.<\/jats:p>","DOI":"10.3390\/medicina62071288","type":"journal-article","created":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T11:39:11Z","timestamp":1783078751000},"page":"1288","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Realistic Visual Acuity and Patient Satisfaction After Simultaneous Bilateral Tecnis Eyhance DIB00 Monofocal Plus Lens Implantation During a 12-Month Follow-Up Period in a Single-Center Study"],"prefix":"10.3390","volume":"62","author":[{"given":"Agnieszka","family":"Nowosielska","sequence":"first","affiliation":[{"name":"Warsaw Eye Hospital, Wolska 165\/U7, 01-258 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grzegorz","family":"Rotuski","sequence":"additional","affiliation":[{"name":"Warsaw Eye Hospital, Wolska 165\/U7, 01-258 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,3]]},"reference":[{"key":"ref_1","first-page":"58","article-title":"The evolution of cataract surgery","volume":"113","author":"Davis","year":"2016","journal-title":"Mo. Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1097\/ICU.0000000000000112","article-title":"Subjective complaints after cataract surgery: Common causes and management strategies","volume":"26","author":"Hood","year":"2015","journal-title":"Curr. Opin. Ophthalmol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.ajo.2017.03.018","article-title":"Patient-Reporteds spectacle independence questionnaire (PRSIQ): Development and validation","volume":"178","author":"Morlock","year":"2017","journal-title":"Am. J. Ophthalmol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1789","DOI":"10.1016\/S0161-6420(03)00722-X","article-title":"Multifocal versus monofocal intraocular lenses in cataract surgery: Asystematic review","volume":"110","author":"Leyland","year":"2003","journal-title":"Ophthalmology"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1097\/j.jcrs.0000000000000061","article-title":"Visual outcome, optical quality, and patient satisfaction with a new monofocal IOL, enhanced for intermediate vision: Preliminary results","volume":"46","author":"Mencucci","year":"2020","journal-title":"J. Cataract Refract. Surg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"4119698","DOI":"10.1155\/2022\/4119698","article-title":"Clinical and Aberrometric Evaluation of a New Monofocal IOL with Intermediate Vision Improvement","volume":"2022","author":"Bova","year":"2022","journal-title":"J. Ophthalmol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1097\/j.jcrs.0000000000000399","article-title":"Clinical evaluation of a new monofocal IOL with enhanced intermediate function in patients with cataract","volume":"47","author":"Auffarth","year":"2021","journal-title":"J. Cataract Refract. Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"625","DOI":"10.3928\/1081597X-20200710-01","article-title":"Optical performance of a monofocal intraocular Lens designed to extend depth of focus","volume":"36","author":"Vega","year":"2020","journal-title":"J. Refract. Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"3617","DOI":"10.1007\/s00417-022-05700-y","article-title":"Visual and optical quality of enhanced intermediate monofocal versus standard monofocal intraocular lens","volume":"260","author":"Poyales","year":"2022","journal-title":"Graefes Arch. Clin. Exp. Ophthalmol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1191","DOI":"10.2147\/OPTH.S515694","article-title":"The Refractive Cataract Surgery Survey (RCSS): A Validated Questionnaire for Quick Clinical Use","volume":"19","author":"Coleman","year":"2025","journal-title":"Clin. Ophthalmol."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Fern\u00e1ndez, J., Rocha-de-Lossada, C., Zamorano-Mart\u00edn, F., Rodr\u00edguez-Calvo-de-Mora, M., and Rodr\u00edguez-Vallejo, M. (2023). Positioning of enhanced monofocal intraocular lenses between conventional monofocal and extended depth of focus lenses: A scoping review. BMC Ophthalmol., 23.","DOI":"10.1186\/s12886-023-02844-1"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1007\/s10384-025-01266-4","article-title":"Visual function and patient satisfaction with 3 types of monofocal plus intraocular lenses","volume":"70","author":"Kabura","year":"2026","journal-title":"Jpn. J. Ophthalmol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"e002025","DOI":"10.1136\/bmjophth-2024-002025","article-title":"Meta-analysis of defocus curves of monofocal, enhanced monofocal and extended depth of focus IOLs","volume":"10","author":"Srinivasan","year":"2025","journal-title":"BMJ Open Ophthalmol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1007\/s00417-025-07013-2","article-title":"Refining mini-monovision with monofocal plus intraocular lenses","volume":"264","author":"Naujokaitis","year":"2026","journal-title":"Graefes Arch. Clin. Exp. Ophthalmol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"104431","DOI":"10.1016\/j.jfo.2025.104431","article-title":"Utilisation des implants premium chez les patients glaucomateux: Conseils de la Soci\u00e9t\u00e9 fran\u00e7aise du glaucome (SFG) et de la Soci\u00e9t\u00e9 de l\u2019association fran\u00e7aise des implants intra-oculaires et de chirurgie r\u00e9fractive (SAFIR) [Premium IOL\u2019s in glaucoma patients: Guidelines from the French Glaucoma Society (SFG) and the Society of the French Intraocular Lens and Refractive Surgery Association]","volume":"48","author":"Blumen","year":"2025","journal-title":"J. Fr. Ophtalmol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"3283","DOI":"10.2147\/OPTH.S541269","article-title":"Enhanced Monofocal IOLs Improve Patient Satisfaction in Phaco-Vitrectomy for ERM","volume":"19","author":"Ota","year":"2025","journal-title":"Clin. Ophthalmol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1007\/s10792-024-02946-9","article-title":"Visual outcomes and patient satisfaction after bilateral implantation of an enhanced monofocal intraocular lens: A single-masked prospective randomized study","volume":"44","author":"Giglio","year":"2024","journal-title":"Int. Ophthalmol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"3693","DOI":"10.2147\/OPTH.S442752","article-title":"Comparing Visual Performance and Subjective Outcomes with an Enhanced Monofocal Intraocular Lens When Targeted for Emmetropia or Monovision","volume":"17","author":"Sandoval","year":"2023","journal-title":"Clin. Ophthalmol."},{"key":"ref_19","first-page":"1766","article-title":"Combination of Toric and multifocal intraocular lens implantation in bilateral cataract patients with unilateral astigmatism","volume":"9","author":"Liang","year":"2016","journal-title":"Int. J. Ophthalmol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"S875","DOI":"10.4103\/IJO.IJO_3318_23","article-title":"The effect of central and peripheral luminance on visual acuity","volume":"72","author":"Giang","year":"2024","journal-title":"Indian J. Ophthalmol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"771","DOI":"10.4103\/ijo.IJO_1073_22","article-title":"A prospective, randomized, comparative clinical study to compare the safety and efficacy of different hydrophobic aspheric monofocal intraocular lenses","volume":"71","author":"Brar","year":"2023","journal-title":"Indian J. Ophthalmol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1136\/bjo.85.7.811","article-title":"Tritan colour contrast sensitivity function in refractive multifocal intraocular lenses","volume":"85","author":"Pieh","year":"2001","journal-title":"Br. J. Ophthalmol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"222","DOI":"10.3928\/1081597X-20230126-02","article-title":"Tolerance to Induced Astigmatism with a Monofocal Intraocular Lens Designed to Extend the Depth of Focus","volume":"39","author":"Rocha","year":"2023","journal-title":"J. Refract. Surg."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Mrugacz, M., Olszewski, M., Pony-Uram, M., Brymerski, J., and Bryl, A. (2022). Assessment of the Refractive Error and Stabilisation of Refraction after Cataract Surgery in Relation to the Length of the Eyeball. J. Clin. Med., 11.","DOI":"10.3390\/jcm11185447"},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Mencucci, R., Morelli, A., Cennamo, M., Roszkowska, A.M., and Favuzza, E. (2023). Enhanced Monofocal Intraocular Lenses: A Retrospective, Comparative Study between Three Different Models. J. Clin. Med., 12.","DOI":"10.3390\/jcm12103588"},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Choi Hyun, W., and Han Ji, H. (2023). Clinical outcomes of bilateral implantation of new generation monodical IOL enhanced for intermediate distance and conventional monodical IOL in Korean population. BMC Ophthalmol., 23.","DOI":"10.1186\/s12886-023-02897-2"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"3025","DOI":"10.4103\/ijo.IJO_985_20","article-title":"Comparison of an aspheric monofocal intraocular lens with the new generation monofocal lens using defocus curve","volume":"68","author":"Yangzes","year":"2020","journal-title":"Indian J. Ophthalmol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1390","DOI":"10.1177\/11206721221146675","article-title":"Real world outcomes of the new Tecnis Eyhance IOL","volume":"33","author":"Gigon","year":"2023","journal-title":"Eur. J. Ophthalmol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1136\/bjophthalmol-2011-301233","article-title":"The impact of bilateral or unilateral cataract surgery on visual functioning: When does second eye cataract surgery benefit patients?","volume":"96","author":"Tan","year":"2012","journal-title":"Br. J. Ophthalmol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"3751","DOI":"10.1038\/s41433-023-02593-x","article-title":"Time and Motion Studies to assess surgical productivity in cataract theatre lists within the National Health Service: Immediate Sequential Bilateral Cataract Surgery versus Delayed Sequential Bilateral Cataract Surgery","volume":"37","author":"Naderi","year":"2023","journal-title":"Eye"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1097\/j.jcrs.0000000000001637","article-title":"Clinical feasibility of the ESCRS IOL power calculator","volume":"51","author":"Pomberger","year":"2025","journal-title":"J. Cataract Refract. Surg."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.ophtha.2021.07.008","article-title":"Endophthalmitis Rate in Immediately Sequential versus Delayed Sequential Bilateral Cataract Surgery within the Intelligent Research in Sight (IRIS\u00ae) Registry Data","volume":"129","author":"Lacy","year":"2022","journal-title":"Ophthalmology"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"22382","DOI":"10.1038\/s41598-022-26851-2","article-title":"Comparisons of outcomes and complications of immediate sequential bilateral cataract surgery and unilateral cataract surgery in a tertiary hospital in South Korea","volume":"12","author":"Hong","year":"2022","journal-title":"Sci. Rep."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"3971","DOI":"10.1038\/s41598-025-87359-z","article-title":"Analysis of anxiety and pain in patients undergoing immediate sequential bilateral cataract surgery or unilateral cataract surgery","volume":"15","author":"Hong","year":"2025","journal-title":"Sci. Rep."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1136\/bjophthalmol-2019-315449","article-title":"Bilateral morphometric analysis of corneal sub-basal nerve plexus in patients undergoing unilateral cataract surgery: A preliminary in vivo confocal microscopy study","volume":"105","author":"Giannaccare","year":"2021","journal-title":"Br. J. Ophthalmol."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/62\/7\/1288\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T13:03:30Z","timestamp":1783083810000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/62\/7\/1288"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,3]]},"references-count":35,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026,7]]}},"alternative-id":["medicina62071288"],"URL":"https:\/\/doi.org\/10.3390\/medicina62071288","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,3]]}}}