Visual efficacy after implantation of monofocal intraocular lens on one eye and higher-order aspheric IOL on the other eye

Purpose: To compare visual and refractive outcomes and patient satisfaction results after binocular cataract surgery with implantation of both TECNIS Eyhance ICB00 and TECNIS ZCB00 intraocular lenses in the same patient. Methods: One hundred twelve eyes from 56 patients who underwent intraocular lens implantation with Eyhance ICB00 and ZCB00 in the same patient were retrospectively enrolled. Pre-operative and post- operative uncorrected and corrected near (UNVA, CNVA), intermediate (UIVA, CIVA), distant (UDVA, CDVA) visual acuity, and depth of focus were analyzed. Satisfaction surveys were evaluated after cataract surgery. Results: There was no significant difference in the preoperative values between the Eyhance ICB00 and ZCB00 groups. At two months postoperatively, UNVA of the ZCB00 group (0.02 ± 0.03 logMAR) was significantly better than that of the Eyhance ICB00 group (0.05 ± 0.05) (P < 0.05). At one week, one month, and two months postoperatively, the UIVA of the Eyhance ICB00 was significantly better than that of the ZCB00 group (P < 0.05). At two months postoperatively, the UNVA of the Eyhance ICB00 was significantly better than that of the ZCB00 group (P < 0.05). In the satisfaction survey, daily activities were not limited by their vision or glare in both groups. Conclusion: Inserting a high-aberration aspheric intraocular lens(IOL) in one eye rather than inserting a monofocal IOL in both eyes is better for improving distance, intermediate, and near vision. Furthermore, patients who have Eyhance ICB00 in one eye and a monofocal IOL in the other do not experience any difficulty in their daily lives.