Aberrometric Impact in Post-Cataract Surgery Patients with High-Tech Intraocular Lenses

Introduction: Premium intraocular lenses have captured the vision of the most demanding users around the world; however, aberrometric phenomena are the most responsible for patient discomfort when we talk about the quality of life. Objective: The objective is to evaluate pre surgical high order aberrations and their impact on post-surgical outcome, after cataract surgery with high-tech lenses. Methods: We present an original, single-center, retrospective, and descriptive study, performed at “Puerta de Hierro” Hospital in Guadalajara, Jalisco, Mexico. Between January 2024 to December 2024, we obtained a total of 43 patients, of which 64 eyes corresponded, whether they had cataract surgery on one or both eyes and with an intraocular premium lens, performed by the same surgeon. Results: 64 eyes of 43 patients were evaluated for this study. The demographic distribution was 21 men and 22 women with a mean age of 62.98 ± 4.808 years. The mean pupil diameter in pre-operative surgery conditions in photopic conditions was 3.67 ± 0.64 mm and pre-operative surgery in mesopic conditions was 5.25 ± 0.76 mm. The mean pupil diameter in the post-operative photopic conditions was 3.36 ± 0.54 mm and the post-operative mesopic conditions were 4.63 ± 0.69 mm. Conclusion: In conclusion the lack of consensus or real or specific information regarding corneal aberrations in premium lenses motivates this type of study to be possible. The quality of vision compared to previous years was evaluated subjectively, today it can be objectified and promote true visual quality.