A Retrospective Comparative Performance Analysis of Multifocal Eyecryl Actv IOL and the World’s First Progressive Polyfocal Autofocus Pro IOL

Arvind Kumar Morya,1 Prateek Nishant,2 Arshi Singh,3,* Sony Sinha,4,* Ramesh Chandra Shah5 1Department of Ophthalmology, All India Institute of Medical Sciences, Bibinagar, Telangana, India; 2Department of Refractive Surgery, Uvea and Neuro-Ophthalmology, Akhand Jyoti Eye Hospital, Saran, Bihar, India; 3Guru Nanak Eye Centre (Maulana Azad Medical College), New Delhi, India; 4Department of Ophthalmology, All India Institute of Medical Sciences, Patna, India; 5Department of Ophthalmology, Mumbai Eye Care Centre, Mumbai, Maharashtra, India*These authors contributed equally to this workCorrespondence: Arvind Kumar Morya, Department of Ophthalmology, All India Institute of Medical Sciences, Hyderabad, Telangana, 508126, India, Tel +91 8003996598, Email [email protected]: This is the first study evaluating the visual outcomes of the novel Progressive Polyfocal Autofocus Pro intraocular lens (IOL) (Lifeline Medical Devices Pvt. Ltd. Aurangabad, India) and comparing them with Eyecryl Actv multifocal IOL (model DIYHS600ROH, Biotech Vision Care Pvt. Ltd. Ahmedabad, India) at the first and sixth weeks after implantation in Indian eyes.Patients and Methods: A retrospective nonrandomized, comparative study was conducted based on hospital records of patients operated for cataract between January 2019 and January 2021 with bilateral implantation of one of the two presbyopia-correcting IOLs. Patients aged between 11 and 78 years, with preoperative astigmatism of 1 diopter or less and no other ocular disorders, were included. Visual acuity for distance, intermediate and near, refractive outcomes, contrast sensitivity, reading speed, depth of focus, patient satisfaction, and presence of optical phenomenon classically faced with conventional presbyopia-correcting IOLs were evaluated at 6Â weeks postoperatively.Results: Of 104 eligible patients, intermediate visual acuity scores, reading speed, contrast sensitivity, depth of focus, and patient satisfaction were better with the Autofocus Pro IOL (all P< 0.001). Negative dysphotopsias were absent in the Autofocus Pro group, whereas they were seen in about one-third of patients in the Multifocal group (P< 0.001). Halos and glare were also significantly lower in the Autofocus Pro group. There was no difference in the distance and near visual acuity.Conclusion: This study highlights superior clinical outcomes and patient satisfaction associated with Autofocus Pro IOLs compared to Multifocal IOLs, indicating their potential as a preferred choice for cataract surgery.Keywords: cataract, intraocular lens, negative dysphotopsia, patient-reported outcomes, visual acuity