Annals of the Russian academy of medical sciencesAnnals of the Russian academy of medical sciencesВестник Российской академии медицинских наук0869-60472414-3545"Paediatrician" Publishers LLC1791510.15690/vramn17915OPHTHALMOLOGY: CURRENT ISSUESАКТУАЛЬНЫЕ ВОПРОСЫ ОФТАЛЬМОЛОГИИReview ArticleExtended Depth-of-Focus is a New Intraocular Lens Technology in the Treatment of Presbyopia: ReviewИнтраокулярные линзы с расширенной глубиной фокуса — новая технология коррекции пресбиопии: обзорhttps://orcid.org/0000-0002-3320-5366MorozovaTatyana A.МорозоваТатьяна Анатольевна
Russian Federation

MD, PhD, Ophthalmic Surgeon, Researcher

к.м.н., офтальмохирург, научный сотрудник

TatianaMorozovaMD@gmail.comCheboksary Branch of Academician S.N. Fedorov Eye Microsurgery ComplexЧебоксарский филиал МНТК «Микрохирургия глаза» им. акад. С.Н. Федорова101020247943183260612202326072024Copyright ©; 2024, "Paediatrician" Publishers LLCCopyright ©; 2024, Издательство "Педиатръ"2024"Paediatrician" Publishers LLCИздательство "Педиатръ"https://vestnikramn.spr-journal.ru/jour/article/view/17915

The aim of this article is to analyse a new trend in the cataract surgery, to clarify what a definition, positioning by manufacturer, standards of the extended depth-of-focus (EDOF) IOLs. In this review we classify the different types of the EDOF lenses based on their optical principle and discuss the recently specific calculation and indications for implantation of the extended depth-of-focus intraocular lenses.

Целью данной статьи является анализ современного тренда в интраокулярной коррекции — имплантации линз с расширенной глубиной фокуса. В обзоре подробно разобраны вопросы определения EDOF (extended depth-of-focus) интраокулярных линз (ИОЛ), стандартных требований к ним, особенностей конструктивных решений, технологий и позиционирования ИОЛ производителями. Отдельно анализируется тема классификации ИОЛ с расширенной глубиной фокуса различными авторами и предлагается собственный вариант классификации. Дополнительно освещены вопросы показаний к имплантации и расчета EDOF ИОЛ — новой технологии коррекции артифакической пресбиопии.

cataract surgeryIOLs for the treatment of presbyopiaextended depth-of-focus (EDOF) intraocular lensclassification of the IOLsmonovisionхирургия катарактыинтраокулярные линзы для коррекции пресбиопиилинзы с расширенной глубиной фокусаклассификация ИОЛмонозрениеGlobal Market Share by IOL Type. Source Marketscope 2018. Available from: https://www.orthopticscpd.com/pages/omnifocality-the-holy-grail-for-cataract-surgery (accessed: 13.02.2024).IOL market report global analysis for 2022 to 2028. Available from: https://www.market-scope.com/pages/reports/379/2023-iol-market-report-global-analysis-for-2022-to-2028-april-2023#reports (accessed: 13.02.2024).Морозова Т.А., Керимов Т.З. Современные подходы к анализу дисфотопсий, оценка субъективной удовлетворенности и очковой независимости на фоне мультифокальной интраокулярной коррекции. Обзор // Вестник РАМН. — 2017. — Т. 72. — № 5. — С. 355–364. [Morozova TA, Kerimov TZ. Modern Approaches to Dysphotopsia Analysis, Assessment of Patient Satisfaction and Spectacle Independence after Multifocal Intraocular Correction: Review. Annals of the Russian Academy of Medical Sciences. 2017;72(5):355–364. (In Russ.)] doi: https://doi.org/10.15690/vramn883Kim JS, Jung JW, Lee JM, et al. Clinical Outcomes Following Implantation of Diffractive Multifocal Intraocular Lenses with Varying Add Powers. Am J Ophthalmol. 2015;160(4):702–709.e1. doi: https://doi.org/10.1016/j.ajo.2015.07.021Maurino V, Allan BD, Rubin GS, et al. Quality of vision after bilateral multifocal intraocular lens implantation: a randomized trial — AT LISA 809M versus AcrySof ReSTOR SN6AD1. Ophthalmology. 2015;122(4):700–710. doi: https://doi.org/10.1016/j.ophtha.2014.10.002Marques EF, Ferreira TB, Simões P. Visual Performance and Rotational Stability of a Multifocal Toric Intraocular Lens. J Refract Surg. 2016;32(7):444–450. doi: https://doi.org/10.3928/1081597X-20160502-01ANSI Z80.35-2018: American National Standard for Ophthalmics: Extended Depth of Focus Intraocular Lenses. American National Standards Institute Vision Council; 2018.McMahon JF. Extended Depth of Focus IOLs. Available from: https://eyewiki.aao.org/Extended_Depth_of_Focus_IOLs (accessed: 13.02.2024).Kanclerz P, Toto F, Grzybowski A, et al. Extended Depth-of-Field Intraocular Lenses: An Update. Asia Pac J Ophthalmol (Phila). 2020;9(3): 194–202. doi: https://doi.org/10.1097/APO.0000000000000296Megiddo-Barnir E, Alió JL. Latest Development in Extended Depth-of-Focus Intraocular Lenses: An Update. Asia Pac J Ophthalmol (Phila). 2023;12(1):58–79. doi: https://doi.org/10.1097/APO.0000000000000590Шебалин И.Ю., Иофис Е.А. Фотокинотехника. — М.: Советская энциклопедия, 1981. — 447 с. [Shebalin IYu, Iofis EA. Fotokinotekhnika. Moscow: Sovetskaya enciklopediya; 1981. 447 s. (In Russ.)]Волосов Д.С. Фотографическая оптика. — 2-е изд. — М.: Искусство, 1978. — С. 91–234. — Глава II «Оптические аберрации объективов». [Volosov DS. Fotograficheskaya optika. 2-e izd. Moscow: Iskusstvo, 1978. S. 91–234. Glava II “Opticheskie aberracii ob”ektivov”. (In Russ.)]Kohnen T, Suryakumar R. Extended depth-of-focus technology in intraocular lenses. J Cataract Refract Surg. 2020;46(2):298–304. doi: https://doi.org/10.1097/j.jcrs.0000000000000109Rayner. RayOne EMV monovision enhanced. Available from: https://rayner.com/en/iol/monofocal/rayone-emv (accessed: 13.02.2024).IC-8 Lens. Discover the IC-8 Lens. Available from: https://ic8lens.com/discover-the-ic-8-lens/ (accessed: 13.02.2024).Hooshmand J, Allen P, Huynh T, et al. Small aperture IC-8 intraocular lens in cataract patients: achieving extended depth of focus through small aperture optics. Eye (Lond). 2019;33(7):1096–1103. doi: https://doi.org/10.1038/s41433-019-0363-9Agarwal P, Navon SE, Subudhi P, et al. Persistently poor vision in dim illumination after implantation of XtraFocus small-aperture IOL (Morcher). BMJ Case Rep. 2019;12(11):e232473. doi: https://doi.org/10.1136/bcr-2019-232473Studeny P, Krizova D, Urminsky J. Clinical experience with the WIOL-CF accommodative bioanalogic intraocular lens: Czech national observational registry. Eur J Ophthalmol. 2016;26(3):230–235. doi: https://doi.org/10.5301/ejo.5000653Malyugin B, Morozova T, Cherednik V. Fyodorov Clinic Innovation GRADIOL: Gradient Refractive Index Optics Multifocal Intraocular Lens. In: Alió JL, Pikkel J (eds). Multifocal Intraocular Lenses: The Art and the Practice. Springer; 2014. P. 223–234. doi: https://doi.org/10.1007/978-3-319-09219-5Malyugin B, Morozova T, Cherednik V. Multifocal Intraocular Lenses: Fyodorov GRADIOL. In: Alió JL, Pikkel J (eds). Multifocal Intraocular Lenses: The Art and the Practice. 2nd ed. Springer; 2019. P. 279–307. doi: https://doi.org/10.1007/978-3-030-21282-7Морозова Т.А., Покровский Д.Ф., Медведев И.Б., и др. Современные аспекты мультифокальной интраокулярной коррекции (обзор) // Вестник РАМН. — 2017. — Т. 72. — № 4. — С. 268–275. [Morozova TA, Pokrovskiy DF, Medvedev IB, et al. Modern Aspects of Multifocal Intraocular Correction: A Reviev. Annals of the Russian Academy of Medical Sciences. 2017;72(4):268–275. (In Russ.)] doi: https://doi.org/10.15690/vramn835Малюгин Б.Э., Тахтаев Ю.В., Морозова Т.А., и др. Результаты мультицентровых исследований имплантации мультифокальной градиентной ИОЛ третьего поколения (Градиол-3) // Офтальмохирургия. — 2012. — № 2. Available from: https://eyepress.ru/article/rezul-taty-mul-titsentrovykh-issledovaniy-implantatsii-mul-tifokal-noy-gradientnThe Ophthalmologist. Delivering Intermediate Vision: The New TECNIS Eyhance Monofocal IOL. Highlights from the Frankfurt January 2019 Advisory Board Meeting. Available from: https://theophthalmologist.com/subspecialties/delivering-intermediate-vision-the-new-tecnis-eyhance-monofocal-iol (accessed: 13.02.2024).Alarcon A, Cánovas C, Koopman B, et al. Enhancing the intermediate vision of monofocal intraocular lenses using a higher order aspheric optic. J Refract Surg. 2020;36(8):520–527. doi: https://doi.org/10.3928/1081597X-20200612-01Alcon. AcrySof IQ Vivity® Extended Vision IOL product information. Available from: https://www.myalcon.com/international/professional/cataract-surgery/iols/vivity/ (accessed: 13.02.2024).Arrigo A, Gambaro G, Fasce F, et al. Extended depth-of-focus (EDOF) AcrySof® IQ Vivity® intraocular lens implant: a real-life experience. Graefes Arch Clin Exp Ophthalmol. 2021;259(9):2717–2722. doi: https://doi.org/10.1007/s00417-021-05245-6Schmid R, Borkenstein AF. Analysis of higher order aberrations in recently developed wavefront-shaped IOLs. Graefes Arch Clin Exp Ophthalmol. 2022;260(2):609–620. doi: https://doi.org/10.1007/s00417-021-05362-2Rampat R, Gatinel D. Multifocal and Extended Depth-of-Focus Intraocular Lenses in 2020. Ophthalmology. 2021;128(11):e164–e185. doi: https://doi.org/10.1016/j.ophtha.2020.09.026ZEISS Medical Technology. AT LARA family: The next generation EDoF IOLs with wider range of focus. Available from: https://asset-downloads.zeiss.com/catalogs/download/med/b4c6c885-5b6b-4ac1-b976-8adb239b01e2/AT-LARA-829MP-toric-929M-MP-Datasheet-en-OUS_32_022_0168II.indd.pdf (accessed: 13.02.2024).De Wit DW, Diaz J, Moore TC, et al. Effect of position of near addition in an asymmetric refractive multifocal intraocular lens on quality of vision. J Cataract Refract Surg. 2015;41(5):945–955. doi: https://doi.org/10.1016/j.jcrs.2014.07.045ACUNEX® Vario, glistening-free hydrophobic IOL with EDOF comfort optics. Available from: https://www.teleon-surgical.com/en/international/products/acunex-iol/acunex-vario/ (accessed: 13.02.2024).Swiss Advanced Vision. LUCIDIS. Available from: https://sav-iol.com/product-lucidis/ (accessed: 13.02.2024).Swiss Advanced Vision. Eden Swiss Made EDOF IOL Premium Hybrid Design. Available from: https://sav-iol.com/product-eden/ (accessed: 13.02.2024).Swiss Advanced Vision. HARMONIS. Available from: https://sav-iol.com/product-harmonis/ (accessed: 13.02.2024).Klabe K. Comfort Blended Vision and iStent Inject Implantation: A Combination Procedure with Excellent Outcomes. Cataract & Refractive Surgery Today. Europe Edition. 2018. November/December. P. 24–25.Балашевич Л.И. Хирургическая коррекция аномалий рефракции и аккомодации. — СПб.: Человек, 2009. — С. 223–228. [Balashevich LI. Hirurgicheskaya korrekciya anomalij refrakcii i akkomodacii. Saint Petersburg: Chelovek Publ.; 2009. S. 223–228. (In Russ.)]Schor С, Landsman L, Erickson Р. Ocular dominance and the interocular suppression of blur in monovision. Am J Optom Physiol Opt. 1987;64(10):723–730. doi: https://doi.org/10.1097/00006324-198710000-00002Reinstein DZ. Advantages of Laser-Blended Vision. CRST Global Europe Edition. January 2009. Available from: https://crstodayeurope.com/articles/2009-jan/0109_06-php/?single=true# (accessed: 13.02.2024).Reinstein DZ, Archer T, Gobbe M. Outcomes of presbyopic micro-monovision LASIK for myopia, hyperopia and emmetropia. Congress ESCRS, XXVI Abstracts. Berlin; 2008. P. 132.Jain S, Arora L, Azar DT. Success of monovision in presbyopes: review of the literature and potential applications to refractive surgery. Surv Ophthalmol. 1996;40(6):491–499. doi: https://doi.org/10.1016/s0039-6257(96)82015-7Jain S, Ou R, Azar DT. Monovision outcomes in presbyopic individuals after refractive surgery. Ophthalmology. 2001;108(8):1430–1433. doi: https://doi.org/10.1016/s0161-6420(01)00647-9Малюгин Б.Э., Кокин С.А., Пожарицкая Е.М. Сравнительная оценка клинико-функциональных результатов и субъективной удовлетворенности у пациентов с различной степенью анизометропии // Бюллетень СО РАМН. — 2014. — Т. 34. — № 3. — С. 67–71. [Malyugin BE, Kokin SA, Pozharickaya EM. Sravnitel’naya ocenka kliniko-funkcional’nyh rezul’tatov i sub»ektivnoj udovletvorennosti u pacientov s razlichnoj stepen’yu anizometropii. Byulleten’ SO RAMN. 2014;34(3):67–71. (In Russ.)]