Purpose:

To determine the incidence of glare and haloes in dim light and the percentage of patients who require spectacles for intermediate tasks

Methods:

We evaluated 60 patients who had undergone bilateral lens implants with the non-diffractive multifocal IOL (Vivity, Alcon) bilaterally and whose spherical equivalent refractive error was within 0.5D of plano and had cylinder ≤ 0.75 D. A validated questionnaire examined the incidence and severity of glare/haloes and evaluated patient-reported spectacle independence for intermediate vision and other tasks, such as driving, reading, watching television, etc. Results were compared to patients who had bilateral Panoptix, mini-monovision with low-add ReSTOR IOLs, and mix-and matched 2.5 and 3.0-add multifocals.

Results:

Sixty patients had Vivity, 59 had Panoptix, 102 had ActiveFocus 2.5 mini-monovision, & 89 had mixed ReSTOR 2.5 and 3.0 IOLs. Glare and haloes were reported as “Just a little” by 86% with Vivity, 69% with Panoptix, 74% with 2.5 mini-monovision, and 71% with 2.5/3.0 lenses (P<0.02). spectacle="" freedom="" for="" computer="" work="" was="" reported="" by="" 95%="" with="" vivity,="" 100%="" with="" panoptix,="" and="" 100%="" and="" 80%="" with="" the="" other="" lens="" combinations,="" respectively.="" spectacle="" freedom="" for="" computer="" work="" was="" reported="" by="" 95%="" with="" vivity,="" 100%="" with="" panoptix,="" and="" 100%="" and="" 80%="" with="" the="" other="" lens="" combinations,="">

Conclusions:

Bilateral Vivity implantation yields significantly less glare and halo complaints relative to earlier multifocal and comparable spectacle independence for intermediate tasks.