Refractive and visual outcomes in pediatric patients after implantation of a nondiffractive EDOF intraocular lens

Introduction: To assess refractive and visual outcomes in pediatric patients who underwent cataract extraction and implantation with a nondiffractive extended-depth-of-focus (ND-EDOF; Alcon Vivity) intraocular lens (IOL). Patient and Clinical Findings: 4 eyes of 3 pediatric patients underwent cataract extraction and implantation of the ND-EDOF. The 1- and 6-month postoperative manifest refractive error and corrected distance visual acuity (CDVA), distance corrected intermediate visual acuity (DCIVA), and distance corrected near visual acuity (DCNVA) were ascertained by chart review. Diagnosis, Intervention, and Outcomes: The mean ± SD age was 12 ± 2.45 years. The mean predicted postoperative spherical equivalent (SE) was 0.77 ± 0.82 diopter (D). 1 month postoperatively, the mean actual SE, uncorrected distance visual acuity (UDVA), CDVA, DCIVA, and DCNVA were 0.59 ± 0.21 D, 0.22 ± 0.05 (≈20/33), 0.05 ± 0.14 (≈20/22), 0.38 ± 0.14 (≈20/48), and 0.58 ± 0.23 (≈20/76) logMAR, respectively. 6 months postoperatively, the mean SE, UVDA, CDVA, DCIVA, and DCNVA were 0.50 ± 0.31 D, 0.20 ± 0.11 (≈20/32), 0.11 ± 0.14 (≈20/26), 0.28 ± 0.13 (≈20/38), and 0.54 ± 0.21 (≈20/69), respectively. Conclusions: Successful implantation of the ND-EDOF IOL in 4 eyes of 3 pediatric patients is reported. This lens might provide improved uncorrected visual acuity when targeted for hyperopia and increased pseudoaccommodation as the eye grows with age, as compared with a monofocal. Further work is needed to investigate the contrast sensitivity and incidence of photopsias with this IOL in this unique group of patients.