This study presents a detailed optical characterization of three intraocular lenses (IOLs) comparing two so called "enhanced range of field", Evolux IOL and Tecnis Eyhance IOL and one so called "narrow range of field", a standard monofocal IOL Acrysof IQ. The measurements are performed using the PMTF optical bench, basing on the Modulation Transfer Function (MTF) to evaluate the optical performance of each lens. The MTFa, representing the area under the MTF curve, is utilized as a key and synthetic metric to quantify performance across different spatial frequencies, providing insights into the IOLs' behavior as defocus varies. The results highlight the strengths and the weaknesses of the IOLs, with the Evolux showing a broadest depth of focus. The USAF resolution target is used to qualitatively assess the image reproduction at far, intermediate, and near distances, offering a visual representation of the IOLs' capabilities. These findings provide valuable information for selecting IOLs based on patient-specific visual requirements in cataract and refractive surgery.

Purpose: A novel enhanced monofocal intraocular lens (IOL) has been developed to improve functional intermediate vision, maintaining a distance vision comparable to a standard monofocal lens and avoiding the drawbacks of multifocal IOLs. The aim of this study is to perform optical bench analysis and to evaluate refractive and visual outcomes and patient satisfaction. Methods: This prospective comparative single-center study was conducted in Careggi Hospital, University of Florence (Italy). We included 100 eyes from 50 patients who underwent bilateral cataract surgery. One group received the standard monofocal Tecnis GCB00 IOL, while the other group received the novel enhanced monofocal Evolux IOL. We evaluated binocular visual and refractive outcomes at 6 months after surgery. Binocular defocus curves and contrast sensitivity (CS) were also assessed. Optical quality was also analyzed in terms of higher-order aberrations (HOAs), modulation transfer function (MTF), objective scatter index (OSI), Strehl ratio, effective lens position (ELP), and halo analysis. A Patient-Reported Spectacle Independence Questionnaire (PRSIQ) was performed to assess spectacle independence outcomes. Finally, we analyzed the optical bench of both lenses. Results: All eyes implanted with Evolux achieved excellent distance vision, comparable to that achieved with GCB00. Evolux showed better intermediate and near vision, without any loss of visual quality, contrast sensitivity, or the presence of halos and photic phenomena. The optical bench analysis confirmed the different optical properties of the two lenses and supported the behavior obtained with the clinical defocus curve. Conclusions: These preliminary results show good refractive accuracy and visual outcomes for the enhanced monofocal IOL Evolux after cataract surgery. Further studies are needed to confirm our findings in terms of the number of patients and the period of follow-up.

Purpose: A novel enhanced monofocal intraocular lens (IOL) has been developed to improve functional intermediate vision, maintaining a distance vision comparable to a standard monofocal lens and avoiding the drawbacks of multifocal IOLs. The aim of this study is to perform optical bench analysis and to evaluate refractive and visual outcomes and patient satisfaction. Methods: This prospective comparative single-center study was conducted in Careggi Hospital, University of Florence (Italy). We included 100 eyes from 50 patients, that underwent bilateral cataract surgery. One group was implanted with the standard monofocal IOL Tecnis GCB00 and the other group the novel enhanced monofocal lens Evolux. We evaluated monocular and binocular visual and refractive outcomes at 6 months after surgery. Binocular defocus curves and contrast sensitivity (CS) were also assessed. Optical quality was also analyzed, in terms of higher-order aberrations (HOAs), Modulation Transfer Function (MTF), Objective Scatter Index (OSI), Strehl-ratio, Effective Lens Position (ELP) and halo analysis. A Patient-Reported Spectacle Independence Questionnaire (PRSIQ) was performed to evaluate spectacle independence outcomes. Finally, we analyzed the optical bench of both lenses. Results: All eyes implanted with Evolux achieved excellent distance vision, comparable to those achieved with GCB00. Evolux showed better intermediate and near vision, without any loss of visual quality, contrast sensitivity, or the presence of halos and photic phenomena. The optical bench analysis confirmed the different optical properties of the two lenses and supported the behavior obtained with clinical defocus curve Conclusion: These preliminary results show good refractive accuracy and visual outcomes for the enhanced monofocal IOL Evolux after cataract surgery. Further studies need to confirm our findings in terms of number of patients and period of follow-up.