PURPOSE: While many full visual range (FVR) intraocular lenses that provide vision at multiple distances are available, they are not generally recommended for post-corneal refractive surgery eyes due to the increased risk of contrast sensitivity reduction and a higher incidence of postoperative visual disturbances. enVista Envy IOL is a FVR IOL designed to enhance the patient's range of vision while being tolerant to visual phenomena. In this retrospective chart review, we evaluated the visual outcomes of this FVR IOL in patients with a history of corneal refractive surgery who underwent cataract surgery.

METHODS: This chart review included patients who had undergone previous laser in situ keratomileusis (LASIK) and subsequently underwent cataract surgery with the implantation of enVista Envy FVR IOL. Outcome measures included uncorrected and corrected distance visual acuity (UDVA, CDVA) and uncorrected near visual acuity (UNVA), manifest refraction spherical equivalent at 1-month follow-up.

RESULTS: Data from 86 eyes of 53 patients were analyzed. The mean postoperative UDVA was 0.11 ± 0.11 logMAR, with 87.2% of eyes achieving UDVA 20/30 or better. The mean postoperative CDVA was 0.05 ± 0.08 logMAR, with 97.7% of eyes achieving CDVA 20/30 or better. The mean UNVA was 0.00 ± 0.11 logMAR with 96.5% of eyes achieving UNVA 20/30 or better, postoperatively. With a slightly mean myopic MRSE (-0.18 ± 0.42 D), 82.6% eyes achieved MRSE within 0.50 D.

CONCLUSIONS: In eyes with prior LASIK, implantation of the enVista Envy FVR IOL resulted in excellent visual outcomes. These results indicate that the enVista Envy IOL is a good option for patients who have had corneal refractive surgery and desire a full range of vision.