PURPOSE: To evaluate the spectacle independence and frequency of photic phenomena following the implantation of an enhanced monofocal IOL with higher-order aspheric coefficients on the central part of the posterior surface.

METHODS: This retrospective chart review included 87 patients who underwent cataract surgery and implantation of an enhanced monofocal IOL (enVista Aspire, Bausch & Lomb, Inc). This enhanced monofocal IOL encompasses higher-order aspheric coefficients on the central part of the posterior surface to slightly extend the depth of focus. Outcome measures were subjective assessment of spectacle independence and incidence of visual symptoms using the patient-reported spectacle independence questionnaire (PRSIQ).

RESULTS: The proportion of patients who reported that they wore glasses or contacts 'none' or 'a little of the time' was 100% for distance and 96.6% for intermediate vision. The frequency of visual symptoms was low, with 8% of patients reporting glare, and 1.2% of the patients each reporting halos or starbursts to occur 'all' or 'most of the time'. Patient satisfaction was high, with ~99% of patients being able to function comfortably without glasses/contacts "all" or most of the time" for distance and intermediate vision.

CONCLUSION: Implantation of enVista Aspire IOL exhibited excellent spectacle independence at far and intermediate distances. The frequency of photic phenomenon was low. Ninety-nine percent of patients could function comfortably without glasses/contacts.