PURPOSE: To evaluate visual acuity and patient-reported outcomes following IOL exchange surgery with a full visual range (FVR) IOL.

METHODS: Case records of 12 patients (16 eyes) who were dissatisfied with previously implanted Clearview 3, Tecnis Odyssey, Alcon PanOptix or monofocal IOLs and underwent IOL exchange with the enVista Envy FVR IOL were retrospectively reviewed. Outcome measures were visual acuity and subjective patient experience following the exchange.

RESULTS: Following IOL exchange with the FVR IOL, mean logMAR UDVA was 0.09±0.16, with 81.3% of eyes achieving 20/25 or better. Mean logMAR UNVA was -0.08±0.04, and all (100%) eyes achieved 20/25 or better. Mean MRSE was -0.20±0.32 D. Patients exchanged from ClearView 3 to Envy reported resolution of starbursts, glare and hazy vision. Patients exchanged from Odyssey witnessed fewer halos, improved peripheral vision and better contrast. One PanOptix IOL-implanted eye that experienced constant halos also reported improvement in subjective vision following exchange. All patients reported good satisfaction.

CONCLUSION: IOL exchange to enVista Envy FVR IOL yielded good outcomes at distance and near. Visual disturbances such as peripheral vision blur, starbursts, hazy vision, glare, and halos reported with previously implanted IOLs resolved after exchange. Patients were satisfied with the Envy IOL compared to previously explanted IOL.