I have long been an advocate of giving patients the best possible uncorrected distance vision with toric IOLs.
Recently, my results with a toric extended depth of focus (EDOF) lens have led to a dramatic increase in my presbyopia-correcting IOL rates, from about 7% of all my cataract procedures to nearly 25%. I've found that Symfony toric lenses (Johnson & Johnson Vision) provide reliable correction of astigmatism and the same acuity and quality of vision that we are accustomed to with the Tecnis toric, with the added benefit of improving near and intermediate vision.
That has made me much more comfortable talking to patients and referring optometrists about toric EDOF. I even chose this implant for my mother-in-law when she underwent cataract surgery.
I reviewed one-month results for 102 consecutive eyes of 72 patients implanted with Symfony toric IOLs. The cases were nearly evenly split between right and left eyes (52 OD/50 OS), with a majority of the patients (63%) being female.
All four of the available toric powers were implanted in this case series. The majority of eyes received the ZXT150 lens (62%); while 25% were implanted with a ZXT225, 9% with the ZXT300, and 4% with the ZXT375. Most eyes (55%) were targeted for emmetropia; 45% were targeted for slight myopia ranging from -0.25 to -1.00 D.