Short term visual outcomes of a new trifocal intraocular lens

Background: Today, patients often expect to achieve spectacle independance after cataract surgery. New trifocal intraocular lenses have been developed to try and fullfill this demand. The purpose of this study is to report the short-term visual outcomes of a new trifocal intraocular lens (AcrySof Pa...

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Authors: García Pérez, Jorge L., Gros Otero, Juan, Sánchez Ramos, Celia, Blázquez Sánchez, Vanesa, Contreras Martín, Inés
Format: article
Publication Date:2017
Country:España
Institution:Universidad Complutense de Madrid (UCM)
Repository:Docta Complutense
Language:English
OAI Identifier:oai:docta.ucm.es:20.500.14352/18176
Online Access:https://hdl.handle.net/20.500.14352/18176
Access Level:Open access
Keyword:617.741-004.1-089
681.73
617.7-089.243
Trifocal intraocular lens
Multifocal intraocular lens
Cataract surgery
Cirugía
Oftalmología
Óptica oftálmica
3213 Cirugía
3201.09 Oftalmología
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oai_identifier_str oai:docta.ucm.es:20.500.14352/18176
network_acronym_str ES
network_name_str España
repository_id_str
spelling Short term visual outcomes of a new trifocal intraocular lensGarcía Pérez, Jorge L.Gros Otero, JuanSánchez Ramos, CeliaBlázquez Sánchez, VanesaContreras Martín, Inés617.741-004.1-089681.73617.7-089.243Trifocal intraocular lensMultifocal intraocular lensCataract surgeryCirugíaOftalmologíaÓptica oftálmica3213 Cirugía3201.09 OftalmologíaBackground: Today, patients often expect to achieve spectacle independance after cataract surgery. New trifocal intraocular lenses have been developed to try and fullfill this demand. The purpose of this study is to report the short-term visual outcomes of a new trifocal intraocular lens (AcrySof PanOptix™). Methods: Consecutive adult patients undergoing cataract surgery with bilateral implantation of the study intraocular lens in a private practice clinic were considered for inclusion. Exclusion criteria were the presence of other ocular pathologies or preoperative astigmatism >1.5 diopters (D). Patients with intraoperative complications were excluded from analysis. One month after surgery patients underwent: monocular defocus curve; monocular and binocular uncorrected visual acuity in photopic and mesopic conditions, for far (4 m), intermediate (60 cm) and near (33 cm) distances and binocular contrast sensitivity. Patients completed a visual satisfaction questionnaire between 9 and 12 months after surgery. Results: One hundred and sixteen eyes of fifty-eight patients receiving bilateral implantation of the study intraocular lens were analysed. Mean binocular uncorrected visual acuity in photopic conditions was 0.03 LogMAR for far, 0.12 for intermediate and 0.02 for near distances. All patients achieved a binocular uncorrected visual acuity better than 0.3 LogMAR (20/40 Snellen equivalent) for distance and near vision and 94.8% of patients for intermediate vision. Mesopic binocular uncorrected visual acuity values were similar to photopic values. The monocular defocus curves showed that the best visual acuity was reached at a vergence of 0.00D. Visual acuity dropped slightly at −1.00D and peaked again at −2.00D. Visual acuities better than 0.2 LogMAR were maintained between −2.50D and +0.50D. Contrast sensitivity was high and similar in photopic and mesopic conditions. As regards patient-evaluated outcomes, only 2 patients (3.4%) were fairly dissatisfied with their sight after surgery. Three patients (5.1%) reported the need for spectacle correction for certain activities. All other patients (94.8%) reported never using spectacle correction. Conclusions: The PanOptix trifocal IOL provides good short-term visual outcomes, with good intermediate performance and excellent patient-reported satisfaction. The similar values achieved in mesopic and photopic conditions in binocular uncorrected visual acuity and contrast sensitivity suggest low pupillary dependence for light distribution. Trial registration number: ISRCTN60143265 , retrospectively registered on the 24th of April 2017.BioMed CentralUniversidad Complutense de Madrid20172017-05-1720172017-05-17journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/18176reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución 3.0 Españahttps://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/181762026-06-02T12:44:21Z
dc.title.none.fl_str_mv Short term visual outcomes of a new trifocal intraocular lens
title Short term visual outcomes of a new trifocal intraocular lens
spellingShingle Short term visual outcomes of a new trifocal intraocular lens
García Pérez, Jorge L.
617.741-004.1-089
681.73
617.7-089.243
Trifocal intraocular lens
Multifocal intraocular lens
Cataract surgery
Cirugía
Oftalmología
Óptica oftálmica
3213 Cirugía
3201.09 Oftalmología
title_short Short term visual outcomes of a new trifocal intraocular lens
title_full Short term visual outcomes of a new trifocal intraocular lens
title_fullStr Short term visual outcomes of a new trifocal intraocular lens
title_full_unstemmed Short term visual outcomes of a new trifocal intraocular lens
title_sort Short term visual outcomes of a new trifocal intraocular lens
dc.creator.none.fl_str_mv García Pérez, Jorge L.
Gros Otero, Juan
Sánchez Ramos, Celia
Blázquez Sánchez, Vanesa
Contreras Martín, Inés
author García Pérez, Jorge L.
author_facet García Pérez, Jorge L.
Gros Otero, Juan
Sánchez Ramos, Celia
Blázquez Sánchez, Vanesa
Contreras Martín, Inés
author_role author
author2 Gros Otero, Juan
Sánchez Ramos, Celia
Blázquez Sánchez, Vanesa
Contreras Martín, Inés
author2_role author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv 617.741-004.1-089
681.73
617.7-089.243
Trifocal intraocular lens
Multifocal intraocular lens
Cataract surgery
Cirugía
Oftalmología
Óptica oftálmica
3213 Cirugía
3201.09 Oftalmología
topic 617.741-004.1-089
681.73
617.7-089.243
Trifocal intraocular lens
Multifocal intraocular lens
Cataract surgery
Cirugía
Oftalmología
Óptica oftálmica
3213 Cirugía
3201.09 Oftalmología
description Background: Today, patients often expect to achieve spectacle independance after cataract surgery. New trifocal intraocular lenses have been developed to try and fullfill this demand. The purpose of this study is to report the short-term visual outcomes of a new trifocal intraocular lens (AcrySof PanOptix™). Methods: Consecutive adult patients undergoing cataract surgery with bilateral implantation of the study intraocular lens in a private practice clinic were considered for inclusion. Exclusion criteria were the presence of other ocular pathologies or preoperative astigmatism >1.5 diopters (D). Patients with intraoperative complications were excluded from analysis. One month after surgery patients underwent: monocular defocus curve; monocular and binocular uncorrected visual acuity in photopic and mesopic conditions, for far (4 m), intermediate (60 cm) and near (33 cm) distances and binocular contrast sensitivity. Patients completed a visual satisfaction questionnaire between 9 and 12 months after surgery. Results: One hundred and sixteen eyes of fifty-eight patients receiving bilateral implantation of the study intraocular lens were analysed. Mean binocular uncorrected visual acuity in photopic conditions was 0.03 LogMAR for far, 0.12 for intermediate and 0.02 for near distances. All patients achieved a binocular uncorrected visual acuity better than 0.3 LogMAR (20/40 Snellen equivalent) for distance and near vision and 94.8% of patients for intermediate vision. Mesopic binocular uncorrected visual acuity values were similar to photopic values. The monocular defocus curves showed that the best visual acuity was reached at a vergence of 0.00D. Visual acuity dropped slightly at −1.00D and peaked again at −2.00D. Visual acuities better than 0.2 LogMAR were maintained between −2.50D and +0.50D. Contrast sensitivity was high and similar in photopic and mesopic conditions. As regards patient-evaluated outcomes, only 2 patients (3.4%) were fairly dissatisfied with their sight after surgery. Three patients (5.1%) reported the need for spectacle correction for certain activities. All other patients (94.8%) reported never using spectacle correction. Conclusions: The PanOptix trifocal IOL provides good short-term visual outcomes, with good intermediate performance and excellent patient-reported satisfaction. The similar values achieved in mesopic and photopic conditions in binocular uncorrected visual acuity and contrast sensitivity suggest low pupillary dependence for light distribution. Trial registration number: ISRCTN60143265 , retrospectively registered on the 24th of April 2017.
publishDate 2017
dc.date.none.fl_str_mv 2017
2017-05-17
2017
2017-05-17
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/18176
url https://hdl.handle.net/20.500.14352/18176
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 3.0 España
https://creativecommons.org/licenses/by/3.0/es/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución 3.0 España
https://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
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