Top

International Ophthalmology

Published in:

01-05-2020 | Cataract | Original Paper

Patients satisfaction and clinical outcomes of binocular implantation of a new trifocal intraocular lens

Authors: Oya Donmez, Bilgehan Sezgin Asena, Mahmut Kaskaloglu, Yonca A. Akova

Published in: International Ophthalmology | Issue 5/2020

Abstract

Purpose

To evaluate the clinical outcomes following bilateral implantation of PanOptix intraocular lens (IOL).

Methods

This study included consecutive patients scheduled to undergo cataract or refractive lens exchange surgery between October 2017 and June 2018 at two centers. Manifest refraction, uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA, 60 cm) and uncorrected near visual acuity (UNVA, 40 cm), defocus curves, presence of dysphotopsia, need for spectacles, presence of posterior capsule opacification and visual function were evaluated at 6 months after surgery.

Results

The IOL was implanted in 138 eyes of 69 patients. The mean binocular UDVA was 0.02 ± 0.05 logMAR, UIVA 0.06 ± 0.07 logMAR and UNVA 0.05 ± 0.07 logMAR. Defocus curve showed two peaks at 0.00 D and − 1.50 D. Complete spectacle independence was reported in 94.2% of the patients. The mean VF-14 test result was 97.7 ± 2.2 (93.2–100). Only one patient (1.4%) reported seeing bothersome halos. The presence of posterior capsule opacification was noted in seven eyes (10%), whereas Nd:Yag capsulotomy was required only in one eye.

Conclusions

This trifocal IOL provided excellent visual outcomes at all distances with high spectacle independence and patient’s satisfaction.

Pedrotti E, Mastropasqua R, Passilongo M, Parisi G, Marchesoni I, Marchini G (2014) Comparison of two multifocal intraocular lens designs that differ only in near add. J Refract Surg 30:754–760. https://doi.org/10.3928/1081597X-20141021-07 CrossRefPubMed

Madrid-Costa D, Ruiz-Alcocer J, Ferrer-Blasco T, García-Lázaro S, Montés-Micó R (2013) Optical quality differences between three multifocal intra- ocular lenses: bifocal low add, bifocal moderate add, and trifocal. J Refract Surg 29:749–754. https://doi.org/10.3928/1081597X-20131021-04 CrossRefPubMed

Alfonso JF, Fernández-Vega L, Amhaz H, Montés-Micó R, Valcárcel B, Ferrer-Blasco T (2009) Visual function after implantation of an aspheric bifocal intraocular lens. J Cataract Refract Surg 35:885–892. https://doi.org/10.1016/j.jcrs.2009.01.014 CrossRefPubMed

de Vries NE, Nuijts RM (2013) Multifocal intraocular lenses in cataract surgery: literature review of benefits and side effects. J Cataract Refract Surg 39:268–278. https://doi.org/10.1016/j.jcrs.2012.12.002 CrossRefPubMed

Kohnen T (2015) First implantation of a diffractive quadrafocal (trifocal) intraocular lens. J Cataract Refract Surg 41:2330–2332. https://doi.org/10.1016/j.jcrs.2015.11.012 CrossRefPubMed

Lawless M, Hodge C, Reich J, Levitz L, Bhatt UK, McAlinden C, Roberts K, Roberts TV (2017) Visual and refractive outcomes following implantation of a new trifocal intraocular lens. Eye Vis (Lond) 4:10. https://doi.org/10.1186/s40662-017-0076-8 CrossRef

García-Pérez JL, Gros-Otero J, Sánchez-Ramos C, Blázquez V, Contreras I (2017) Short term visual outcomes of a new trifocal intraocular lens. BMC Ophthalmol 17:72. https://doi.org/10.1186/s12886-017-0462-y CrossRefPubMedPubMedCentral

Kohnen T, Herzog M, Hemkeppler E, Schönbrunn S, De Lorenzo N, Petermann K, Böhm M (2017) Visual performance of a quadrifocal (trifocal) intraocular lens following removal of the crystalline lens. Am J Ophthalmol 184:52–62. https://doi.org/10.1016/j.ajo.2017.09.016 CrossRefPubMed

Alió JL, Plaza-Puche AB, Alió Del Barrio JL, Amat-Peral P, Ortuño V, Yébana P, Al-Shymali O, Vega-Estrada A (2018) Clinical outcomes with a diffractive trifocal intraocular lens. Eur J Ophthalmol 28:419–424. https://doi.org/10.1177/1120672118762231 CrossRefPubMed

10.

Gundersen KG, Potvin R (2017) Trifocal intraocular lenses: a comparison of the visual performance and quality of vision provided by two different lens designs. Clin Ophthalmol 11:1081–1087. https://doi.org/10.2147/OPTH.S136164 CrossRefPubMedPubMedCentral

11.

Alfonso JF, Fernandez-Vega CL, Belda-Salmeron L, Montés-Micó R, Fernández-Vega L (2016) Visual function after implantation of a diffractive aspheric trifocal intraocular lens. Eur J Ophthalmol 26:405–411. https://doi.org/10.5301/ejo.5000741 CrossRefPubMed

12.

Marques EF, Ferreira TB (2015) Comparison of visual outcomes of 2 diffractive trifocal intraocular lenses. J Cataract Refract Surg 41:354–363. https://doi.org/10.1016/j.jcrs.2014.05.048 CrossRefPubMed

13.

Cochener B, Vryghem J, Rozot P, Lesieur G, Chevalier JP, Henry JM, David T, Lesueur L, Gatinel D, Ganem C, Blanckaert J, Van Acker E, Heireman S, Ghekiere S (2014) Clinical outcomes with a trifocal intraocular lens: a multicenter study. J Refract Surg 30:762–768. https://doi.org/10.3928/1081597X-20141021-08 CrossRefPubMed

14.

Böhm M, Hemkeppler E, Herzog M, Schönbrunn S, de’Lorenzo N, Petermann K, Kohnen T (2018) Comparison of a panfocal and trifocal diffractive intraocular lens after femtosecond laser-assisted lens surgery. J Cataract Refract Surg 44:1454–1462. https://doi.org/10.1016/j.jcrs.2018.07.060 CrossRefPubMed

15.

Steinberg EP, Tielsch JM, Schein OD, Chein OD, Javitt JC, Sharkey P, Cassard SD, Legro MW, Diener-West M, Bass EB, Damiano AM (1994) The VF-14. An index of functional impairment in patients with cataract. Arch Ophthalmol 112:630–638CrossRef

16.

Plaza-Puche AB, Alio JL (2016) Analysis of defocus curves of different modern multifocal intraocular lenses. Eur J Ophthalmol 26:412–417. https://doi.org/10.5301/ejo.5000780 CrossRefPubMed

17.

Buckhurst PJ, Wolffsohn JS, Naroo SA, Davies LN, Bhogal GK, Kipioti A, Shah S (2012) Multifocal intraocular lens differentiation using defocus curves. Invest Ophthalmol Vis Sci 53:3920–3926. https://doi.org/10.1167/iovs.11-9234 CrossRefPubMed

18.

Carson D, Xu Z, Alexandr E, Choi M, Zhao Z, Hong X (2016) Optical bench performance of 3 trifocal intraocular lenses. J Cataract Refract Surg 42:1361–1367. https://doi.org/10.1016/j.jcrs.2016.06.036 CrossRefPubMed

19.

Vryghem JC, Heireman S (2013) Visual performance after the implantation of a new trifocal intraocular lens. Clin Ophthalmol 7:1957–1965. https://doi.org/10.2147/OPTH.S44415 CrossRefPubMedPubMedCentral

20.

Jonker SM, Bauer NJ, Makhotkina NY, Berendschot TT, van den Biggelaar FJ, Nuijts RM (2015) Comparison of a trifocal intraocular lens with a +3.0 D bifocal IOL: results of a prospective randomized clinical trial. J Cataract Refract Surg 41:1631–1640. https://doi.org/10.1016/j.jcrs.2015.08.011 CrossRefPubMed

21.

Mendicute J, Kapp A, Lévy P, Krommes G, Arias-Puente A, Tomalla M, Barraquer E, Rozot P, Bouchut P (2016) Evaluation of visual outcomes and patient satisfaction after implantation of a diffractive trifocal intraocular lens. J Cataract Refract Surg 42:203–210. https://doi.org/10.1016/j.jcrs.2015.11.037 CrossRefPubMed

22.

Law EM, Aggarwal RK, Kasaby H (2014) Clinical outcomes with a new trifocal intraocular lens. Eur J Ophthalmol 24:501–508. https://doi.org/10.5301/ejo.5000407 CrossRefPubMed

23.

Javitt JC, Steinert RF (2000) Cataract extraction with multifocal intraocular lens implantation: a multinational clinical trial evaluating clinical, functional, and quality-of-life outcomes. Ophthalmology 107:2040–2048CrossRef

24.

Kohnen T, Titke C, Böhm M (2016) Trifocal intraocular lens implantation to treat visual demands in various distances following lens removal. Am J Ophthalmol 161:71–77. https://doi.org/10.1016/j.ajo.2015.09.030 CrossRefPubMed

25.

McCambridge J, Witton J, Elbourne DR (2014) Systematic review of the Hawthorne effect: new concepts are needed to study research participation effects. J Clin Epidemiol 67:267–277. https://doi.org/10.1016/j.jclinepi.2013.08.015 CrossRefPubMedPubMedCentral

26.

Makhotkina NY, Nijkamp MD, Berendschot T, van den Borne B, Nuijts RMMA (2018) Effect of active evaluation on the detection of negative dysphotopsia after sequential cataract surgery: discrepancy between incidences of unsolicited and solicited complaints. Acta Ophthalmol 96:81–87. https://doi.org/10.1111/aos.13508 CrossRefPubMed

27.

Bilbao-Calabuig R, Llovet-Osuna F, González-López F, Beltrán J (2016) Nd:YAG capsulotomy rates with two trifocal intraocular lenses. J Refract Surg 32:748–752. https://doi.org/10.3928/1081597X-20160803-02 CrossRefPubMed

28.

Vasavada AR, Raj SM, Shah A, Shah G, Vasavada V, Vasavada V (2011) Comparison of posterior capsule opacification with hydrophobic acrylic and hydrophilic acrylic intraocular lenses. J Cataract Refract Surg 37:1050–1059. https://doi.org/10.1016/j.jcrs.2010.12.060 CrossRefPubMed

29.

Pager CK (2004) Expectations and outcomes in cataract surgery: a prospective test of 2 models of satisfaction. Arch Ophthalmol 122:1788–1792CrossRef

30.

Akman A, Asena L, Ozturk C, Gungor SG (2019) Evaluation of quality of life after implantation of new trifocal lens. J Cataract Refract Surg 45:130–134. https://doi.org/10.1016/j.jcrs.2018.12.003 CrossRefPubMed

Title: Patients satisfaction and clinical outcomes of binocular implantation of a new trifocal intraocular lens
Authors: Oya Donmez
Bilgehan Sezgin Asena
Mahmut Kaskaloglu
Yonca A. Akova
Publication date: 01-05-2020
Publisher: Springer Netherlands
Keyword: Cataract
Published in: International Ophthalmology / Issue 5/2020
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI: https://doi.org/10.1007/s10792-020-01390-9

At a glance: The STEP trials

Springer Medicine

Patients satisfaction and clinical outcomes of binocular implantation of a new trifocal intraocular lens

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 5/2020

Outcomes of big-bubble deep anterior lamellar keratoplasty for pediatric keratoconus

Efficacy of astigmatic correction after femtosecond laser-guided cataract surgery using intraoperative aberrometry in eyes with low-to-moderate levels of corneal astigmatism

Toric intraocular lens in asymmetric astigmatism

Prospective cohort study of risk factors for choroidal detachment after trabeculectomy

Intense pulse light therapy treatment for refractory dry eye disease due to meibomian gland dysfunction

Submacular perfluorocarbon liquid: long-term follow-up