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Published in: BMC Ophthalmology 1/2015

Open Access 01-12-2015 | Research article

Binocular function to increase visual outcome in patients implanted with a diffractive trifocal intraocular lens

Authors: Florian T. A. Kretz, Matthias Müller, Matthias Gerl, Ralf H. Gerl, Gerd U. Auffarth

Published in: BMC Ophthalmology | Issue 1/2015

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Abstract

Background

To evaluate binocular visual outcome for near, intermediate and distance compared to monocular visual outcome at the same distances in patients implanted with a diffractive trifocal intraocular lens (IOL).

Methods

The study comprised of 100 eyes of 50 patients that underwent bilateral refractive lens exchange or cataract surgery with implantation of a multifocal diffractive IOL (AT LISA tri 839MP, Carl Zeiss Meditech, Germany). A complete ophthalmological examination was performed preoperatively and 3 month postoperatively. The main outcome measures were monocular and binocular uncorrected distance (UDVA), corrected distance (CDVA), uncorrected intermediate (UIVA), and uncorrected near visual acuities (UNVA), keratometry, and manifest refraction.

Results

The mean age was 59.28 years ± 9.6 [SD] (range 44–79 years), repectively. There was significant improvement in UDVA, UIVA, UNVA and CDVA. Comparing the monocular results to the binocular results there was a statistical significant better binocular outcome in all distances (UDVA p = 0.036; UIVA p < 0.0001; UNVA p = 0.001). The postoperative manifest refraction was in 86 % of patients within ± 0.50 [D].

Conclusions

The trifocal IOL improved near, intermediate, and distance vision compared to preoperatively. In addition a statistical significant increase for binocular visual function in all distances could be found.

Trial registration

German Clinical Trials Register (DRKS) DRKS00007837
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Metadata
Title
Binocular function to increase visual outcome in patients implanted with a diffractive trifocal intraocular lens
Authors
Florian T. A. Kretz
Matthias Müller
Matthias Gerl
Ralf H. Gerl
Gerd U. Auffarth
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2015
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/s12886-015-0089-9

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