Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Ophthalmology
Published in: BMC Ophthalmology 1/2016

Open Access 01-12-2016 | Research article

Clinical outcomes of a new diffractive trifocal intraocular lens with Enhanced Depth of Focus (EDOF)

Authors: Banu Torun Acar, Erkan Duman, Saban Simsek

Published in: BMC Ophthalmology | Issue 1/2016

Login to get access

Abstract

Background

To evaluate the clinical outcomes after the implantation of a new trifocal diffractive intraocular lens (IOL) combined with Enhanced depth of focus (EDOF) technology.

Methods

The study enrolled 80 eyes of 40 patients who underwent cataract surgery with bilateral implantation of a diffractive trifocal IOL (Reviol Tri-ED) designed with a combination of enhanced depth of focus. Mean age was 52.09 ± 11.32 years (range from 45 to 70 years). Uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrected intermediate visual acuity (UIVA), corrected intermediate visual acuity (CIVA), uncorrected near visual acuity (UNVA), corrected near visual acuity (CNVA), keratometry (K), and manifest refraction spherical equivalent (MRSE) were evaluated pre- and postoperatively. The contrast sensitivity, defocus curves, and a questionnaire evaluating individual satisfaction were also estimated.

Results

There was a significant improvement in UDVA, CDVA, UNVA, CNVA, CIVA postoperatively. The defocus curve confirmed good visual acuity also in the intermediate distance. The postoperative MRSE was ranged from −0.75 to 0.75 diopters. Contrast sensitivity also significantly improved postoperatively. The patient satisfaction was high.

Conclusion

The new trifocal EDOF IOL provides visual improvement for far, intermediate, and near distances with a high level of visual quality and patient satisfaction.
Literature
1.
Bourne RR, Stevens GA, White RA, Smith JL, Flaxman SR, Price H, Jonas JB, Keeffe J, Leasher J, Naidoo K, Pesudovs K, Resnikoff S, Taylor HR, Vision Loss Expert Group. Causes of vision loss worldwide, 1990–2010: a systematic analysis. Lancet Glob Health. 2013;1:e339-49.CrossRefPubMed
2.
3.
Agresta B, Knorz MC, Kohnen T, Donatti C, Jackson D. Distance and near visual acuity improvement after implantation of multifocal intraocular lenses in cataract patients with presbyopia: a systematic review. J Refract Surg. 2012;28:426–35.CrossRefPubMed
4.
Steinert RF. Visual outcomes with multifocal intraocular lenses. Curr Opin Ophthalmol. 2000;11:12–21.CrossRefPubMed
5.
Chylack Jr LT, Wolfe JK, Singer DM, Leske MC, Bullimore MA, Bailey IL, Friend J, McCarthy D, Wu SY. The Lens Opacities Classification System III. The Longitudinal Study of Cataract Study Group. Arch Ophthalmol. 1993;111:831–6.CrossRefPubMed
6.
Steinberg EP, Tielsch JM, Schein OD, Javitt JC, Sharkey P, Cassard SD, Legro MW, Diener-West M, Bass EB, Damiano AM, et al. The VF-14. An index of functional impairment in patients with cataract. Arch Ophthalmol. 1994;112:630–8.CrossRefPubMed
7.
Acriva Reviol Tri-ED IOL Product Brochure: VSY Biotechnology; Available from: http://​www.​vsybiotechnology​.​com/​media/​2016/​08/​Reviol_​Tri-ED.​pdf?​v = 0.0.1. Cited 25 Aug 2016.
8.
Lichtinger A, Rootman DS. Intraocular lenses for presbyopia correction: past, present, and future. Curr Opin Ophthalmol. 2012;23:40–6.CrossRefPubMed
9.
Liu JW, Haw WW. Optimizing outcomes of multifocal intraocular lenses. Curr Opin Ophthalmol. 2014;25:44–8.CrossRefPubMed
10.
11.
Cillino S, Casuccio A, Di Pace F, Morreale R, Pillitteri F, Cillino G, Lodato G. One-year outcomes with new-generation multifocal intraocular lenses. Ophthalmology. 2008;115:1508–16.CrossRefPubMed
12.
Alio JL, Pinero DP, Plaza-Puche AB, Chan MJ. Visual outcomes and optical performance of a monofocal intraocular lens and a new-generation multifocal intraocular lens. J Cataract Refract Surg. 2011;37:241–50.CrossRefPubMed
13.
Alio JL, Plaza-Puche AB, Pinero DP, Amparo F, Jimenez R, Rodriguez-Prats JL, Javaloy J, Pongo V. Optical analysis, reading performance, and quality-of-life evaluation after implantation of a diffractive multifocal intraocular lens. J Cataract Refract Surg. 2011;37:27–37.CrossRefPubMed
14.
Ang R, Martinez G, Cruz E, Tiongson A, Dela CA. Prospective evaluation of visual outcomes with three presbyopia-correcting intraocular lenses following cataract surgery. Clin Ophthalmol. 2013;7:1811–23.CrossRefPubMedPubMedCentral
15.
Gundersen KG, Potvin R. Comparative visual performance with monofocal and multifocal intraocular lenses. Clin Ophthalmol. 2013;7:1979–85.PubMedPubMedCentral
16.
Braga-Mele R, Chang D, Dewey S, Foster G, Henderson BA, Hill W, Hoffman R, Little B, Mamalis N, Oetting T, Serafano D, Talley-Rostov A, Vasavada A, Yoo S, Committee ACC. Multifocal intraocular lenses: relative indications and contraindications for implantation. J Cataract Refract Surg. 2014;40:313–22.CrossRefPubMed
17.
Kretz FT, Gerl M, Gerl R, Muller M, Auffarth GU, Group ZKBS. Clinical evaluation of a new pupil independent diffractive multifocal intraocular lens with a +2.75 D near addition: a European multicentre study. Br J Ophthalmol. 2015;99:1655–9.CrossRefPubMed
18.
Shah S, Peris-Martinez C, Reinhard T, Vinciguerra P. Visual Outcomes After Cataract Surgery: Multifocal Versus Monofocal Intraocular Lenses. J Refract Surg. 2015;31:658–66.CrossRefPubMed
19.
Wang M, Corpuz CC, Fujiwara M, Tomita M. Visual and optical performances of multifocal intraocular lenses with three different near additions: 6-month follow-up. Open Ophthalmol J. 2015;9:1–7.CrossRefPubMedPubMedCentral
20.
Calladine D, Evans JR, Shah S, Leyland M. Multifocal versus monofocal intraocular lenses after cataract extraction. Sao Paulo Med J. 2015;133:68.CrossRefPubMed
21.
Maurino V, Allan BD, Rubin GS, Bunce C, Xing W, Findl O, Moorfields IOLSG. Quality of vision after bilateral multifocal intraocular lens implantation: a randomized trial--AT LISA 809 M versus AcrySof ReSTOR SN6AD1. Ophthalmology. 2015;122:700–10.CrossRefPubMed
22.
Mojzis P, Pena-Garcia P, Liehneova I, Ziak P, Alio JL. Outcomes of a new diffractive trifocal intraocular lens. J Cataract Refract Surg. 2014;40:60–9.CrossRefPubMed
23.
Voskresenskaya A, Pozdeyeva N, Pashtaev N, Batkov Y, Treushnicov V, Cherednik V. Initial results of trifocal diffractive IOL implantation. Graefes Arch Clin Exp Ophthalmol. 2010;248:1299–306.CrossRefPubMed
24.
Carballo-Alvarez J, Vazquez-Molini JM, Sanz-Fernandez JC, Garcia-Bella J, Polo V, Garcia-Feijoo J, Martinez-de-la-Casa JM. Visual outcomes after bilateral trifocal diffractive intraocular lens implantation. BMC Ophthalmol. 2015;15:26.CrossRefPubMedPubMedCentral
25.
Sheppard AL, Shah S, Bhatt U, Bhogal G, Wolffsohn JS. Visual outcomes and subjective experience after bilateral implantation of a new diffractive trifocal intraocular lens. J Cataract Refract Surg. 2013;39:343–9.CrossRefPubMed
26.
Kohnen T, Titke C, Bohm M. Trifocal Intraocular Lens Implantation to Treat Visual Demands in Various Distances Following Lens Removal. Am J Ophthalmol. 2016;161:71–7. e1.CrossRefPubMed
27.
Kretz FT, Muller M, Gerl M, Gerl RH, Auffarth GU. Binocular function to increase visual outcome in patients implanted with a diffractive trifocal intraocular lens. BMC Ophthalmol. 2015;15:110.CrossRefPubMedPubMedCentral
28.
29.
Cochener B, Vryghem J, Rozot P, Lesieur G, Heireman S, Blanckaert JA, Van Acker E, Ghekiere S. Visual and refractive outcomes after implantation of a fully diffractive trifocal lens. Clin Ophthalmol. 2012;6:1421–7.CrossRefPubMedPubMedCentral
30.
Jonker SM, Bauer NJ, Makhotkina NY, Berendschot TT, van den Biggelaar FJ, Nuijts RM. Comparison of a trifocal intraocular lens with a +3.0 D bifocal IOL: results of a prospective randomized clinical trial. J Cataract Refract Surg. 2015;41:1631–40.CrossRefPubMed
31.
Kretz FT, Breyer D, Diakonis VF, Klabe K, Henke F, Auffarth GU, Kaymak H. Clinical Outcomes after Binocular Implantation of a New Trifocal Diffractive Intraocular Lens. J Ophthalmol. 2015;2015:962891.CrossRefPubMedPubMedCentral
32.
Mojzis P, Majerova K, Hrckova L, Pinero DP. Implantation of a diffractive trifocal intraocular lens: one-year follow-up. J Cataract Refract Surg. 2015;41:1623–30.CrossRefPubMed
33.
Metadata
Title
Clinical outcomes of a new diffractive trifocal intraocular lens with Enhanced Depth of Focus (EDOF)
Authors
Banu Torun Acar
Erkan Duman
Saban Simsek
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Ophthalmology / Issue 1/2016
Electronic ISSN: 1471-2415
DOI
https://doi.org/10.1186/s12886-016-0389-8

Other articles of this Issue 1/2016

BMC Ophthalmology 1/2016 Go to the issue

Research article

Selective laser trabeculoplasty for early glaucoma: analysis of success predictors and adjusted laser outcomes based on the untreated fellow eye

Research article

Chronic tarsal conjunctivitis

Research article

Virtual phacoemulsification surgical simulation using visual guidance and performance parameters as a feasible proficiency assessment tool

Research article

Anterior chamber depth and angle-closure glaucoma after central retinal vein occlusion

Case report

Akreos Adapt AO Intraocular lens opacification after vitrectomy in a diabetic patient: a case report and review of the literature

Technical advance

Fovea sparing internal limiting membrane peeling using multiple parafoveal curvilinear peels for myopic foveoschisis: technique and outcome