Ophthalmic Research

Research Article

Visual Function after Implantation of a Presbyopia-Correcting Trifocal Intraocular Lens

Alfonso J.F.a,b · Fernández-Vega-Cueto L.a · Fernández-Vega L.a,b · Montés-Micó R.c

Author affiliations

aFernández-Vega Ophthalmological Institute, Oviedo, Spain
bSurgery Department, Faculty of Medicine, University of Oviedo, Oviedo, Spain
cOptics and Optometry and Vision Sciences Department, Faculty of Physics, University of Valencia, Valencia, Spain

Keywords: Visual functionTrifocal intraocular lensImplantation

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Ophthalmic Res 2020;63:152–164
https://doi.org/10.1159/000500834

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Article / Publication Details

First-Page Preview
Abstract of Research Article

Received: January 26, 2019
Accepted: May 08, 2019
Published online: August 07, 2019
Issue release date: March 2020

Number of Print Pages: 13
Number of Figures: 5
Number of Tables: 2

ISSN: 0030-3747 (Print)
eISSN: 1423-0259 (Online)

For additional information: https://www.karger.com/ORE

Abstract

Purpose: To evaluate distance, intermediate, and near visual performance in patients implanted with a trifocal aspheric presbyopia-correcting intraocular lens (IOL). Methods: Forty patients were bilaterally implanted with the AcrySofIQ PanOptix IOL after femtosecond laser-assisted lens surgery. Binocular best corrected distance visual acuity (CDVA) (4 m), best distance-corrected near visual acuity (DCNVA) (40 and 30 cm), best corrected distance intermediate visual acuity (DCIVA) (70, 60, and 50 cm), binocular distance contrast sensitivity under photopic conditions (85 cd/m2), and defocus curves were evaluated at 6-months. Results: Six months postoperatively, the mean binocular Snellen decimal CDVA and DCNVA were 0.94 ± 0.10 (ranging from 0.70 to 1.25) and 0.85 ± 0.13 (ranging from 0.63 to 1.00), respectively. At a distance, all patients showed a cumulative binocular distance-corrected visual acuity of 0.8 or better, and about 80% (n = 31) of the patients had a value of 1.0 (20/20). At near and intermediate distances, all patients showed a cumulative distance-corrected visual acuity of 0.5 (20/40) or better at 30, 40, 50, 60, and 70 cm. Specifically, 50 cm showed the highest percentage of patients with larger values of visual acuity (60% [n = 26] with 20/20). Defocus curve showed a wide range of useful vision with two peaks of best visual acuity at distance and at 50 cm, and the binocular distance contrast sensitivity was within normal limits. Conclusions: The outcomes of the present study show that the visual performance obtained with bilateral implantation of the trifocal aspheric AcrySofIQ PanOptix IOL is good at far, intermediate, and near distances.

© 2019 S. Karger AG, Basel



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References

  1. 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 Jun;28(6):426–35.
    External Resources
  2. de Vries NE, Nuijts RM. Multifocal intraocular lenses in cataract surgery: literature review of benefits and side effects. J Cataract Refract Surg. 2013 Feb;39(2):268–78.
    External Resources
  3. de Silva SR, Evans JR, Kirthi V, Ziaei M, Leyland M. Multifocal versus monofocal intraocular lenses after cataract extraction. Cochrane Database Syst Rev. 2016 Dec;12:CD003169.
    External Resources
  4. 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 Sep;248(9):1299–306.
    External Resources
  5. Cochener B, Vryghem J, Rozot P, Lesieur G, Heireman S, Blanckaert JA, et al. Visual and refractive outcomes after implantation of a fully diffractive trifocal lens. Clin Ophthalmol. 2012;6:1421–7.
    External Resources
  6. Vryghem JC, Heireman S. Visual performance after the implantation of a new trifocal intraocular lens. Clin Ophthalmol. 2013;7:1957–65.
    External Resources
  7. 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 Mar;39(3):343–9.
    External Resources
  8. Wolffsohn JS, Jinabhai AN, Kingsnorth A, Sheppard AL, Naroo SA, Shah S, et al. Exploring the optimum step size for defocus curves. J Cataract Refract Surg. 2013 Jun;39(6):873–80.
    External Resources
  9. Alió JL, Montalbán R, Peña-García P, Soria FA, Vega-Estrada A. Visual outcomes of a trifocal aspheric diffractive intraocular lens with microincision cataract surgery. J Refract Surg. 2013 Nov;29(11):756–61.
    External Resources
  10. Mojzis P, Peña-García P, Liehneova I, Ziak P, Alió JL. Outcomes of a new diffractive trifocal intraocular lens. J Cataract Refract Surg. 2014 Jan;40(1):60–9.
    External Resources
  11. Law EM, Aggarwal RK, Kasaby H. Clinical outcomes with a new trifocal intraocular lens. Eur J Ophthalmol. 2014 Jul-Aug;24(4):501–8.
    External Resources
  12. Mojzis P, Kukuckova L, Majerova K, Liehneova K, Piñero DP. Comparative analysis of the visual performance after cataract surgery with implantation of a bifocal or trifocal diffractive IOL. J Refract Surg. 2014 Oct;30(10):666–72.
    External Resources
  13. Cochener B, Vryghem J, Rozot P, Lesieur G, Chevalier JP, Henry JM, et al. Clinical outcomes with a trifocal intraocular lens: a multicenter study. J Refract Surg. 2014 Nov;30(11):762–8.
    External Resources
  14. Marques EF, Ferreira TB. Comparison of visual outcomes of 2 diffractive trifocal intraocular lenses. J Cataract Refract Surg. 2015 Feb;41(2):354–63.
    External Resources
  15. Brito P, Salgado-Borges J, Neves H, Gonzalez-Meijome J, Monteiro M. Light-distortion analysis as a possible indicator of visual quality after refractive lens exchange with diffractive multifocal intraocular lenses. J Cataract Refract Surg. 2015 Mar;41(3):613–22.
    External Resources
  16. Carballo-Alvarez J, Vazquez-Molini JM, Sanz-Fernandez JC, Garcia-Bella J, Polo V, García-Feijoo J, et al. Visual outcomes after bilateral trifocal diffractive intraocular lens implantation. BMC Ophthalmol. 2015 Mar;15(1):26.
    External Resources
  17. Plaza-Puche AB, Alió JL, MacRae S, Zheleznyak L, Sala E, Yoon G. Correlating optical bench performance with clinical defocus curves in varifocal and trifocal intraocular lenses. J Refract Surg. 2015 May;31(5):300–7.
    External Resources
  18. Marques JP, Rosa AM, Quendera B, Silva F, Mira J, Lobo C, et al. Quantitative evaluation of visual function 12 months after bilateral implantation of a diffractive trifocal IOL. Eur J Ophthalmol. 2015 Nov-Dec;25(6):516–24.
    External Resources
  19. Kohnen T. First implantation of a diffractive quadrafocal (trifocal) intraocular lens. J Cataract Refract Surg. 2015 Oct;41(10):2330–2.
    External Resources
  20. Kretz FT, Müller 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 Aug;15(1):110.
    External Resources
  21. Kretz FT, Breyer D, Diakonis VF, Klabe K, Henke F, Auffarth GU, et al. Clinical outcomes after binocular implantation of a new trifocal diffractive intraocular lens. J Ophthalmol. 2015;2015:962891.
    External Resources
  22. Mojzis P, Majerova K, Hrckova L, Piñero DP. Implantation of a diffractive trifocal intraocular lens: one-year follow-up. J Cataract Refract Surg. 2015 Aug;41(8):1623–30.
    External Resources
  23. 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 Aug;41(8):1631–40.
    External Resources
  24. Attia MS, Auffarth GU, Khoramnia R, Linz K, Kretz FT. Near and intermediate reading performance of a diffractive trifocal intraocular lens using a reading desk. J Cataract Refract Surg. 2015 Dec;41(12):2707–14.
    External Resources
  25. Kohnen T, Titke C, Böhm M. Trifocal intraocular lens implantation to treat visual demands in various distances following lens removal. Am J Ophthalmol. 2016 Jan;161:71–7.e1.
    External Resources
  26. Alfonso JF, Fernández-Vega Cueto L, Belda-Salmerón L, Montés-Micó R, Fernández-Vega L. Visual function after implantation of a diffractive aspheric trifocal intraocular lens. Eur J Ophthalmol. 2016 Aug;26(5):405–11.
    External Resources
  27. Mendicute J, Kapp A, Lévy P, Krommes G, Arias-Puente A, Tomalla M, et al. Evaluation of visual outcomes and patient satisfaction after implantation of a diffractive trifocal intraocular lens. J Cataract Refract Surg. 2016 Feb;42(2):203–10.
    External Resources
  28. Cochener B. Prospective clinical comparison of patient outcomes following implantation of trifocal or bifocal intraocular lenses. J Refract Surg. 2016 Mar;32(3):146–51.
    External Resources
  29. Plaza-Puche AB, Alio JL. Analysis of defocus curves of different modern multifocal intraocular lenses. Eur J Ophthalmol. 2016 Aug;26(5):412–7.
    External Resources
  30. Gundersen KG, Potvin R. Comparison of visual outcomes and subjective visual quality after bilateral implantation of a diffractive trifocal intraocular lens and blended implantation of apodized diffractive bifocal intraocular lenses. Clin Ophthalmol. 2016 May;10:805–11.
    External Resources
  31. Poyales F, Garzón N, Rozema JJ, Romero C, de Zárate BO. Stability of a novel intraocular lens design: comparison of two trifocal lenses. J Refract Surg. 2016 Jun;32(6):394–402.
    External Resources
  32. Bilbao-Calabuig R, González-López F, Amparo F, Alvarez G, Patel SR, Llovet-Osuna F. Comparison between mix-and-match implantation of bifocal intraocular lenses and bilateral implantation of trifocal intraocular lenses. J Refract Surg. 2016 Oct;32(10):659–63.
    External Resources
  33. Plaza-Puche AB, Alio JL, Sala E, Mojzis P. Impact of low mesopic contrast sensitivity outcomes in different types of modern multifocal intraocular lenses. Eur J Ophthalmol. 2016 Nov;26(6):612–7.
    External Resources
  34. Martinez-de-la-Casa JM, Carballo-Alvarez J, Garcia-Bella J, Vazquez-Molini JM, Morales L, Sanz-Fernandez JC, Polo V, García-Feijoo J. Photopic and mesopic performance of 2 different trifocal diffractive intraocular lenses. Eur J Ophthalmol 2016;21:26–30.
  35. Kretz FT, Choi CY, Müller M, Gerl M, Gerl RH, Auffarth GU. Visual outcomes, patient satisfaction and spectacle independence with a trifocal diffractive intraocular lens. Korean J Ophthalmol. 2016 Jun;30(3):180–91.
    External Resources
  36. Torun Acar B, Duman E, Simsek S. Clinical outcomes of a new diffractive trifocal intraocular lens with Enhanced Depth of Focus (EDOF). BMC Ophthalmol. 2016 29;16:208.
  37. Alió JL, Kaymak H, Breyer D, Cochener B, Plaza-Puche AB. Quality of life related variables measured for three multifocal diffractive intraocular lenses: a prospective randomised clinical trial. Clin Exp Ophthalmol. 2018 May;46(4):380–8.
    External Resources
  38. Bilbao-Calabuig R, Llovet-Rausell A, Ortega-Usobiaga J, Martínez-Del-Pozo M, Mayordomo-Cerdá F, Segura-Albentosa C, et al. Visual outcomes following bilateral implantation of two diffractive trifocal intraocular lenses in 10,084 eyes. Am J Ophthalmol. 2017 Jul;179:55–66.
    External Resources
  39. Ferreira-Ríos I, Zuñiga-Posselt K, Serna-Ojeda JC, Chávez-Mondragón E. Objective and subjective results following implantation of the FineVision trifocal intraocular lens in Mexican patients. Int Ophthalmol. 2018 Dec;38(6):2617–22.
    External Resources
  40. Ganesh S, Brar S, Pawar A. Long-term visual outcomes and patient satisfaction following bilateral implantation of trifocal intraocular lenses. Clin Ophthalmol. 2017 Aug;11:1453–9.
    External Resources
  41. Kaymak H, Breyer D, Alió JL, Cochener B. Visual Performance With Bifocal and Trifocal Diffractive Intraocular Lenses: A Prospective Three-Armed Randomized Multicenter Clinical Trial. J Refract Surg. 2017 Oct;33(10):655–62.
    External Resources
  42. Mencucci R, Favuzza E, Caporossi O, Rizzo S. Visual performance, reading ability and patient satisfaction after implantation of a diffractive trifocal intraocular lens. Clin Ophthalmol. 2017 Nov;11:1987–93.
    External Resources
  43. Mojzis P, Kukuckova L, Majerova K, Ziak P, Piñero DP. Postoperative visual performance with a bifocal and trifocal diffractive intraocular lens during a 1-year follow-up. Int J Ophthalmol. 2017 Oct;10(10):1528–33.
    External Resources
  44. Ruiz-Mesa R, Abengózar-Vela A, Aramburu A, Ruiz-Santos M. Comparison of visual outcomes after bilateral implantation of extended range of vision and trifocal intraocular lenses. Eur J Ophthalmol. 2017 Jun;27(4):460–5.
    External Resources
  45. Vilar C, Hida WT, de Medeiros AL, Magalhães KR, de Moraes Tzelikis PF, Chaves MA, et al. Comparison between bilateral implantation of a trifocal intraocular lens and blended implantation of two bifocal intraocular lenses. Clin Ophthalmol. 2017 Aug;11:1393–7.
    External Resources
  46. Ruiz-Mesa R, Abengózar-Vela A, Ruiz-Santos M. A comparative study of the visual outcomes between a new trifocal and an extended depth of focus intraocular lens. Eur J Ophthalmol. 2018 Mar;28(2):182–7.
    External Resources
  47. Monaco G, Gari M, Di Censo F, Poscia A, Ruggi G, Scialdone A. Visual performance after bilateral implantation of 2 new presbyopia-correcting intraocular lenses: trifocal versus extended range of vision. J Cataract Refract Surg. 2017 Jun;43(6):737–47.
    External Resources
  48. de Medeiros AL, de Araújo Rolim AG, Motta AF, Ventura BV, Vilar C, Chaves MA, et al. Comparison of visual outcomes after bilateral implantation of a diffractive trifocal intraocular lens and blended implantation of an extended depth of focus intraocular lens with a diffractive bifocal intraocular lens. Clin Ophthalmol. 2017 Oct;11:1911–6.
    External Resources
  49. Lawless M, Hodge C, Reich J, Levitz L, Bhatt UK, McAlinden C, Roberts K, Roberts TV. Visual and refractive outcomes following implantation of a new trifocal intraocular lens. Eye Vis (Lond). 2017;4;4:10.
  50. Gundersen KG, Potvin R. Trifocal intraocular lenses: a comparison of the visual performance and quality of vision provided by two different lens designs. Clin Ophthalmol. 2017 Jun;11:1081–7.
    External Resources
  51. García-Pérez JL, Gros-Otero J, Sánchez-Ramos C, Blázquez V, Contreras I. Short term visual outcomes of a new trifocal intraocular lens. BMC Ophthalmol. 2017 May;17(1):72.
    External Resources
  52. Kohnen T, Herzog M, Hemkeppler E, Schönbrunn S, De Lorenzo N, Petermann K, et al. Visual performance of a quadrifocal (trifocal) intraocular lens following removal of the crystalline lens. Am J Ophthalmol. 2017 Dec;184:52–62.
    External Resources
  53. Lee S, Choi M, Xu Z, Zhao Z, Alexander E, Liu Y. Optical bench performance of a novel trifocal intraocular lens compared with a multifocal intraocular lens. Clin Ophthalmol. 2016 Jun;10:1031–8.
    External Resources
  54. Carson D, Xu Z, Alexander E, Choi M, Zhao Z, Hong X. Optical bench performance of 3 trifocal intraocular lenses. J Cataract Refract Surg. 2016 Sep;42(9):1361–7.
    External Resources
  55. Carifi G, Aiello F, Zygoura V, Kopsachilis N, Maurino V. Accuracy of the refractive prediction determined by multiple currently available intraocular lens power calculation formulas in small eyes. Am J Ophthalmol. 2015 Mar;159(3):577–83.
    External Resources
  56. Wang Q, Jiang W, Lin T, Wu X, Lin H, Chen W. Meta-analysis of accuracy of intraocular lens power calculation formulas in short eyes. Clin Exp Ophthalmol. 2018 May;46(4):356–63.
    External Resources
  57. Hohberger B, Laemmer R, Adler W, Juenemann AG, Horn FK. Measuring contrast sensitivity in normal subjects with OPTEC 6500: influence of age and glare. Graefes Arch Clin Exp Ophthalmol. 2007 Dec;245(12):1805–14.
    External Resources
  58. Cardona G, López S. Pupil diameter, working distance and illumination during habitual tasks. Implications for simultaneous vision contact lenses for presbyopia. J Optom. 2016 Apr-Jun;9(2):78–84.
    External Resources
  59. Long J, Cheung R, Duong S, Paynter R, Asper L. Viewing distance and eyestrain symptoms with prolonged viewing of smartphones. Clin Exp Optom. 2017 Mar;100(2):133–7.
    External Resources
  60. Bababekova Y, Rosenfield M, Hue JE, Huang RR. Font size and viewing distance of handheld smart phones. Optom Vis Sci. 2011 Jul;88(7):795–7.
    External Resources
  61. Nistad K, Göransson F, Støle E, Shams H, Gjerdrum B. The use of capsular tension rings to reduce refractive shift in patients with implantation of trifocal intraocular lenses. J Refract Surg. 2017 Dec;33(12):802–6.
    External Resources

Article / Publication Details

First-Page Preview
Abstract of Research Article

Received: January 26, 2019
Accepted: May 08, 2019
Published online: August 07, 2019
Issue release date: March 2020

Number of Print Pages: 13
Number of Figures: 5
Number of Tables: 2

ISSN: 0030-3747 (Print)
eISSN: 1423-0259 (Online)

For additional information: https://www.karger.com/ORE

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