Purpose: To review refractive, visual acuity, defocus curve and contrast sensitivity results after bilateral implantation of a trifocal intraocular lens (IOL) in a large population. Setting: One site in Santiago, Chile. Design: Single arm, non-randomized retrospective chart review. Methods: This was a single-arm retrospective chart review of clinical outcomes after bilateral implantation of a trifocal IOL (Panoptix ®), both toric and non-toric versions. Binocular visual acuity at 4 m, 60 cm and 40 cm was tested. Other tests included refraction, mesopic and photopic contrast sensitivity, and defocus curve measurement. Results: The review included 500 eyes of 250 patients implanted with the trifocal IOL and 200 eyes of 100 patients implanted with the trifocal toric IOL, with no clinically significant differences between groups. Ninety-six percent of all eyes were within 0.50D of the intended spherical equivalent correction. In the toric group, 94% of eyes (187/200) had a residual refractive cylinder ≤0.50D, compared to 81% of eyes (406/500) in the non-toric group. Four out of five patients (80.6%, 282/350) had a binocular uncorrected VA of 0.1 logMAR (20/25) at all test distances. Mean defocus was 0.1 logMAR or better from vergences from 0.00 to −3.00 D (corresponding to vision from distance to about 33 cm). With a cutoff of 0.2 logMAR, 96% of patients had a range of vision 2.5 D or greater. Contrast sensitivity was similar between the toric and non-toric lenses, and similar to age-matched normal results. Conclusion: The non-toric and toric trifocal IOLs provided good distance, intermediate and near vision to patients, with a wide range of vision and good contrast sensitivity.
Following the 27 February 2010 (Mw = 8.8) Offshore Maule, Chile earthquake, a temporary, 16-channel, real-time data streaming array was installed in a recently constructed building in Viña del Mar to capture its responses to aftershocks. The cast-in-place, reinforced concrete building is 16 stories high, with 3 additional basement levels, and has dual system comprising multiple structural walls and perimeter frames. This building was not damaged during the main-shock, but other buildings of similar design in Viña del Mar and other parts of Chile were damaged, although none collapsed. Dynamic characteristics of the building identified from the low-amplitude (PGA of about 2 Gal) response recordings of aftershocks are found to compare well with those determined from modal analyses using a design level FEM model. Distinct “major-axes” translational and torsional fundamental frequencies, as well as frequencies of secondary modes, are identified. Evidence of beating is consistently observed in the response data for each earthquake. Results do not match well with U.S. code formulas.
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