Association of Patient Satisfaction with Cataract Grading in Five Types of Multifocal IOLs

Niazi, Sana; Gatzioufas, Zisis; Dhubhghaill, Sorcha N.; Moshirfar, Majid; Faramarzi, Amir; Mohammadi, Farzad; Kheiri, Bahar; Peyman, Alireza; Heidari, Mohammad; Doroodgar, Farideh

doi:10.1007/s12325-023-02698-5

Cited by 8 publications

(3 citation statements)

References 35 publications

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“…Modern presbyopia-correcting intraocular lenses (PC IOLs), particularly trifocal platforms, substantially minimise spectacle dependence in implanted patients by offering good vision across various distances. [1][2][3] This is in contrast to conventional monofocal IOLs, where most patients required spectacles for near vision. 4,5 However, it is noteworthy that postoperative residual astigmatism has been reported to significantly impact the performance of PC IOLs.…”

Section: Introductionmentioning

confidence: 99%

Clinical Results of a Trifocal Toric Intraocular Lens Using the Holladay Total Surgically Induced Astigmatism Formula for Correcting Low Corneal Astigmatism in Japanese Patients

Bissen-Miyajima,

Ota,

Yaguchi

et al. 2024

OPTH

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Purpose To evaluate the effectiveness and safety of the AcrySof IQ PanOptix toric intraocular lens (IOL) with cylinder power of 1.0 D (TFNT20) in a Japanese population with low corneal astigmatism and compare with historical control data for nontoric IOLs. Setting Tokyo Dental College Suidobashi Hospital, Tokyo, Japan. Design Prospective, single-center study. Methods Patients ≥20 years old received TFNT20 IOL in at least 1 eye based on Alcon Toric calculator (Holladay Total surgically induced astigmatism). Effectiveness endpoints included the percentage of eyes with refractive cylinder ≤0.25 D at 30–60 days after surgery, which was compared with a historical control threshold rate of 29.2% for nontoric IOLs and refractive cylinder ≤0.50 D. Monocular uncorrected distance visual acuity (UDVA; 5 m), uncorrected intermediate visual acuity (UIVA; 60 cm), uncorrected near visual acuity (UNVA; 40 cm), and adverse events were evaluated. Results Of 41 eyes implanted with TFNT20 IOLs, 37 eyes (90%) achieved refractive cylinder ≤0.25 D at 30–60 days after surgery, demonstrating the superiority of TFNT20 compared with historical data ( P <0.0001). Refractive cylinder of ≤0.50 D was achieved by 41 eyes (100%). At 30–60 days, mean ± SD monocular CDVA was −0.15 ± 0.07 logMAR, UDVA was −0.09 ± 0.09 logMAR, UIVA was −0.00 ± 0.07 logMAR, and UNVA was 0.03 ± 0.07 logMAR. Six eyes (15%) had elevated postoperative intraocular pressure, which returned to normal and was not device-related. Conclusion TFNT20 IOLs successfully reduced postoperative refractive cylinder and provided good distance, intermediate, and near uncorrected VAs in Japanese patients with low corneal astigmatism.

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Section: Introductionmentioning

confidence: 99%

Clinical Results of a Trifocal Toric Intraocular Lens Using the Holladay Total Surgically Induced Astigmatism Formula for Correcting Low Corneal Astigmatism in Japanese Patients

Bissen-Miyajima,

Ota,

Yaguchi

et al. 2024

OPTH

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“…Cataract surgery or refractive lens exchange with the implantation of multifocal intraocular lens (MF IOL) allows for good visual performance and spectacle independence, particularly for the newer trifocal platforms (AT Lisa tri 839 MP, Panoptix, Fine Vision, among others), which lets the patients have good unaided near, intermediate, and far vision [ 1 , 2 , 3 , 4 , 5 , 6 , 7 ]. The aim of the surgery is to provide rapid and complete visual rehabilitation with marginal postoperative refractive errors, and sufficient uncorrected visual acuity at the three object distances.…”

Section: Introductionmentioning

confidence: 99%

Comparative Analysis of the Visual, Refractive and Aberrometric Outcome with the Use of 2 Intraocular Refractive Segment Multifocal Lenses

Markuszewski,

Wylęgała,

Szentmáry

et al. 2023

JCM

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To demonstrate the results of ray tracing higher- and lower-order aberrations in pseudophakic eyes with rotationally asymmetrical segment multifocal lenses, total high- and low-order aberrations, measured by root mean square value (RMS), refraction, uncorrected distance and uncorrected near visual acuity (UCDVA and UCNVA), and tear break-up time, were measured at scotopic size in 42 eyes of patients implanted with bifocal refractive Mplus15/Mplus30 IOL with +1.5 dpt near addition (42 eyes of patients implanted with Mplus15)/+3.0 dpt near addition (91 eyes of patients implanted with Mplus30), and 107 eyes of control group. No significant differences were noticed between the examined groups concerning UCDVA, UCNVA, and tear break-up time (p < 0.001). Coma and total high-order aberrations were significantly higher for the Mplus30 lens in comparison to the Mplus15 lens and the control group (Coma, Trefoil p < 0.001, Secondary Astigmatism p = 0.002). The spherical aberrations were significantly higher in the lower-addition lens (p = 0.016) in comparison to the control group and to the higher-addition lens group (p < 0.001). Both intraocular lens models were successful at reaching refractive aim, good distance, and near function with the lower higher-order aberrations for the low-addition lens.

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“…1 This deficiency has been addressed by the introduction of IOLs with multifocal optics, first in the form of bifocal IOLs offering reading without glasses in addition to distance vision. 2 Later, more complex trifocal designs were introduced, such as FineVision (PhysIOL), AT LISA tri 839 MP (Carl Zeiss Meditec), and PanOptix (Alcon), among others, [3][4][5] to address the challenge of inadequate intermediate vision. 2 Furthermore, in an effort to reduce photic phenomena associated with bifocal and trifocal designs, extended-depth-of-focus (EDoF) technology was launched, however, at the expense of near vision.…”

Section: Introductionmentioning

confidence: 99%

Optical-Quality Analysis and Defocus-Curve Simulations of a Novel Hydrophobic Trifocal Intraocular Lens

Łabuz,

Yan,

Khoramnia

et al. 2023

OPTH

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The optical function of a novel refractive-diffractive trifocal intraocular lens (IOL) was tested in vitro to provide preclinical metrics that predict postoperative performance and may guide patient selection. Methods: Fundamental optical characteristics of a trifocal hydrophobic-acrylic IOL with a C-loop haptic configuration (AT ELANA 841P, Carl Zeiss Meditec) were assessed using a fully automated optical test device under both monochromatic and polychromatic conditions combined with increased or compensated spherical aberration (SA). The area under the modulation transfer function (MTFa) was calculated across a defocus range from +1D to −3.5D and used to simulate visual acuity (VA). A polychromatic point spread function (PSF) was employed to assess the light distribution and identify photic phenomena. Results:The highest MTFa values were obtained under monochromatic conditions using an SA-neutral corneal model. Nevertheless, after introducing SA and polychromatic light, the IOL performance remained good. Simulated VA values were 0.00 logMAR for distance, 0.1 logMAR at 100 cm, and progressively improving to 0.05 logMAR at 40 cm from the intermediate point. The light-spread analysis confirmed halos around the PSF center, which is a characteristic of trifocal technology. Conclusion:AT ELANA 841P demonstrated good optical performance across various distances, independently of spectral and SA conditions, resulting in good simulated VA. Although light spread resembles standard trifocal IOLs, clinical studies are essential to confirm these laboratory results.

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Association of Patient Satisfaction with Cataract Grading in Five Types of Multifocal IOLs

Cited by 8 publications

References 35 publications

Clinical Results of a Trifocal Toric Intraocular Lens Using the Holladay Total Surgically Induced Astigmatism Formula for Correcting Low Corneal Astigmatism in Japanese Patients

Clinical Results of a Trifocal Toric Intraocular Lens Using the Holladay Total Surgically Induced Astigmatism Formula for Correcting Low Corneal Astigmatism in Japanese Patients

Comparative Analysis of the Visual, Refractive and Aberrometric Outcome with the Use of 2 Intraocular Refractive Segment Multifocal Lenses

Optical-Quality Analysis and Defocus-Curve Simulations of a Novel Hydrophobic Trifocal Intraocular Lens

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