Reported Patient Satisfaction and Spectacle Independence Following Bilateral Implantation of the PanOptix® Trifocal Intraocular Lens

Abstract

Purpose: To assess the spectacle independence and satisfaction of subjects after bilateral implantation of the PanOptix ® trifocal intraocular lens (IOL) at the time of cataract surgery. Design: Single site, prospective, single-arm study. Methods: Eligible subjects interested in a trifocal IOL to potentially reduce dependence on spectacles for near, intermediate and distance vision were enrolled and followed for 3 months after the second eye surgery. Visual acuity and refractive data were collected 1 month and 3 months postoperative, including the uncorrected and best distance-corrected binocular visual acuities at distance (4m), intermediate (60 cm) and near (40cm). A patient satisfaction and spectacle independence questionnaire were administered at the 3-month visit. Results: A total of 30 subjects successfully completed the study. Eighty-five percent of eyes (51/60) had a refraction within 0.50 D of plano with ≤ 0.50 D of refractive cylinder. One subject (3%) reported needing glasses for distance work, 3 (10%) for intermediate work and 4 (13%) for near work. Ninety percent or more of all subjects reported never wearing glasses or wearing them only a little at all working distances. Ninety percent or more were able to function without glasses at all 3 working distances all or most of the time. More than ninety percent of subjects reported being "com.pletely" or "mostly" satisfied with their vision without glasses or contact lenses at all three distances and overall. Conclusion:A high percentage of patients are likely to achieve spectacle independence for distance, intermediate and near vision with this trifocal IOL.

Rate of Complete Spectacle Independence with a Trifocal Intraocular Lens: A Systematic Literature Review and Meta-Analysis

“…In terms of study design, 17 were prospective and 2 were retrospective, with a mix of randomized controlled trials, case series, and multicenter single-arm and double-arm nonrandomized case series. The characteristics and reported spectacle independence estimates of each study are detailed in Table 2 [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29]. Of note, the patient demographics included individuals requiring bilateral cataract surgery with no pre-existing ocular pathology or systemic diseases that might affect postoperative visual acuity.…”

Visual and Refractive Efficacy of Panoptix Toric Intraocular Lens in a Clinical Setting

“…Notably, existing Panoptix Toric IOL cohort studies identify between 80% and 94.8% of patients achieving spectacle independence following surgery. [14][15][16][17][18][19] All findings within the retrospective study reflect a unilateral outcome. Given bilateral summation, it would be reasonably expected that binocular outcomes will also result in improved outcomes at all distances and would reflect real-world practice.…”

Clinical performance of a hybrid presbyopia-correcting intraocular lens in patients undergoing cataract surgery in a multicenter trial

“…Among patients with TECNIS Symfony ZXR00, 85% reported wearing spectacles none/a little of the time for overall vision at 6 months after surgery, whereas of those with the PanOptix Trifocal IOL, 86.7% reported wearing spectacles or contacts none of the time for overall vision at 3 months after surgery. 2,20 In addition, this study examined spectacle wear using a multi-faceted approach (no spectacle wear for far, intermediate, near, and overall) and found that a significantly higher proportion of patients in the ZFR00V group (87.8%) compared with the ZCB00 group (3.1%) reported no spectacle wear. Furthermore, over half the patients in the ZFR00V group achieved complete spectacle independence, defined as a patient responding no or none of the time to all 11 questions regarding spectacle wear, spectacle need, and straining to see without correction under various conditions.…”