Visual performance, reading ability and patient satisfaction after implantation of a diffractive trifocal intraocular lens

Purpose: To evaluate the visual quality, visual performance, and patient satisfaction after the implantation of the last generation supplementary intraocular lens (1stQ AddOn Trifocal) for achieving near vision spectacle-independence in pseudophakic patients who had primary monofocal capsular bag implantation. Methods: Patients who underwent monofocal lens surgery in the past year, and who expressed their explicit desire to become spectacle-independent were included in this prospective observational study. Uncorrected and corrected distance, intermediate and near visual acuities (CDVA, UDVA, DCIVA, UIVA, CNVA, and UNVA), refractive outcomes, lens positioning, contrast sensitivity and patient satisfaction were assessed 6 months postoperatively. Results: About 28 eyes of 18 patients were evaluated. No intra- or postoperative complications (iris chafing, iris capture, interlenticular opacification, IOL-dislocation, etc.) could be observed. The postoperative mean UDVA and CDVA were 0.05 ± 0.08 and 0.01 ± 0.03 (logMAR), respectively. The mean UNVA improved from the preoperative 0.50 ± 0.23 to 0.02 ± 0.05 (logMAR), postoperatively ( p = 0.0104). The postoperative mean UIVA and DCIVA were 0.06 ± 0.020 and 0.01 ± 0.00 (logMAR), respectively. Twenty-five eyes (89%) had a residual spherical equivalent within 1.0 D from the target refraction, emmetropia. Contrast sensitivity measured in photopic and mesopic conditions were statistically indifferent from the preoperative curves. All patients had better visual function and quality scores compared to the preoperative responses. The highest improvement could be achieved in near vision activities, dependency, and limitation of social functioning. Conclusion: The 1stQ AddOn Trifocal lens represents a safe and effective option for pseudophakic patients aiming for high quality, spectacle-free vision.

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Visual performance and patient satisfaction of multifocal contact lenses in eyes undergoing monofocal intraocular Lens implantation

Contact Lens and Anterior Eye ◽

10.1016/j.clae.2020.03.013 ◽

2020 ◽

Vol 43 (3) ◽

pp. 218-221

Author(s):

Kazutaka Kamiya ◽

Fusako Fujimura ◽

Wakako Ando ◽

Kei Iijima ◽

Nobuyuki Shoji

Keyword(s):

Patient Satisfaction ◽

Intraocular Lens ◽

Contact Lenses ◽

Visual Performance ◽

Intraocular Lens Implantation ◽

Lens Implantation

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Functional Outcome and Patient Satisfaction After Artisan Phakic Intraocular Lens Implantation for the Correction of Myopia

Yearbook of Ophthalmology ◽

10.1016/s0084-392x(08)70025-x ◽

2007 ◽

Vol 2007 ◽

pp. 23

Author(s):

C.J. Rapuano

Keyword(s):

Patient Satisfaction ◽

Functional Outcome ◽

Intraocular Lens ◽

Intraocular Lens Implantation ◽

Phakic Intraocular Lens ◽

Lens Implantation

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Faculty Opinions recommendation of Visual outcomes and patient satisfaction in 9366 eyes using a refractive segmented multifocal intraocular lens.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.718040364.793480840 ◽

2013 ◽

Author(s):

Arun Gulani

Keyword(s):

Patient Satisfaction ◽

Intraocular Lens ◽

Multifocal Intraocular Lens ◽

Visual Outcomes

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Faculty Opinions recommendation of Visual Performance of a Small-Aperture Intraocular Lens: First Comparison of Results After Contralateral and Bilateral Implantation.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.737186480.793572726 ◽

2020 ◽

Author(s):

George O Waring IV ◽

Larissa Gouvea

Keyword(s):

Intraocular Lens ◽

Visual Performance ◽

Small Aperture ◽

Comparison Of Results

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Visual outcomes and patient satisfaction after implantation of a presbyopia-correcting intraocular lens that combines EDOF and Multifocal profiles

Journal of Cataract & Refractive Surgery ◽

10.1097/j.jcrs.0000000000000659 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

Filomena J Ribeiro ◽

Tiago B Ferreira ◽

Diana Silva ◽

Ana Cláudia Matos ◽

Sylvia Gaspar

Keyword(s):

Patient Satisfaction ◽

Intraocular Lens ◽

Visual Outcomes

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A comparative study on early vision quality after implantation of refractive segmental and diffractive multifocal intraocular lens

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.36.7.3364 ◽

2020 ◽

Vol 36 (7) ◽

Author(s):

Huifang Lian ◽

Weisong Ma ◽

Qiuhong Wei ◽

Xiaoyong Yuan

Keyword(s):

Patient Satisfaction ◽

Contrast Sensitivity ◽

Intraocular Lens ◽

Visual Disturbance ◽

Early Vision ◽

Multifocal Intraocular Lens ◽

Spatial Frequencies ◽

High Order Aberration ◽

Phacoemulsification Cataract Surgery

Objectives: To compare early subjective and objective vision quality of postoperative patients undergoing phacoemulsification cataract surgery combined with implantation of refractive segmental multifocal intraocular lens (MIOL) SBL-3 and apodized diffractive MIOL SN6AD1. Methods: As a prospective study, it enrolled 53 patients (53 eyes) to undergo phacoemulsification cataract surgery combined with MIOL implantation. According to differences in MIOL implanted, patients were divided into a SBL-3 group (25 eyes) and a SN6AD1 group (28 eyes). Ophthalmological evaluation included uncorrected (UDVA) and corrected (CDVA) distance visual acuities, uncorrected intermediate (UIVA) and near (UNVA) visual acuities, distance-corrected intermediate (DCIVA) and near (DCNVA)visual acuities and corrected near(CNVA) visual acuity, contrast sensitivity, modulation transfer function (MTF) and high order aberration (4 mm pupil diameter) at three months postoperatively. Moreover, a questionnaire survey was carried out to assess near spectacle independence, patient satisfaction and symptoms of visual disturbance. Results: At three months after surgery, UIVA and UNVA in the SBL-3 group are statistically significantly superior to those of the SN6AD1 group (P<0.05). There was statistical difference in contrast sensitivity at four spatial frequencies (3, 6, 12, 18cycles/degree) under mesopic conditions and mesopic conditions with glare (P<0.05). The total ocular high order aberration, coma and trefoil were statistically significantly larger in the SBL-3 group than in the SN6AD1 group with 4.0 mm pupil diameters (P<0.05). Statistical differences were found in the MTF at spatial frequencies of 5, 10 and 15 cycles/degree between the groups. There were no significant differences in spectacle independence, patient satisfaction and visual disturbance between the groups (P>0.05). Conclusions: Both the two multifocal intraocular lens provided an excellent level of quality of vision three months postoperatively. However, the application effect of SBL-3 MIOL is superior to that of SN6AD1 MIOL as far as intermediate vision, near vision and contrast sensitivity are concerned. doi: https://doi.org/10.12669/pjms.36.7.3364 How to cite this:Lian H, Ma W, Wei Q, Yuan X. A comparative study on early vision quality after implantation of refractive segmental and diffractive multifocal intraocular lens. Pak J Med Sci. 2020;36(7):---------. doi: https://doi.org/10.12669/pjms.36.7.3364 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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