6533b86dfe1ef96bd12ca1aa
RESEARCH PRODUCT
Visual Function after Implantation of a Presbyopia-Correcting Trifocal Intraocular Lens
José F. AlfonsoLuis Fernández-vega-cuetoRobert Montés-micóLuis Fernández-vegasubject
Malemedicine.medical_specialtyVisual acuityPseudophakiagenetic structuresmedicine.medical_treatmentmedia_common.quotation_subjectVisual AcuityIntraocular lensProsthesis DesignRefraction Ocularlaw.inventionCellular and Molecular NeuroscienceLens Implantation IntraocularlawOphthalmologyHumansMedicineContrast (vision)In patientRetrospective Studiesmedia_commonVision BinocularColor Visionbusiness.industryGeneral MedicinePresbyopiaMiddle Agedmedicine.diseaseMultifocal Intraocular Lenseseye diseasesSensory SystemsLens (optics)OphthalmologyVisual functionFemalemedicine.symptombusinessFollow-Up StudiesPhotopic visiondescription
<b><i>Purpose:</i></b> To evaluate distance, intermediate, and near visual performance in patients implanted with a trifocal aspheric presbyopia-correcting intraocular lens (IOL). <b><i>Methods:</i></b> 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/m<sup>2</sup>), and defocus curves were evaluated at 6-months. <b><i>Results:</i></b> 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% (<i>n</i> = 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% [<i>n</i> = 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. <b><i>Conclusions:</i></b> 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.
year | journal | country | edition | language |
---|---|---|---|---|
2019-01-26 | Ophthalmic Research |