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Visual performance after implantation of a novel presbyopia-correcting trifocal intraocular lens following lens removal

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Session Details

Session Title: Presented Poster Session: Cataract Surgery Outcomes

Venue: Poster Village: Pod 1

First Author: : M.Böhm GERMANY

Co Author(s): :    M. Herzog   E. Hemkeppler   S. Schoenbrunn   N. De Lorenzo   K. Petermann   T. Kohnen

Abstract Details

Purpose:

To evaluate the visual performance after bilateral implantation of a diffractive aspheric trifocal intraocular lens (IOL) with a +2.17 diopter (D) (60 cm) intermediate and a +3.25 D (40 cm) near add power.

Setting:

Department of Ophthalmology, Goethe-University, Frankfurt, Germany.

Methods:

In this prospective single-arm study, twenty-seven patients (54 eyes) had bilateral implantation of the PanOptix IOL (AcrySof® IQ PanOptixTM, Alcon Research, Fort Worth, TX, USA) pre-enrollment. Exclusion criteria were previous ocular surgeries, corneal astigmatism of > 1.5 diopter, ocular pathologies or corneal abnormalities. Postoperative examination at 3 months included manifest refraction, monocular and binocular uncorrected (UCVA) and distance-corrected (DCVA) visual acuity in 4 m, 80 cm, 60 cm and 40 cm, slit-lamp examination, monocular and binocular defocus testing, binocular contrast sensitivity (CS) under photopic and mesopic conditions, and a questionnaire on subjective quality of vision, optical phenomena, and spectacle independence.

Results:

Mean spherical equivalent was -0.04 ± 0.321 D 3 months postoperatively. Binocular UCVA at distance, intermediate (80 cm, 60 cm) and near was 0.00 ± 0.094 logMAR, 0.09 ± 0.107 logMAR, 0.02 ± 0.112 logMAR, and 0.01 ± 0.087 logMAR respectively. Binocular defocus curve showed peaks with best VA at 0.00 D (-0.07 logMAR) and -2.00 D (-0.02 logMAR). The lowest mean VA between far (4 m) and near distance (40 cm) showed 0.07 logMAR at -1.00 D. Despite some optical phenomena, 81% of patients would choose the same IOL again, and would also recommend it to others.

Conclusions:

Visual performance of PanOptix trifocal IOL showed good visual acuity at far (4 m), intermediate (60 cm, 80 cm) and near (40 cm) distance; high patient satisfaction despite some optical phenomena; and high spectacle independence at 3 months postoperatively.

Financial Disclosure:

gains financially from product or procedure presented, travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented, receives consulting fees, retainer, or contract payments from a competing company, receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented

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