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Comparison of visual outcomes after cataract surgery with implantation of a bifocal and trifocal diffractive intraocular lens

Poster Details

First Author: Y.Yun SOUTH KOREA

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Abstract Details


To evaluate and compare visual outcomes and optical quality after implantation of a trifocal (Acriva Reviol Tri-ED) or bifocal (Acrysof ReSTOR�â�“�‡ SN6AD1) diffractive intraocular lens (IOL)


This experiment was performed at IYUN EYE Hospital.


Eighty eight eyes of 65 patients undergoing cataract surgery were enrolled and assigned to one of two groups: the trifocal group, comprising 48 eyes implanted with the trifocal diffractive IOL (Acriva Reviol Tri-ED), and the bifocal group, comprising 40 eyes implanted with the bifocal diffractive IOL (Acrysof ReSTOR�â�“�‡ SN6AD1). Visual acuity (distant, intermediate, and near vision) and refractive postoperative outcomes were evaluated at one and three months postoperatively. Measurements of optical quality (using OQAS II�â�“�‡), contrast sensitivity (using CGT-2000�â�“�‡), automated visual field examination, and evaluation of defocus curve were performed three months postoperatively.


No statistically significant differences between the two groups were found in three-month postoperative distant and near (40cm) visual acuities and optical quality. However, intermediate (63cm, 80cm, and 100cm) visual acuities were significantly better in the trifocal group. Distant contrast sensitivity (5m) under mesopic conditions was significantly better with the bifocal lens, whereas near contrast sensitivity (30cm) under mesopic and scotopic conditions was significantly better with trifocal lens. There was no statistical difference between the groups under photopic conditions. In the defocus curve, the visual acuity was significantly better at intermediate distance in the trifocal group.


Trifocal diffractive IOLs provide significantly better intermediate vision than bifocal IOLs, with equivalent postoperative levels of distant and near vision and ocular optical quality. Further, they provide better near contrast sensitivity under scotopic condition compared to diffractive bifocal IOLs.

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