Visual Performance And Subjective Outcomes Of A Trifocal Intraocular Lens Acrysoft Iq Panoptix In Eyes With Short-Axial Lengths.

This study aimed to investigate the visual quality of short-axial length cataractous eyes after bilateral implantation of AcrySof IQ PanOptix.

Department of Ophthalmology, Peking University Third Hospital, Beijing Key Laboratory of Restoration of Damaged Ocular Nerve, Beijing, China.

This prospective observational study enrolled bilateral short-axial lengths (≤22.5 mm) cataract patients after implantation of intraocular lens (IOL) AcrySof IQ PanOptix. Monocular and binocular uncorrected distance, best-corrected distance, uncorrected intermediate (60cm), distance-corrected intermediate, uncorrected near (40cm), and distance-corrected near (UDVA, BCVA, UIVA, DCIVA, UNVA and DCNVA) visual acuity were measured with follow-up of three months. Visual disturbances, patient satisfaction and spectacle independence were assessed using a questionnaire.

We included 16 patients with 32 eyes. The average axial length was 22.05±0.07mm. IOL power were 24.03±0.30D. 96.9% of eyes achieved UDVA, UIVA and UNVA of 0.2 LogMAR or better. Monocular UDVA were 0.05±0.02, BCVA were -0.01±0.01, UIVA were 0.09±0.02, DCIVA were 0.04±0.01, UNVA were 0.10±0.02 and DCNVA were 0.05±0.01. Binocular UDVA were 0.01±0.02, BCVA were 0.03±0.01, UIVA were 0.03±0.02, DCIVA were 0.00±0.01, UNVA were 0.03±0.02 and DCNVA were 0.02±0.02. Patient satisfaction was 100%, with 65.6% of patients being very satisfied. All patients achieved complete spectacle independence. 37.5% of patients reported no significant visual disturbances, 56.25% patients reported slight glare and  6.25% patients reported moderate glare and halos.

With detailed preoperative evaluation, the trifocal IOL provided satisfactory visual outcomes for patients with short-axial length. Since the trifocal IOL can significantly improve the symptoms of hyperopia and presbyopia, patient satisfaction may be higher.