Subjective Data On Patient Outcomes And Satisfaction After Trifocal Iol Implants

To evaluate the qualitative postoperative outcomes using trifocal intraocular lens implants in phakoemulsification and lens replacement surgery, with both toric and non-toric variants. Patient satisfaction, alignment of outcomes with preoperative expectations, photic phenomena and their severity along with use and dependence on spectacles was assessed.

Private ophthalmology practice in South Wales, United Kingdom.

From a single surgeon’s cases, with the utilisation of CLEARlog software, postoperative data was uploaded following the patient completion of a structured questionnaire. The questionnaire assessed key parameters, including patient satisfaction with visual outcomes, alignment of postoperative vision with preoperative expectations, the incidence of photic phenomena(such as glare, haloes, and starbursts), and the dependence on corrective spectacles for near,  intermediate, and distance tasks.

Data analysis from 125 phacoemulsion and IOL replacement surgery with HOYA XY1-G and XY1-GT models revealed that 94.4%  were “very satisfied”, and “mostly satisfied” with results. For long-distance tasks, 92% reported "never" needing spectacles. For intermediate-distance spectacle use, 93% reported “never” needing them.  92% of patients responded with “never” or only “some of the time” requiring reading glasses. Of all patients, 88% never experienced haloes or only “sometimes”. 90% reported the haloes as “mild” or “moderate”. The glare was never experienced by 97% or only “sometimes”. Starburst was not reported in 88.8% of patients, and 11.2% experienced it “sometimes” or “always”. Starburst reported were “mild” or “moderate” in severity.

The results of this study suggest that trifocal IOL implants, both toric and non-toric, provide high levels of patient satisfaction and are associated with minimal reliance on corrective spectacles for distance, intermediate, and near vision tasks. The incidence of photic phenomena was relatively low, with most patients reporting mild or no haloes, glare, or starbursts. These findings indicate that trifocal IOL implants can provide an effective solution for cataract patients seeking reduced dependence on spectacles and satisfactory visual outcomes across a range of distances.