ESCRS - PP24.01 - Comparative Visual Outcomes, Spectacle Independence, And Patient Satisfaction With A Diffractive Trifocal Or A Novel Non-Diffractive Presbyopia-Correcting Intraocular Lens: A Preliminary Analysis

Comparative Visual Outcomes, Spectacle Independence, And Patient Satisfaction With A Diffractive Trifocal Or A Novel Non-Diffractive Presbyopia-Correcting Intraocular Lens: A Preliminary Analysis

Published 2026 - 44th Congress of the ESCRS

Reference: PP24.01 | Type: Poster | DOI: 10.82333/rfee-qk75

Authors: Mrs Laura Mariñas García* 1 , Mr Laureano Alvarez-Rementeria Capelo 2 , Mr Javier Ruiz Alcocer 3

1Cataract ,Rementeria Clinic,Madrid,Spain, 2Cataract and Refractive,Rementeria Clinic,Madrid,Spain, 3Optometry and Vision Department,Complutense University ,Madrid,Spain

Purpose

The objective of this study was to evaluate and compare the visual performance, spectacle independence and subjective patients’ satisfaction in patients who underwent bilateral implantation of either a diffractive trifocal intraocular lens (IOL) or a novel non-diffractive presbyopia correcting IOL.

Setting

Rementeria Clinic

Methods

Patients bilaterally implanted with either the diffractive trifocal Clareon® PanOptix® or the novel non-diffractive RayOne® Galaxy® IOL were included. At 3 months postoperatively, monocular corrected VA at 100%, 50%, and 10% of contrast, and binocular defocus curves were evaluated. The need for additional glasses, subjective satisfaction with vision in general and disturbances due to visual artifacts after the surgery were measured using a five-point Likert-scale questionnaire.

Results

This preliminary analysis included 52 eyes of 26 patients (28 PanOptix, 24 Galaxy). Both groups showed reduced monocular acuity under lower contrast, without significant differences (p > 0.05). Binocular defocus curves were comparable up to 2.5D and 3.0D; at these vergences, the diffractive lens showed better outcomes (p=0.01 and p=0.03, respectively). Postoperatively, 92%, 100% and 93% (diffractive) vs 75%, 83% and 100% (non-diffractive) “almost never/never” needed glasses at near, intermediate and far distances. General satisfaction was 93% (diffractive) vs 91% (non-diffractive), and glasses independence 100% vs 83%, respectively. Visual artifacts were “Slightly/Not bothered” in 50% of diffractive and 92% of non-diffractive patients.

Conclusions

Both IOLs provided comparable overall VA outcomes at different distances. However, patients with diffractive trifocal IOL seem to show greater spectacle independence for near and intermediate vision and higher satisfaction with glasses independence. Despite this, patients implanted with the non-diffractive IOL reported fewer bothersome visual artifacts. Although preliminary and based on a small sample, these findings suggest a trade-off between enhanced near performance and photic phenomena, which should be considered in patient selection and counseling.