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Sinusoidal Trifocal intraocular lens in cataract surgery and its effect on the quality of patients’ vision.
First Author: W. Luboń POLAND
Co Author(s): E. Mrukwa-Kominek M. Kozikowska
The purpose of this study is to present the results of implantation the sinusoidal trifocal intraocular lens in patients with cataracts and presbyopia and assess the quality of life after surgery.
Department of Adult Ophthalmology, Professor K. Gibinski University Clinical Center of the Medical University of Silesia, Katowice, Poland
The analysed group of patients consisted of 15 patients (30 eyes) with implanted Acriva Trinova Sinusoidal Trifocal IOL, VSY Biotechnology. Average age of patientﾒs group was 49-76 (average -64,75 ). Exclusion criteria were corneal astigmatism > 1.0D Cyl., corneal, retinal or optic nerve pathologies, previous eye surgery. Implants were calculated for emmetropy using Barret Tk Universal II formula by IOL Master 700 device (Zeiss, Germany). Follow-up examination was done 1 day, 2 weeks, 3 and 6 months after surgery. There were assessed: UCDVA, UCIVA, UCNVA, patientﾒs postoperative quality of life (VF-14 questionnaire). The preferred reading distance also was determined.
Implanted IOL power range 15.0-23.0D. In Snellen decimal scale 3 months after surgery mean UCDVA was 0,94. Postop intermediate J4 without any correction was reached in 10 patients. Average UCNVA was 0,5 in Snellen scale (80% of patients). No refractive unexpected cases were observed. Contrast sensitivity improved significantly p=0.04. No IOL dislocation was observed after operation. No adverse effects were noticed. Changes in VF-14 test was statistically significant (T-test for dependent variables p=0.02) and was before 64,5 points and after 88,5 points. The preferred reading distance was between 40 and 55 cm for the patients after both eyes cataract surgery.
Acriva Trinova Sinusoidal Trifocal IOL seems to be good option for patients with cataract and presbyopia. In the majority of patients, the maximum visual acuity was reached for distance, near and intermediate. This trifocal IOL gives high patient satisfaction and quality of life related of vision.
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