Comparing the visual outcome, visual quality, and satisfaction among three types of multi-focal intraocular lenses
Dong Won Paik, Jun Sang Park, Chan Min Yang, Dong Hui Lim, Tae-Young Chung, Dong Won Paik, Jun Sang Park, Chan Min Yang, Dong Hui Lim, Tae-Young Chung
Abstract
This study compared the visual outcome, visual quality, and satisfaction following implantation of the Mix-and-Match bifocal IOLs (+ 2.75 D and + 3.25 D add power Tecnis Multifocal Model), EDOF IOL (Tecnis Symfony IOL), and Trifocal IOL (FineVision PodFT, PhysIOL). All outcomes were compared among the three groups. The manifest refraction indicated that the EDOF group had significantly higher myopic spherical equivalent values than did the others. In the terms of visual acuity, there were no significant differences in far or intermediate visual acuity among the three groups. Only in near (33 cm), the EDOF group had significantly worse binocular visual acuity than did the Trifocal group (p = 0.002). Regarding to defocus curve, the Trifocal group had better defocus curves at near distances (- 2.0 to - 3.5 D; p = 0.001 vs. EDOF) than did the other two groups. In contrast sensitivity test, the EDOF group had relatively lower value than did the other two groups. In reading speed, only at 0.3 logMAR (6.5-point font), Mix-and-Match group had a significantly higher reading speed than did the other two groups (p = < 0.001 vs. EDOF, p = 0.007 vs. Trifocal). also Mix-and-Match group showed significantly fewer visual artifacts. There were no differences between the three groups in terms of patient satisfaction.ClinicalTrials.gov number: NCT04019691.
Conflict of interest statement
The authors declare no competing interests.
Figures
References
- Fernández-Vega L, Alfonso JF, Baamonde MB, Montés-Micó R. Symmetric bilateral implantation of a distance dominant diffractive bifocal intraocular lens. J. Cataract Refract. Surg. 2007;33:1913–1917. doi: 10.1016/j.jcrs.2007.06.044.
- Alfonso JF, Fernández-Vega L, Puchades C, Montés-Micó R. Intermediate visual function with different multifocal intraocular lens models. J. Cataract Refract. Surg. 2010;36:733–739. doi: 10.1016/j.jcrs.2009.11.018.
- Hayashi K, Yoshida M, Hirata A, Yoshimura K. Short-term outcomes of combined implantation of diffractive multifocal intraocular lenses with different addition power. Acta Opthalmol. 2015;93:287–293. doi: 10.1111/aos.12591.
- Yang CM, Lim DH, Hwang S, Hyun J, Chung TY. Prospective study of bilateral mix and match implantation of diffractive multifocal intraocular lenses in Koreans. BMC Opthalmol. 2018;18:73. doi: 10.1186/s12886-018-0735-0.
- Pedrotti E, Bruni E, Bonacci E, Badalamenti R, Mastropasqua R, Marchini G. Comparative analysis of the clinical outcome with a monofocal and an extended range of vision intraocular lens. J. Refract. Surg. 2016;32:436–442. doi: 10.3928/1081597X-20160428-06.
- Sheppard AL, Shah S, Bhatt U, Bhogal G, Wolffsohn JS. Visual outcomes and subjective experience after bilateral implantation of a new diffractive trifocal intra ocular lens. J. Cataract Refract. Surg. 2013;39:343–349. doi: 10.1016/j.jcrs.2012.09.017.
- Bilbao-Calabuig R, et al. Comparison between mix and match implantation of bifocal intraocular lenses and bilateral implantation of trifocal lenses. J. Refract. Surg. 2016;32:659–663. doi: 10.3928/1081597X-20160630-01.
- Ruiz-Mesa R, Abengózar-Vela A, Aramburu A, Ruiz-Santos M. Comparison of visual outcomes after bilateral implantation of extended range of vision and trifocal intraocular lenses. Eur. J. Ophthalmol. 2017;27:460–465. doi: 10.5301/ejo.5000935.
- Ruiz-Mesa R, Abengózar-Vela A, Ruiz-Santos M. A comparative study of the visual outcomes between a new trifocal and an extended depth of focus intraocular lens. Eur. J. Ophthalmol. 2018;28:182–187. doi: 10.5301/ejo.5001029.
- Pedrotti E, et al. Comparative analysis of visual outcomes with 4 intraocular lenses: monofocal, mulifocal, and extended range of vision. J. Cataract Refract. Surg. 2018;44:156–167. doi: 10.1016/j.jcrs.2017.11.011.
- Monaco G, et al. Visual performance after bilateral implantation of 2 new presbyopia correcting intraocular lenses: trifocal versus extended range of vision. J. Cataract Refract. Surg. 2017;43:737–747. doi: 10.1016/j.jcrs.2017.03.037.
- Mojzis P, Kukuckova L, Majerova K, Ziak P, Piñero DP. Postoperative visual performance with a bifocal and trifocal diffractive intraocular lens during a 1-year follow-up. Int. J. Opthalmol. 2017;10:1528–1533.
- Savini G, Schiano-Lomoriello D, Balducci N, Barboni P. Visual performance of a new extended depth of focus intraocular lens compared to a distance dominant diffractive multifocal intraocular lens. J. Refract. Surg. 2018;34:228–235. doi: 10.3928/1081597X-20180125-01.
- Kim M, Kim JH, Lim TH, Cho BJ. Comparisons of reading speed after bilateral bifocal and trifocal intraocular lens implantation. Korean J. Ophthalmol. 2018;32:77–82. doi: 10.3341/kjo.2017.0057.
- Jonker SM, et al. Comparison of a trifocal intraocular lens with a + 3.0 D bifocal IOL: results of a prospective randomized clinical trial. J. Cararact Refract. Surg. 2015;41:1631–1640. doi: 10.1016/j.jcrs.2015.08.011.
- Gundersen KG, Potvin R. Comparison of visual outcomes and subjective visual quality after bilateral implantation of a diffractive trifocal intraocular lens and blended implantation of apodized diffractive bifocal intraocular lenses. Clin. Opthalmol. 2016;10:805–811.
- Cochener B. Influence of the level of monovision on visual outcome with an extended range of vision intraocular lens. Clin. Ophthalmol. 2018;12:2305–2312. doi: 10.2147/OPTH.S184712.
- Mencucci R, Favuzza E, Caporossi O, Savastano A, Rizzo S. Comparative analysis of visual outcomes, reading skills, contrast sensitivity, and patient satisfaction with two models of trifocal diffractive intraocular lenses and an extended range of vision intraocular lens. Graefes Arch. Clin. Exp. Ophthalmol. 2018;256:1913–1922. doi: 10.1007/s00417-018-4052-3.
- McAlinden C, Pesudovs K, Moore JE. The development of an instrument to measure quality of vision: the quality of vision (QoV) questionnaire. Invest. Ophtahlmol. Vis. Sci. 2010;51:5537–5545. doi: 10.1167/iovs.10-5341.
Source: PubMed