Prospective Comparison of Clinical Performance and Subjective Outcomes Between Two Diffractive Trifocal Intraocular Lenses in Bilateral Cataract Surgery.
J Refract Surg
; 35(7): 418-425, 2019 Jul 01.
Article
en En
| MEDLINE
| ID: mdl-31298721
ABSTRACT
PURPOSE:
To compare clinical outcomes and subjective experience after bilateral implantation of two non-toric diffractive trifocal intraocular lenses (IOLs).METHODS:
In a prospective, comparative case series, patients were randomly allocated to receive bilateral implantation of either the preloaded RayOne Trifocal (Rayner, Worthing, UK) or the FineVision POD F (PhysIOL, Liège, Belgium). At the 3-month follow-up, the main outcomes were monocular and binocular uncorrected and corrected distance (UDVA, CDVA), intermediate at 80 cm (UIVA, DCIVA), and near at 40 cm (UNVA, DCNVA) visual acuities, refractive outcomes, and defocus curves. Patients' satisfaction in terms of visual disturbance was also evaluated.RESULTS:
Each group comprised 30 eyes (15 patients). The mean monocular UDVA was 0.03 ± 0.11 (RayOne Trifocal) and 0.04 ± 0.08 (FineVision POD F) logMAR (P = .605); DCIVA was 0.05 ± 0.13 and 0.05 ± 0.10 logMAR, respectively (P > .999); and DCNVA was 0.02 ± 0.12 and 0.03 ± 0.11 logMAR (P = .742). A better manifest spherical equivalent was found in the RayOne Trifocal than in the FineVision POD F group (P = .035) and depth perception issues were less severe with the RayOne Trifocal IOL (P = .042). There was no significant difference in other photic phenomena between groups.CONCLUSIONS:
Both IOLs provided good visual outcomes at all distances with no differences between the groups. Refractive accuracy was better for the RayOne Trifocal IOL. The results indicated that the new trifocal IOL may represent a safe and effective option for presbyopic patients. [J Refract Surg. 2019;35(7)418-425.].
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Facoemulsificación
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Implantación de Lentes Intraoculares
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Lentes Intraoculares Multifocales
Tipo de estudio:
Clinical_trials
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Observational_studies
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Risk_factors_studies
Límite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
J Refract Surg
Asunto de la revista:
OFTALMOLOGIA
Año:
2019
Tipo del documento:
Article