VISUAL OUTCOMES WITH INTRAOCULAR TRIFOCAL LENS IMPLANT

Authors

  • Sana Ahmed Sarfaraz Jinnah University For Women
  • Muhammad Ali Haider Lahore General Hospital, Lahore.
  • Hussain Ahmed Khaqan Lahore General Hospital, Lahore.
  • Nida Usman Rahbar Medical & Dental College
  • Arslan Ahmed Al Aleem Medical College
  • Uzma Sattar Rahbar Medical & Dental College, Lahore.
  • Hasnain Muhammad Buksh Lahore General Hospital, Lahore
  • Rahila Ikram Salim Habib University

DOI:

https://doi.org/10.55519/JAMC-01-11149

Keywords:

Trifocal Intraocular Lens, Phacoemulsification, Visual acuity.

Abstract

Background: Cataract surgery has become one of the most common surgeries in the world with one in every four surgeries performed being a cataract extraction and the numbers are expected to increase by 16 percent in the USA alone by 2024 as compared to the current statistics. The aim of the study is to analyze the visual outcomes of intraocular lens implants for various visual ranges. Methods: This non-comparative interventional study was conducted at the Ophthalmology department of Al Ehsan Eye Hospital from Jan to Dec 2021. It included patients who underwent uneventful phacoemulsification with an intraocular lens implant and analysis of the visual outcomes for uncorrected distance (UDVA), uncorrected intermediate distance (UIVA), and uncorrected near distance (UNVA). Results: Independent sample t-test was applied to observe the mean values of recorded far vision on the 1stday, 1 week, and 1 month after the trifocal intraocular lens implantation. It showed a significant difference with a p-value of 0.00 on 1st day, 1 week, and 1 month after was 0.3±0.1, 0.17±0.09, and 0.14±0.08 respectively. Mean improvement in near vision after 1 month was N6 with S.D 1.03 and in intermediate vision was N8±1.4 respectively. Conclusion: Trifocal Intraocular lens implantation offers an improved vision for near, intermediate, and distant visual ranges without the need for correction.

Author Biographies

Sana Ahmed Sarfaraz, Jinnah University For Women

Faculty of Pharmacy

Muhammad Ali Haider , Lahore General Hospital, Lahore.

Assistant Professor Ophthalmology,

Hussain Ahmed Khaqan, Lahore General Hospital, Lahore.

Professor of Ophthalmology

Nida Usman, Rahbar Medical & Dental College

Senior Registrar

References

Yee KM, Tan S, Oberstein SY, Filas B, Nguyen JH, Nguyen-Cuu J, et al. Incidence of cataract surgery after vitrectomy for vitreous opacities. Ophthalmol Retina 2017;1(2):154–7.

Cochener B, Vryghem J, Rozot P, Lesieur G, Chevalier JP, Henry JM, et al. Clinical outcomes with a trifocal intraocular lens: a multicenter study. J Refract Surg 2014;30(11):762–8.

Moshirfar M, Ellis J, Beesley D, McCabe SE, Lewis A, West WB, et al. Comparison of the visual outcomes of an extended depth-of-focus lens and a trifocal lens. Clin Ophthalmol 2021;15:3051–63.

Kuhn-Wilken O. Meet the New Trifocal IOL [Internet]. [cited 2022 July]. Available from: https://www.reviewofoptometry.com/article/meet-the-new-trifocal-iol

Sudhir RR, Dey A, Bhattacharrya S, Bahulayan A. AcrySof IQ PanOptix intraocular lens versus extended depth of focus intraocular lens and trifocal intraocular lens: a clinical overview. Asia Pac J Ophthalmol (Phila) 2019;(4):335–49.

Palmer AM, Faiña PG, Albelda AE, Saad DN, Céspedes MC. Visual function with bilateral implantation of monofocal and multifocal intraocular lenses: a prospective, randomized, controlled clinical trial. J Refract Surg 2008;24(3):257–64.

Akman A, Asena L, Ozturk C, Güngör SG. Evaluation of quality of life after implantation of a new trifocal intraocular lens. J Cataract Refract Surg 2019;45(2):130–4.

Cochener B, Vryghem J, Rozot P, Lesieur G, Heireman S, Blanckaert JA, et al. Visual and refractive outcomes after implantation of a fully diffractive trifocal lens. Clin Ophthalmol 2012;6:1421–7.

Jonker SM, Bauer NJ, Makhotkina NY, Berendschot TT, van den Biggelaar FJ, Nuijts RM. Comparison of a trifocal intraocular lens with a+ 3.0 D bifocal IOL: results of a prospective randomized clinical trial. J Cataract Refract Surg 2015;41(8):1631–40.

Gundersen KG, Potvin R. Trifocal intraocular lenses: a comparison of the visual performance and quality of vision provided by two different lens designs. Clin Ophthalmol 2017;11:1081–7.

Lee S, Choi M, Xu Z, Zhao Z, Alexander E, Liu Y. Optical bench performance of a novel trifocal intraocular lens compared with a multifocal intraocular lens. Clin Ophthalmol 2016;10:1031–8.

Asena BS. Visual and refractive outcomes, spectacle independence, and visual disturbances after cataract or refractive lens exchange surgery: comparison of 2 trifocal intraocular lenses. J Cataract Refract Surg 2019;45(11):1539–46.

Plaza-Puche AB, Alio JL. Analysis of defocus curves of different modern multifocal intraocular lenses. Eur J Ophthalmol 2016;26(5):412–7.

Gatinel D, Pagnoulle C, Houbrechts Y, Gobin L. Design and qualification of a diffractive trifocal optical profile for intraocular lenses. J Cataract Refract Surg 2011;37(11):2060–7.

Alió JL, Grabner G, Plaza-Puche AB, Rasp M, Pinero DP, Seyeddain O, et al. Postoperative bilateral reading performance with 4 intraocular lens models: six-month results. J Cataract Refract Surg 2011;37(5):842–52.

Kohnen T, Herzog M, Hemkeppler E, Schönbrunn S, De Lorenzo N, Petermann K, et al. Visual performance of a quadrifocal (trifocal) intraocular lens following removal of the crystalline lens. Am J Ophthalmol 2017;184:52–62.

Kretz FT, Breyer D, Diakonis VF, Klabe K, Henke F, Auffarth GU, et al. Clinical outcomes after binocular implantation of a new trifocal diffractive intraocular lens. J Ophthalmol 2015;2015:962891.

Martinez-de-la-Casa JM, Carballo-Alvarez J, Garcia-Bella J, Vazquez-Molini JM, Morales L, Sanz-Fernandez JC, et al. Photopic and mesopic performance of 2 different trifocal diffractive intraocular lenses. Eur J Ophthalmol 2017;27(1):26–30.

Yoon CH, Shin IS, Kim MK. Trifocal versus bifocal diffractive intraocular lens implantation after cataract surgery or refractive lens exchange: a meta-analysis. J Korean Med Sci 2018;33(44):e275.

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Published

2023-01-02