Visual Acuity, Quality of Vision, and Patient-Reported Outcomes After Bilateral Implantation with a Trifocal or Extended Depth of Focus Intraocular Lens

Dan B Tran,1 Ashley Owyang,1 Jin Hwang,1 Richard Potvin2 1Coastal Vision Medical Group, Orange, CA, USA; 2Science in Vision, Bend, OR, USACorrespondence: Dan B TranCoastal Vision Medical Group, 293 S. Main St., Suite 100, Orange, CA, 92868, USAEmail dantran@coastal-vision.comPurpose: To evaluate the...

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Autores principales:	Tran DB, Owyang A, Hwang J, Potvin R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	trifocal iol edof iol presbyopia correction cataract surgery extended depth of focus Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/15198183310d4f7ea2f627a64c6f81a2
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spelling	oai:doaj.org-article:15198183310d4f7ea2f627a64c6f81a22021-12-02T14:14:46ZVisual Acuity, Quality of Vision, and Patient-Reported Outcomes After Bilateral Implantation with a Trifocal or Extended Depth of Focus Intraocular Lens1177-5483https://doaj.org/article/15198183310d4f7ea2f627a64c6f81a22021-02-01T00:00:00Zhttps://www.dovepress.com/visual-acuity-quality-of-vision-and-patient-reported-outcomes-after-bi-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Dan B Tran,1 Ashley Owyang,1 Jin Hwang,1 Richard Potvin2 1Coastal Vision Medical Group, Orange, CA, USA; 2Science in Vision, Bend, OR, USACorrespondence: Dan B TranCoastal Vision Medical Group, 293 S. Main St., Suite 100, Orange, CA, 92868, USAEmail dantran@coastal-vision.comPurpose: To evaluate the visual acuity, quality of vision and patient reported outcomes for patients that were either bilaterally implanted with a trifocal intraocular lens (IOL) or an extended depth of focus (EDOF) IOL.Design: Single site, prospective, non-interventional, masked, two-arm comparative study.Methods: Subjects who had prior uncomplicated cataract surgery with bilateral implantation of one of the lenses above were evaluated. Subjects in each group were assessed during a single visit. The uncorrected and best distance-corrected binocular near (40 cm), intermediate (60 cm), and distance visual acuity (VA) were measured, along with a spectacle independence questionnaire, a quality of vision questionnaire and contrast sensitivity measured in both mesopic and photopic conditions.Results: The study included 23 EDOF and 25 trifocal subjects. Binocular Uncorrected VAs were similar at distance and intermediate, but about 1.5 lines better at near with the trifocal (p < 0.001). Binocular best corrected distance – VA was significantly better with the EDOF lens (0.5 lines, p < 0.001), though the mean VA was better than 20/20 in both groups. Distance-corrected intermediate and near VA were significantly better with the trifocal IOL (1 line and 1.5 lines respectively, p < 0.001). Significantly more trifocal subjects had 20/25 or better VA at all three test distances (64% vs 4%, p< 0.001). Patient reported spectacle independence was significantly higher in the trifocal group, driven primarily by differences in near vision. Mesopic and photopic binocular contrast sensitivity, satisfaction and subjective quality of vision scores were similar between groups.Conclusion: The trifocal IOL provided significantly better near vision (1.5 lines) with slightly worse distance vision (0.5 lines), while providing similar contrast sensitivity and visual quality. It may be the preferred choice for patients desiring more spectacle independence.Keywords: trifocal IOL, EDOF IOL, presbyopia correction, cataract surgery, extended depth of focusTran DBOwyang AHwang JPotvin RDove Medical Pressarticletrifocal ioledof iolpresbyopia correctioncataract surgeryextended depth of focusOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 403-412 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	trifocal iol edof iol presbyopia correction cataract surgery extended depth of focus Ophthalmology RE1-994
spellingShingle	trifocal iol edof iol presbyopia correction cataract surgery extended depth of focus Ophthalmology RE1-994 Tran DB Owyang A Hwang J Potvin R Visual Acuity, Quality of Vision, and Patient-Reported Outcomes After Bilateral Implantation with a Trifocal or Extended Depth of Focus Intraocular Lens
description	Dan B Tran,1 Ashley Owyang,1 Jin Hwang,1 Richard Potvin2 1Coastal Vision Medical Group, Orange, CA, USA; 2Science in Vision, Bend, OR, USACorrespondence: Dan B TranCoastal Vision Medical Group, 293 S. Main St., Suite 100, Orange, CA, 92868, USAEmail dantran@coastal-vision.comPurpose: To evaluate the visual acuity, quality of vision and patient reported outcomes for patients that were either bilaterally implanted with a trifocal intraocular lens (IOL) or an extended depth of focus (EDOF) IOL.Design: Single site, prospective, non-interventional, masked, two-arm comparative study.Methods: Subjects who had prior uncomplicated cataract surgery with bilateral implantation of one of the lenses above were evaluated. Subjects in each group were assessed during a single visit. The uncorrected and best distance-corrected binocular near (40 cm), intermediate (60 cm), and distance visual acuity (VA) were measured, along with a spectacle independence questionnaire, a quality of vision questionnaire and contrast sensitivity measured in both mesopic and photopic conditions.Results: The study included 23 EDOF and 25 trifocal subjects. Binocular Uncorrected VAs were similar at distance and intermediate, but about 1.5 lines better at near with the trifocal (p < 0.001). Binocular best corrected distance – VA was significantly better with the EDOF lens (0.5 lines, p < 0.001), though the mean VA was better than 20/20 in both groups. Distance-corrected intermediate and near VA were significantly better with the trifocal IOL (1 line and 1.5 lines respectively, p < 0.001). Significantly more trifocal subjects had 20/25 or better VA at all three test distances (64% vs 4%, p< 0.001). Patient reported spectacle independence was significantly higher in the trifocal group, driven primarily by differences in near vision. Mesopic and photopic binocular contrast sensitivity, satisfaction and subjective quality of vision scores were similar between groups.Conclusion: The trifocal IOL provided significantly better near vision (1.5 lines) with slightly worse distance vision (0.5 lines), while providing similar contrast sensitivity and visual quality. It may be the preferred choice for patients desiring more spectacle independence.Keywords: trifocal IOL, EDOF IOL, presbyopia correction, cataract surgery, extended depth of focus
format	article
author	Tran DB Owyang A Hwang J Potvin R
author_facet	Tran DB Owyang A Hwang J Potvin R
author_sort	Tran DB
title	Visual Acuity, Quality of Vision, and Patient-Reported Outcomes After Bilateral Implantation with a Trifocal or Extended Depth of Focus Intraocular Lens
title_short	Visual Acuity, Quality of Vision, and Patient-Reported Outcomes After Bilateral Implantation with a Trifocal or Extended Depth of Focus Intraocular Lens
title_full	Visual Acuity, Quality of Vision, and Patient-Reported Outcomes After Bilateral Implantation with a Trifocal or Extended Depth of Focus Intraocular Lens
title_fullStr	Visual Acuity, Quality of Vision, and Patient-Reported Outcomes After Bilateral Implantation with a Trifocal or Extended Depth of Focus Intraocular Lens
title_full_unstemmed	Visual Acuity, Quality of Vision, and Patient-Reported Outcomes After Bilateral Implantation with a Trifocal or Extended Depth of Focus Intraocular Lens
title_sort	visual acuity, quality of vision, and patient-reported outcomes after bilateral implantation with a trifocal or extended depth of focus intraocular lens
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/15198183310d4f7ea2f627a64c6f81a2
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Visual Acuity, Quality of Vision, and Patient-Reported Outcomes After Bilateral Implantation with a Trifocal or Extended Depth of Focus Intraocular Lens

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