Comparison of trifocal or hybrid multifocal-extended depth of focus intraocular lenses: a systematic review and meta-analysis

Abstract This meta-analysis aimed to evaluate the clinical outcomes following implantation of trifocal intraocular lenses (IOLs) or a hybrid multifocal-extended depth of focus (EDOF) IOL in cataract or refractive lens exchange surgeries. We examined 13 comparative studies with bilateral implantation...

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Autores principales:	Yueyang Zhong, Kai Wang, Xiaoning Yu, Xin Liu, Ke Yao
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/80b3afcd5676402a8c58e7e33619a8f3
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spelling	oai:doaj.org-article:80b3afcd5676402a8c58e7e33619a8f32021-12-02T17:04:34ZComparison of trifocal or hybrid multifocal-extended depth of focus intraocular lenses: a systematic review and meta-analysis10.1038/s41598-021-86222-12045-2322https://doaj.org/article/80b3afcd5676402a8c58e7e33619a8f32021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-86222-1https://doaj.org/toc/2045-2322Abstract This meta-analysis aimed to evaluate the clinical outcomes following implantation of trifocal intraocular lenses (IOLs) or a hybrid multifocal-extended depth of focus (EDOF) IOL in cataract or refractive lens exchange surgeries. We examined 13 comparative studies with bilateral implantation of trifocal (898 eyes) or hybrid multifocal-EDOF (624 eyes) IOLs published through 1 March 2020. Better uncorrected and corrected near visual acuity (VA) were observed in the trifocal group (MD: − 0.143, 95% CI: − 0.192 to − 0.010, P < 0.001 and MD: − 0.149, 95% CI: − 0.217 to − 0.082, P < 0.001, respectively), while the hybrid multifocal-EDOF group presented better uncorrected intermediate VA (MD: 0.055, 95% CI: 0.016 to 0.093, P = 0.005). Trifocal IOLs were more likely to achieve spectacle independence at near distance (RR: 1.103, 95% CI: 1.036 to 1.152, P = 0.002). The halo photic effect was generated more frequently by the trifocal IOLs (RR: 1.318, 95% CI: 1.025 to 1.696, P = 0.031). Contrast sensitivity and subjective visual quality yielded comparable results between groups. Trifocal IOLs demonstrated better performance at near distance but apparently led to more photic disturbances. Our findings provided the most up-to-date and comprehensive evidence by comparing the benefits of advanced IOLs in clinical practice.Yueyang ZhongKai WangXiaoning YuXin LiuKe YaoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yueyang Zhong Kai Wang Xiaoning Yu Xin Liu Ke Yao Comparison of trifocal or hybrid multifocal-extended depth of focus intraocular lenses: a systematic review and meta-analysis
description	Abstract This meta-analysis aimed to evaluate the clinical outcomes following implantation of trifocal intraocular lenses (IOLs) or a hybrid multifocal-extended depth of focus (EDOF) IOL in cataract or refractive lens exchange surgeries. We examined 13 comparative studies with bilateral implantation of trifocal (898 eyes) or hybrid multifocal-EDOF (624 eyes) IOLs published through 1 March 2020. Better uncorrected and corrected near visual acuity (VA) were observed in the trifocal group (MD: − 0.143, 95% CI: − 0.192 to − 0.010, P < 0.001 and MD: − 0.149, 95% CI: − 0.217 to − 0.082, P < 0.001, respectively), while the hybrid multifocal-EDOF group presented better uncorrected intermediate VA (MD: 0.055, 95% CI: 0.016 to 0.093, P = 0.005). Trifocal IOLs were more likely to achieve spectacle independence at near distance (RR: 1.103, 95% CI: 1.036 to 1.152, P = 0.002). The halo photic effect was generated more frequently by the trifocal IOLs (RR: 1.318, 95% CI: 1.025 to 1.696, P = 0.031). Contrast sensitivity and subjective visual quality yielded comparable results between groups. Trifocal IOLs demonstrated better performance at near distance but apparently led to more photic disturbances. Our findings provided the most up-to-date and comprehensive evidence by comparing the benefits of advanced IOLs in clinical practice.
format	article
author	Yueyang Zhong Kai Wang Xiaoning Yu Xin Liu Ke Yao
author_facet	Yueyang Zhong Kai Wang Xiaoning Yu Xin Liu Ke Yao
author_sort	Yueyang Zhong
title	Comparison of trifocal or hybrid multifocal-extended depth of focus intraocular lenses: a systematic review and meta-analysis
title_short	Comparison of trifocal or hybrid multifocal-extended depth of focus intraocular lenses: a systematic review and meta-analysis
title_full	Comparison of trifocal or hybrid multifocal-extended depth of focus intraocular lenses: a systematic review and meta-analysis
title_fullStr	Comparison of trifocal or hybrid multifocal-extended depth of focus intraocular lenses: a systematic review and meta-analysis
title_full_unstemmed	Comparison of trifocal or hybrid multifocal-extended depth of focus intraocular lenses: a systematic review and meta-analysis
title_sort	comparison of trifocal or hybrid multifocal-extended depth of focus intraocular lenses: a systematic review and meta-analysis
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/80b3afcd5676402a8c58e7e33619a8f3
work_keys_str_mv	AT yueyangzhong comparisonoftrifocalorhybridmultifocalextendeddepthoffocusintraocularlensesasystematicreviewandmetaanalysis AT kaiwang comparisonoftrifocalorhybridmultifocalextendeddepthoffocusintraocularlensesasystematicreviewandmetaanalysis AT xiaoningyu comparisonoftrifocalorhybridmultifocalextendeddepthoffocusintraocularlensesasystematicreviewandmetaanalysis AT xinliu comparisonoftrifocalorhybridmultifocalextendeddepthoffocusintraocularlensesasystematicreviewandmetaanalysis AT keyao comparisonoftrifocalorhybridmultifocalextendeddepthoffocusintraocularlensesasystematicreviewandmetaanalysis
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Comparison of trifocal or hybrid multifocal-extended depth of focus intraocular lenses: a systematic review and meta-analysis

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