Predictors of Photic Phenomena with a Trifocal IOL

Arnaldo Espaillat,1 Constanca Coelho,2 Michael J Medrano Batista,1 Obniel Perez1 1Anterior Segment Department, Instituto Espaillat Cabral, Santo Domingo, Dominican Republic; 2Lisbon Medical School, University of Lisbon, Lisbon, PortugalCorrespondence: Arnaldo EspaillatInstituto Espaillat Cabral, Av....

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Autores principales:	Espaillat A, Coelho C, Medrano Batista MJ, Perez O
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	cataract surgery panoptix trifocal iol predictors of positive dysphotopsias Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/bf8ec5565f0b4f06984bc5bc9aa8bfc1
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spelling	oai:doaj.org-article:bf8ec5565f0b4f06984bc5bc9aa8bfc12021-12-02T12:14:54ZPredictors of Photic Phenomena with a Trifocal IOL1177-5483https://doaj.org/article/bf8ec5565f0b4f06984bc5bc9aa8bfc12021-02-01T00:00:00Zhttps://www.dovepress.com/predictors-of-photic-phenomena-with-a-trifocal-iol-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Arnaldo Espaillat,1 Constanca Coelho,2 Michael J Medrano Batista,1 Obniel Perez1 1Anterior Segment Department, Instituto Espaillat Cabral, Santo Domingo, Dominican Republic; 2Lisbon Medical School, University of Lisbon, Lisbon, PortugalCorrespondence: Arnaldo EspaillatInstituto Espaillat Cabral, Av. Independencia 853, Zona Universitaria, Santo Domingo, Dominican RepublicTel +1-809-686-0268Email arnaldo@espaillatcabral.comAim: To assess predictive factors associated with glares and halos in patients undergoing cataract surgery with PanOptix trifocal IOL implantation.Methods: Single-center retrospective study. One hundred and forty eyes from 70 patients with cataract were bilaterally implanted with a trifocal PanOptix aspherical diffractive lens between 2017 and 2019 and followed-up for six months. All patients were evaluated for refraction, corneal topography, and aberrometry pre- and post-operatively. Patients were assessed at 1 day, 6 days, 1 and 6 months after surgery. One and six months post-operatively patients were asked to complete a satisfaction questionnaire that included photic phenomena assessment. Main outcome measures were photic phenomena at 1 and 6 months of follow-up. Predictors of photic phenomena at 1 and 6 months were also analyzed.Results: A higher corneal coma was associated with more mild halos at 6 months with no association regarding other degrees of severity. The lower the age the higher the glare or halos, the higher the lens thickness and the lower the anterior chamber depth or chord μ the less halos at 1 month. A significant proportion of patients had more none/mild compared to moderate/severe glare and halos both at 1 and 6 months post-operatively. Baseline BCVA was the only predictor of halos at 1 month and glare and halos at 6 months post-surgery.Conclusion: On multivariate regression analyses, the only predictor of photic phenomena was baseline visual acuity, suggesting that patients that have a better visual acuity before surgery are more demanding regarding visual outcomes after surgery.Keywords: cataract surgery, PanOptix trifocal IOL, predictors of photic phenomenaEspaillat ACoelho CMedrano Batista MJPerez ODove Medical Pressarticlecataract surgerypanoptix trifocal iolpredictors of positive dysphotopsiasOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 495-503 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cataract surgery panoptix trifocal iol predictors of positive dysphotopsias Ophthalmology RE1-994
spellingShingle	cataract surgery panoptix trifocal iol predictors of positive dysphotopsias Ophthalmology RE1-994 Espaillat A Coelho C Medrano Batista MJ Perez O Predictors of Photic Phenomena with a Trifocal IOL
description	Arnaldo Espaillat,1 Constanca Coelho,2 Michael J Medrano Batista,1 Obniel Perez1 1Anterior Segment Department, Instituto Espaillat Cabral, Santo Domingo, Dominican Republic; 2Lisbon Medical School, University of Lisbon, Lisbon, PortugalCorrespondence: Arnaldo EspaillatInstituto Espaillat Cabral, Av. Independencia 853, Zona Universitaria, Santo Domingo, Dominican RepublicTel +1-809-686-0268Email arnaldo@espaillatcabral.comAim: To assess predictive factors associated with glares and halos in patients undergoing cataract surgery with PanOptix trifocal IOL implantation.Methods: Single-center retrospective study. One hundred and forty eyes from 70 patients with cataract were bilaterally implanted with a trifocal PanOptix aspherical diffractive lens between 2017 and 2019 and followed-up for six months. All patients were evaluated for refraction, corneal topography, and aberrometry pre- and post-operatively. Patients were assessed at 1 day, 6 days, 1 and 6 months after surgery. One and six months post-operatively patients were asked to complete a satisfaction questionnaire that included photic phenomena assessment. Main outcome measures were photic phenomena at 1 and 6 months of follow-up. Predictors of photic phenomena at 1 and 6 months were also analyzed.Results: A higher corneal coma was associated with more mild halos at 6 months with no association regarding other degrees of severity. The lower the age the higher the glare or halos, the higher the lens thickness and the lower the anterior chamber depth or chord μ the less halos at 1 month. A significant proportion of patients had more none/mild compared to moderate/severe glare and halos both at 1 and 6 months post-operatively. Baseline BCVA was the only predictor of halos at 1 month and glare and halos at 6 months post-surgery.Conclusion: On multivariate regression analyses, the only predictor of photic phenomena was baseline visual acuity, suggesting that patients that have a better visual acuity before surgery are more demanding regarding visual outcomes after surgery.Keywords: cataract surgery, PanOptix trifocal IOL, predictors of photic phenomena
format	article
author	Espaillat A Coelho C Medrano Batista MJ Perez O
author_facet	Espaillat A Coelho C Medrano Batista MJ Perez O
author_sort	Espaillat A
title	Predictors of Photic Phenomena with a Trifocal IOL
title_short	Predictors of Photic Phenomena with a Trifocal IOL
title_full	Predictors of Photic Phenomena with a Trifocal IOL
title_fullStr	Predictors of Photic Phenomena with a Trifocal IOL
title_full_unstemmed	Predictors of Photic Phenomena with a Trifocal IOL
title_sort	predictors of photic phenomena with a trifocal iol
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/bf8ec5565f0b4f06984bc5bc9aa8bfc1
work_keys_str_mv	AT espaillata predictorsofphoticphenomenawithatrifocaliol AT coelhoc predictorsofphoticphenomenawithatrifocaliol AT medranobatistamj predictorsofphoticphenomenawithatrifocaliol AT perezo predictorsofphoticphenomenawithatrifocaliol
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Predictors of Photic Phenomena with a Trifocal IOL

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