Comparison of trifocal toric and bifocal toric intraocular lens implantation in patients with cataract and high corneal astigmatism

AIM: To investigate and compare the quality of life, satisfaction, contrast sensitivity, glare, depth perception, and intraocular lens (IOL) rotation in patients who underwent trifocal toric and bifocal toric IOLs. METHODS: A total of 80 eyes of 40 patients were included in this prospective study. T...

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Autores principales:	Merve Bozkurt Gencer, Hikmet Basmak, Erdogan Yasar, Ozkan Onal
Formato:	article
Lenguaje:	EN
Publicado:	Press of International Journal of Ophthalmology (IJO PRESS) 2021
Materias:	cataract trifocal toric intraocular lens bifocal toric intraocular lens stereopsis satisfaction Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/c13bd389a3d64a7da619dd680ee42209
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spelling	oai:doaj.org-article:c13bd389a3d64a7da619dd680ee422092021-11-26T04:02:12ZComparison of trifocal toric and bifocal toric intraocular lens implantation in patients with cataract and high corneal astigmatism2222-39592227-489810.18240/ijo.2021.12.10https://doaj.org/article/c13bd389a3d64a7da619dd680ee422092021-12-01T00:00:00Zhttp://ies.ijo.cn/en_publish/2021/12/20211210.pdfhttps://doaj.org/toc/2222-3959https://doaj.org/toc/2227-4898AIM: To investigate and compare the quality of life, satisfaction, contrast sensitivity, glare, depth perception, and intraocular lens (IOL) rotation in patients who underwent trifocal toric and bifocal toric IOLs. METHODS: A total of 80 eyes of 40 patients were included in this prospective study. Twenty patients in each group were implanted with trifocal toric and bifocal toric IOL, respectively. Preoperative and postoperative 6-month measurements were recorded for both patient groups. Comprehensive anterior and posterior segment examinations, distance-intermediate-near visual acuity values and the visual function scale questionnaire results were evaluated at these examinations. Patient satisfaction, contrast sensitivity, glare, intermediate-near and distance stereopsis and IOL rotation were also evaluated. RESULTS: No significant difference was found between the groups in terms of distance and near visual acuities (P=0.269, P=0.451). Intermediate visual acuity was significantly increased in the trifocal toric group (P<0.001). The visual function scale results were increased after surgery in both groups (P=0.001 and P<0.001), with no difference determined between them (P=0.158 and P=0.691). The number of patients wearing glasses was low in both groups and there was no significant difference between the groups (P>0.05). The overall satisfaction in the trifocal toric group was significantly higher than in the bifocal toric group (P=0.03). The highest sensitivity was observed at 6 cpd spatial frequency in all patients under photopic conditions (1.80±0.24 logU, 1.74±0.20 logU). Distance-intermediate-near binocular depth perception results in both groups were higher in the trifocal toric group (P=0.02, 0.048, 0.003, respectively). Although there was no significant difference for 3 meters stereopsis, the trifocal toric group had higher depth perception (P=0.577). Mean rotation was 5.76°±3.93° in the trifocal toric group and 12°±7.1° in the bifocal toric group. CONCLUSION: Better results in the middle distance are obtained in the trifocal toric group and less IOL rotation due to digital system-coordinated surgery. Moreover, the overall satisfaction in the trifocal toric group is significantly higher than in the bifocal toric group.Merve Bozkurt GencerHikmet BasmakErdogan YasarOzkan OnalPress of International Journal of Ophthalmology (IJO PRESS)articlecataracttrifocal toric intraocular lensbifocal toric intraocular lensstereopsissatisfactionOphthalmologyRE1-994ENInternational Journal of Ophthalmology, Vol 14, Iss 12, Pp 1876-1881 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cataract trifocal toric intraocular lens bifocal toric intraocular lens stereopsis satisfaction Ophthalmology RE1-994
spellingShingle	cataract trifocal toric intraocular lens bifocal toric intraocular lens stereopsis satisfaction Ophthalmology RE1-994 Merve Bozkurt Gencer Hikmet Basmak Erdogan Yasar Ozkan Onal Comparison of trifocal toric and bifocal toric intraocular lens implantation in patients with cataract and high corneal astigmatism
description	AIM: To investigate and compare the quality of life, satisfaction, contrast sensitivity, glare, depth perception, and intraocular lens (IOL) rotation in patients who underwent trifocal toric and bifocal toric IOLs. METHODS: A total of 80 eyes of 40 patients were included in this prospective study. Twenty patients in each group were implanted with trifocal toric and bifocal toric IOL, respectively. Preoperative and postoperative 6-month measurements were recorded for both patient groups. Comprehensive anterior and posterior segment examinations, distance-intermediate-near visual acuity values and the visual function scale questionnaire results were evaluated at these examinations. Patient satisfaction, contrast sensitivity, glare, intermediate-near and distance stereopsis and IOL rotation were also evaluated. RESULTS: No significant difference was found between the groups in terms of distance and near visual acuities (P=0.269, P=0.451). Intermediate visual acuity was significantly increased in the trifocal toric group (P<0.001). The visual function scale results were increased after surgery in both groups (P=0.001 and P<0.001), with no difference determined between them (P=0.158 and P=0.691). The number of patients wearing glasses was low in both groups and there was no significant difference between the groups (P>0.05). The overall satisfaction in the trifocal toric group was significantly higher than in the bifocal toric group (P=0.03). The highest sensitivity was observed at 6 cpd spatial frequency in all patients under photopic conditions (1.80±0.24 logU, 1.74±0.20 logU). Distance-intermediate-near binocular depth perception results in both groups were higher in the trifocal toric group (P=0.02, 0.048, 0.003, respectively). Although there was no significant difference for 3 meters stereopsis, the trifocal toric group had higher depth perception (P=0.577). Mean rotation was 5.76°±3.93° in the trifocal toric group and 12°±7.1° in the bifocal toric group. CONCLUSION: Better results in the middle distance are obtained in the trifocal toric group and less IOL rotation due to digital system-coordinated surgery. Moreover, the overall satisfaction in the trifocal toric group is significantly higher than in the bifocal toric group.
format	article
author	Merve Bozkurt Gencer Hikmet Basmak Erdogan Yasar Ozkan Onal
author_facet	Merve Bozkurt Gencer Hikmet Basmak Erdogan Yasar Ozkan Onal
author_sort	Merve Bozkurt Gencer
title	Comparison of trifocal toric and bifocal toric intraocular lens implantation in patients with cataract and high corneal astigmatism
title_short	Comparison of trifocal toric and bifocal toric intraocular lens implantation in patients with cataract and high corneal astigmatism
title_full	Comparison of trifocal toric and bifocal toric intraocular lens implantation in patients with cataract and high corneal astigmatism
title_fullStr	Comparison of trifocal toric and bifocal toric intraocular lens implantation in patients with cataract and high corneal astigmatism
title_full_unstemmed	Comparison of trifocal toric and bifocal toric intraocular lens implantation in patients with cataract and high corneal astigmatism
title_sort	comparison of trifocal toric and bifocal toric intraocular lens implantation in patients with cataract and high corneal astigmatism
publisher	Press of International Journal of Ophthalmology (IJO PRESS)
publishDate	2021
url	https://doaj.org/article/c13bd389a3d64a7da619dd680ee42209
work_keys_str_mv	AT mervebozkurtgencer comparisonoftrifocaltoricandbifocaltoricintraocularlensimplantationinpatientswithcataractandhighcornealastigmatism AT hikmetbasmak comparisonoftrifocaltoricandbifocaltoricintraocularlensimplantationinpatientswithcataractandhighcornealastigmatism AT erdoganyasar comparisonoftrifocaltoricandbifocaltoricintraocularlensimplantationinpatientswithcataractandhighcornealastigmatism AT ozkanonal comparisonoftrifocaltoricandbifocaltoricintraocularlensimplantationinpatientswithcataractandhighcornealastigmatism
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Comparison of trifocal toric and bifocal toric intraocular lens implantation in patients with cataract and high corneal astigmatism

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