Refractive and Visual Outcomes After Bilateral Implantation of a Trifocal Intraocular Lens in a Large Population

Edgardo Carreño,1 Edgardo A Carreño,1 Rodrigo Carreño,1 Maricarmen Carreño,1 Veronica López,1 Richard Potvin2 1Centro Oftalmológico Carreño, Las Condes, Santiago, Chile; 2Science in Vision, Akron, NY, USACorrespondence: Ric...

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Autores principales: Carreño E, Carreño EA, Carreño R, Carreño M, López V, Potvin R
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Publicado: Dove Medical Press 2020
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spelling oai:doaj.org-article:d453b8bce27c4966a5af202221d92fef2021-12-02T11:33:50ZRefractive and Visual Outcomes After Bilateral Implantation of a Trifocal Intraocular Lens in a Large Population1177-5483https://doaj.org/article/d453b8bce27c4966a5af202221d92fef2020-02-01T00:00:00Zhttps://www.dovepress.com/refractive-and-visual-outcomes-after-bilateral-implantation-of-a-trifo-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Edgardo Carreño,1 Edgardo A Carreño,1 Rodrigo Carreño,1 Maricarmen Carreño,1 Veronica López,1 Richard Potvin2 1Centro Oftalmológico Carreño, Las Condes, Santiago, Chile; 2Science in Vision, Akron, NY, USACorrespondence: Richard PotvinScience in Vision, 6197 Dye Road, Akron, NY 14001, USAEmail rick@scienceinvision.comPurpose: To review refractive, visual acuity, defocus curve and contrast sensitivity results after bilateral implantation of a trifocal intraocular lens (IOL) in a large population.Setting: One site in Santiago, Chile.Design: Single arm, non-randomized retrospective chart review.Methods: This was a single-arm retrospective chart review of clinical outcomes after bilateral implantation of a trifocal IOL (Panoptix®), both toric and non-toric versions. Binocular visual acuity at 4 m, 60 cm and 40 cm was tested. Other tests included refraction, mesopic and photopic contrast sensitivity, and defocus curve measurement.Results: The review included 500 eyes of 250 patients implanted with the trifocal IOL and 200 eyes of 100 patients implanted with the trifocal toric IOL, with no clinically significant differences between groups. Ninety-six percent of all eyes were within 0.50D of the intended spherical equivalent correction. In the toric group, 94% of eyes (187/200) had a residual refractive cylinder ≤ 0.50D, compared to 81% of eyes (406/500) in the non-toric group. Four out of five patients (80.6%, 282/350) had a binocular uncorrected VA of 0.1 logMAR (20/25) at all test distances. Mean defocus was 0.1 logMAR or better from vergences from 0.00 to − 3.00 D (corresponding to vision from distance to about 33 cm). With a cutoff of 0.2 logMAR, 96% of patients had a range of vision 2.5 D or greater. Contrast sensitivity was similar between the toric and non-toric lenses, and similar to age-matched normal results.Conclusion: The non-toric and toric trifocal IOLs provided good distance, intermediate and near vision to patients, with a wide range of vision and good contrast sensitivity.Keywords: trifocal IOL, contrast sensitivity, toric trifocal IOLCarreño ECarreño EACarreño RCarreño MLópez VPotvin RDove Medical Pressarticletrifocal iolcontrast sensitivitytoric trifocal iolOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 369-376 (2020)
institution DOAJ
collection DOAJ
language EN
topic trifocal iol
contrast sensitivity
toric trifocal iol
Ophthalmology
RE1-994
spellingShingle trifocal iol
contrast sensitivity
toric trifocal iol
Ophthalmology
RE1-994
Carreño E
Carreño EA
Carreño R
Carreño M
López V
Potvin R
Refractive and Visual Outcomes After Bilateral Implantation of a Trifocal Intraocular Lens in a Large Population
description Edgardo Carreño,1 Edgardo A Carreño,1 Rodrigo Carreño,1 Maricarmen Carreño,1 Veronica López,1 Richard Potvin2 1Centro Oftalmológico Carreño, Las Condes, Santiago, Chile; 2Science in Vision, Akron, NY, USACorrespondence: Richard PotvinScience in Vision, 6197 Dye Road, Akron, NY 14001, USAEmail rick@scienceinvision.comPurpose: To review refractive, visual acuity, defocus curve and contrast sensitivity results after bilateral implantation of a trifocal intraocular lens (IOL) in a large population.Setting: One site in Santiago, Chile.Design: Single arm, non-randomized retrospective chart review.Methods: This was a single-arm retrospective chart review of clinical outcomes after bilateral implantation of a trifocal IOL (Panoptix®), both toric and non-toric versions. Binocular visual acuity at 4 m, 60 cm and 40 cm was tested. Other tests included refraction, mesopic and photopic contrast sensitivity, and defocus curve measurement.Results: The review included 500 eyes of 250 patients implanted with the trifocal IOL and 200 eyes of 100 patients implanted with the trifocal toric IOL, with no clinically significant differences between groups. Ninety-six percent of all eyes were within 0.50D of the intended spherical equivalent correction. In the toric group, 94% of eyes (187/200) had a residual refractive cylinder ≤ 0.50D, compared to 81% of eyes (406/500) in the non-toric group. Four out of five patients (80.6%, 282/350) had a binocular uncorrected VA of 0.1 logMAR (20/25) at all test distances. Mean defocus was 0.1 logMAR or better from vergences from 0.00 to − 3.00 D (corresponding to vision from distance to about 33 cm). With a cutoff of 0.2 logMAR, 96% of patients had a range of vision 2.5 D or greater. Contrast sensitivity was similar between the toric and non-toric lenses, and similar to age-matched normal results.Conclusion: The non-toric and toric trifocal IOLs provided good distance, intermediate and near vision to patients, with a wide range of vision and good contrast sensitivity.Keywords: trifocal IOL, contrast sensitivity, toric trifocal IOL
format article
author Carreño E
Carreño EA
Carreño R
Carreño M
López V
Potvin R
author_facet Carreño E
Carreño EA
Carreño R
Carreño M
López V
Potvin R
author_sort Carreño E
title Refractive and Visual Outcomes After Bilateral Implantation of a Trifocal Intraocular Lens in a Large Population
title_short Refractive and Visual Outcomes After Bilateral Implantation of a Trifocal Intraocular Lens in a Large Population
title_full Refractive and Visual Outcomes After Bilateral Implantation of a Trifocal Intraocular Lens in a Large Population
title_fullStr Refractive and Visual Outcomes After Bilateral Implantation of a Trifocal Intraocular Lens in a Large Population
title_full_unstemmed Refractive and Visual Outcomes After Bilateral Implantation of a Trifocal Intraocular Lens in a Large Population
title_sort refractive and visual outcomes after bilateral implantation of a trifocal intraocular lens in a large population
publisher Dove Medical Press
publishDate 2020
url https://doaj.org/article/d453b8bce27c4966a5af202221d92fef
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