Visual And Refractive Outcomes In Hyperopic Pseudophakic Patients Implanted With A Trifocal Intraocular Lens

José F Alfonso,1,2 Andrés Fernández-Vega-Cueto,1 Belén Alfonso-Bartolozzi,1 Ignacio Rodríguez-Uña,1 Robert Montés-Micó3 1Corneal and Lens Surgery Department, Fernández-Vega Ophthalmological Institute,...

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Autores principales: Alfonso JF, Fernández-Vega-Cueto A, Alfonso-Bartolozzi B, Rodríguez-Uña I, Montés-Micó R
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Publicado: Dove Medical Press 2019
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spelling oai:doaj.org-article:ed4cf3b9a7504f08bd1e85065b3eb0782021-12-02T09:57:03ZVisual And Refractive Outcomes In Hyperopic Pseudophakic Patients Implanted With A Trifocal Intraocular Lens1177-5483https://doaj.org/article/ed4cf3b9a7504f08bd1e85065b3eb0782019-11-01T00:00:00Zhttps://www.dovepress.com/visual-and-refractive-outcomes-in-hyperopic-pseudophakic-patients-impl-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483José F Alfonso,1,2 Andrés Fernández-Vega-Cueto,1 Belén Alfonso-Bartolozzi,1 Ignacio Rodríguez-Uña,1 Robert Montés-Micó3 1Corneal and Lens Surgery Department, Fernández-Vega Ophthalmological Institute, Oviedo, Spain; 2Surgery Department, School of Medicine, University of Oviedo, Oviedo, Spain; 3Optics and Optometry and Vision Sciences Department, Faculty of Physics, University of Valencia, Valencia, SpainCorrespondence: José F AlfonsoInstituto Oftalmológico Fernández-Vega, Avda. Dres. Fernández-Vega 114, Oviedo 33012, SpainTel +34 985 245533Fax +34 985 233288Email j.alfonso@fernandez-vega.comPurpose: To assess visual and refractive results after bilateral implantation of a trifocal intraocular lens (IOL) in patients with hyperopia.Methods: In a retrospective nonrandomized study, 196 eyes of 98 patients had bilateral implantation of a trifocal IOL. The Barrett Universal II formula was used for IOL power calculation. Eyes were divided into two groups for their analysis: low-moderate, with IOL power ranging from 22 to 26 D, and high, with IOL power ranging from 25 to 34 D. Refractive error was used to assess predictability, and corrected distance visual acuity (CDVA) and uncorrected distance visual acuity values were used to assess efficacy and safety of the surgery.Results: Six months postoperatively, our results revealed a Snellen decimal CDVA of 0.97±0.05 and 0.94±0.09, for the low-moderate and high groups, respectively. The low-moderate hyperopia group showed a 75.23% of eyes with 20/20 of CDVA and 100% of eyes with 20/25 of CDVA, and the high hyperopia group showed 60.95% and 94.29% for these values of visual acuity, respectively. The mean postoperative spherical equivalent was −0.25±0.36D and −0.24±0.42D for low-moderate and high hyperopia groups, respectively. In the case of low-moderate hyperopia group, 81% of eyes were within ±0.50D and 99% within ±1.00D. These values were 78% and 95%, respectively, for the high hyperopic eyes.Conclusion: Bilateral implantation of a trifocal IOL in hyperopic eyes provided good visual and refractive outcomes. The Barrett Universal II formula was accurate in predicting the IOL power in hyperopic eyes.Keywords: hyperopia, trifocal intraocular lens, phacoemulsification, cataractAlfonso JFFernández-Vega-Cueto AAlfonso-Bartolozzi BRodríguez-Uña IMontés-Micó RDove Medical Pressarticlehyperopiatrifocal intraocular lensphacoemulsificationcataract.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 2261-2268 (2019)
institution DOAJ
collection DOAJ
language EN
topic hyperopia
trifocal intraocular lens
phacoemulsification
cataract.
Ophthalmology
RE1-994
spellingShingle hyperopia
trifocal intraocular lens
phacoemulsification
cataract.
Ophthalmology
RE1-994
Alfonso JF
Fernández-Vega-Cueto A
Alfonso-Bartolozzi B
Rodríguez-Uña I
Montés-Micó R
Visual And Refractive Outcomes In Hyperopic Pseudophakic Patients Implanted With A Trifocal Intraocular Lens
description José F Alfonso,1,2 Andrés Fernández-Vega-Cueto,1 Belén Alfonso-Bartolozzi,1 Ignacio Rodríguez-Uña,1 Robert Montés-Micó3 1Corneal and Lens Surgery Department, Fernández-Vega Ophthalmological Institute, Oviedo, Spain; 2Surgery Department, School of Medicine, University of Oviedo, Oviedo, Spain; 3Optics and Optometry and Vision Sciences Department, Faculty of Physics, University of Valencia, Valencia, SpainCorrespondence: José F AlfonsoInstituto Oftalmológico Fernández-Vega, Avda. Dres. Fernández-Vega 114, Oviedo 33012, SpainTel +34 985 245533Fax +34 985 233288Email j.alfonso@fernandez-vega.comPurpose: To assess visual and refractive results after bilateral implantation of a trifocal intraocular lens (IOL) in patients with hyperopia.Methods: In a retrospective nonrandomized study, 196 eyes of 98 patients had bilateral implantation of a trifocal IOL. The Barrett Universal II formula was used for IOL power calculation. Eyes were divided into two groups for their analysis: low-moderate, with IOL power ranging from 22 to 26 D, and high, with IOL power ranging from 25 to 34 D. Refractive error was used to assess predictability, and corrected distance visual acuity (CDVA) and uncorrected distance visual acuity values were used to assess efficacy and safety of the surgery.Results: Six months postoperatively, our results revealed a Snellen decimal CDVA of 0.97±0.05 and 0.94±0.09, for the low-moderate and high groups, respectively. The low-moderate hyperopia group showed a 75.23% of eyes with 20/20 of CDVA and 100% of eyes with 20/25 of CDVA, and the high hyperopia group showed 60.95% and 94.29% for these values of visual acuity, respectively. The mean postoperative spherical equivalent was −0.25±0.36D and −0.24±0.42D for low-moderate and high hyperopia groups, respectively. In the case of low-moderate hyperopia group, 81% of eyes were within ±0.50D and 99% within ±1.00D. These values were 78% and 95%, respectively, for the high hyperopic eyes.Conclusion: Bilateral implantation of a trifocal IOL in hyperopic eyes provided good visual and refractive outcomes. The Barrett Universal II formula was accurate in predicting the IOL power in hyperopic eyes.Keywords: hyperopia, trifocal intraocular lens, phacoemulsification, cataract
format article
author Alfonso JF
Fernández-Vega-Cueto A
Alfonso-Bartolozzi B
Rodríguez-Uña I
Montés-Micó R
author_facet Alfonso JF
Fernández-Vega-Cueto A
Alfonso-Bartolozzi B
Rodríguez-Uña I
Montés-Micó R
author_sort Alfonso JF
title Visual And Refractive Outcomes In Hyperopic Pseudophakic Patients Implanted With A Trifocal Intraocular Lens
title_short Visual And Refractive Outcomes In Hyperopic Pseudophakic Patients Implanted With A Trifocal Intraocular Lens
title_full Visual And Refractive Outcomes In Hyperopic Pseudophakic Patients Implanted With A Trifocal Intraocular Lens
title_fullStr Visual And Refractive Outcomes In Hyperopic Pseudophakic Patients Implanted With A Trifocal Intraocular Lens
title_full_unstemmed Visual And Refractive Outcomes In Hyperopic Pseudophakic Patients Implanted With A Trifocal Intraocular Lens
title_sort visual and refractive outcomes in hyperopic pseudophakic patients implanted with a trifocal intraocular lens
publisher Dove Medical Press
publishDate 2019
url https://doaj.org/article/ed4cf3b9a7504f08bd1e85065b3eb078
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