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2017 ; 11
(ä): 1081-1087
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Trifocal intraocular lenses: a comparison of the visual performance and quality
of vision provided by two different lens designs
#MMPMID28652693
Gundersen KG
; Potvin R
Clin Ophthalmol
2017[]; 11
(ä): 1081-1087
PMID28652693
show ga
PURPOSE: To compare two different diffractive trifocal intraocular lens (IOL)
designs, evaluating longer-term refractive outcomes, visual acuity (VA) at
various distances, low contrast VA and quality of vision. PATIENTS AND METHODS:
Patients with binocularly implanted trifocal IOLs of two different designs
(FineVision [FV] and Panoptix [PX]) were evaluated 6 months to 2 years after
surgery. Best distance-corrected and uncorrected VA were tested at distance (4
m), intermediate (80 and 60 cm) and near (40 cm). A binocular defocus curve was
collected with the subject's best distance correction in place. The preferred
reading distance was determined along with the VA at that distance. Low contrast
VA at distance was also measured. Quality of vision was measured with the
National Eye Institute Visual Function Questionnaire near subset and the Quality
of Vision questionnaire. RESULTS: Thirty subjects in each group were successfully
recruited. The binocular defocus curves differed only at vergences of -1.0 D (FV
better, P=0.02), -1.5 and -2.00 D (PX better, P<0.01 for both). Best
distance-corrected and uncorrected binocular vision were significantly better for
the PX lens at 60 cm (P<0.01) with no significant differences at other distances.
The preferred reading distance was between 42 and 43 cm for both lenses, with the
VA at the preferred reading distance slightly better with the PX lens (P=0.04).
There were no statistically significant differences by lens for low contrast VA
(P=0.1) or for quality of vision measures (P>0.3). CONCLUSION: Both trifocal
lenses provided excellent distance, intermediate and near vision, but several
measures indicated that the PX lens provided better intermediate vision at 60 cm.
This may be important to users of tablets and other handheld devices. Quality of
vision appeared similar between the two lens designs.