Patients satisfaction and clinical outcomes of binocular implantation of a new trifocal intraocular lens

Dönmez, Oya; Asena, Bilgehan Sezgin; Kaşkaloğlu, Mahmut; Akova, Yonca A.

doi:10.1007/s10792-020-01390-9

Cited by 22 publications

(23 citation statements)

References 30 publications

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“…15,19,39,40 The current study assessed the effectiveness of TFNT00 in providing this continuous range of vision. In line with previous studies, 14,18,24,25,27,28,41 TFNT00 exhibited a high level of distance, intermediate, and near VA. Mean binocular and monocular distance-corrected and uncorrected VAs of 0.1 logMAR or better were achieved at distance (4 m), intermediate (60 cm), and near (40 cm).…”

Section: Discussionsupporting

confidence: 92%

“…The rates of PCO were higher than those reported in previous comparative 3-month studies of the same lens, 42,43 although they were lower than or similar to those reported in comparative and non-comparative 6-month studies. 23,28,46,49 Importantly, PCO did not affect patient satisfaction; all but one patient in the study indicated that they were "satisfied" or "very satisfied" with their cataract surgery results (the other patient was "neither satisfied nor dissatisfied").…”

Section: Discussionmentioning

confidence: 80%

“…[20][21][22] Demand for multifocal IOLs is expected to surge globally due to: the large number of cataract surgeries (∼26 million cataract surgeries performed in 2017); changing socioeconomic frameworks; the world's aging population; improvements in healthcare sectors and expenditure; increased demand for spectacle independence; access to innovative, advanced IOLs; and increased patient awareness. 15 Although previous clinical investigations have demonstrated a continuous range of vision from near to distance with TFNT00, 14,[23][24][25][26][27][28] to date, no clinical studies have been conducted in Indian patients. The purpose of this study was to evaluate the 3-month postoperative effectiveness and safety of TFNT00 in providing a range of vision (distance, intermediate, and near) in an Indian population.…”

Section: Introductionmentioning

confidence: 99%

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Clinical Outcomes After Bilateral Implantation of a Trifocal Presbyopia-Correcting Intraocular Lens in an Indian Population

Dandapani¹,

Vasavada²,

Padmanabhan³

et al. 2021

OPTH

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Purpose: To evaluate the effectiveness and safety of a presbyopia-correcting trifocal intraocular lens (IOL), AcrySof ® IQ PanOptix ® (TFNT00), in an Indian population. Patients and Methods: This prospective, multicenter, observational, single-arm, postmarketing study included 67 patients undergoing cataract surgery with bilateral implantation of TFNT00 across five Indian sites. Postoperative outcomes were assessed at 3 months after second eye surgery. Effectiveness outcomes included: mean binocular and monocular visual acuity (VA) at distance (4 m), intermediate (60 cm), and near (40 cm); binocular defocus curve; manifest refraction; and subjective symptom questionnaire evaluation. Safety outcomes included the rate of ocular adverse events and mesopic contrast sensitivity. Results: Mean binocular and monocular distance-corrected and uncorrected VAs of 0.1 logMAR or better (approximately 20/25 Snellen) were achieved at distance, intermediate, and near. Overall, ≥70% of patients achieved binocular 0.1 logMAR vision or better across all distances. TFNT00 maintained a mean VA of 0.1 logMAR or better at the defocus range of +0.5 diopters (D) to -2.5 D (200 cm to 40 cm). The subjective symptom questionnaireassessed frequency of halo visual disturbances was low at Month 3; halos were reported "none of the time" to "only some of the time" in 86.6% of patients. The large majority of patients (98.5%) were "satisfied" or "very satisfied" with their near, intermediate, and distance vision at Month 3, and ≥94.0% of patients reported spectacle independence for tasks at all distances. The adverse event rate was low; no patients discontinued due to an adverse event. Conclusion: TFNT00 provided a continuous range of vision of 20/25 or better for distance to near and performed effectively at an intermediate functional distance of 60 cm, resulting in high levels of spectacle independence and patient satisfaction. TFNT00 demonstrated a good safety profile and a low post-operative frequency of halo visual disturbances.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 80%

Section: Introductionmentioning

confidence: 99%

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Clinical Outcomes After Bilateral Implantation of a Trifocal Presbyopia-Correcting Intraocular Lens in an Indian Population

Dandapani¹,

Vasavada²,

Padmanabhan³

et al. 2021

OPTH

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“…Previous studies have used different tests of patient functional vision and spectacle independence, or different scoring, so it is difficult to directly compare results. However, overall spectacle independence reported by Donmez et al for the same trifocal IOL was 94%, 17 while Cochener reported 90%; 3 both results appear consistent with findings in the current study. The highest reported need for spectacles at any distance in the current study (14%) was slightly lower than reported in the study performed to obtain FDA approval for the lens (19.5%), 18 indicating somewhat better results in the current study.…”

Section: Discussionsupporting

confidence: 91%

“… 4 , 5 , 24 Several studies have found, as in the current study, that intermediate VA was slightly worse than for both distance and near VA, but the relative differences reported were generally small (less than one line). 17 , 22 , 25 …”

Section: Discussionmentioning

confidence: 99%

Spectacle Independence and Quality of Vision After Bilateral Implantation of a Trifocal Intraocular Lens

Shatz¹,

Potvin²

2021

OPTH

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Purpose To evaluate the patient-reported spectacle independence and quality of vision for patients who were bilaterally implanted with a trifocal intraocular lens (IOL). Design Single site, prospective, single-arm study. Methods Subjects presenting for cataract surgery who had an interest in reducing their dependence on glasses at multiple distances were enrolled. Subjects were bilaterally implanted with a trifocal IOL and followed for 3 months post-surgery. A spectacle independence questionnaire and a quality of vision questionnaire were administered at the 3-month visit. The binocular visual acuity at distance (4 m), intermediate (60 cm) and near (40 cm) was also measured in the uncorrected and distance-corrected state. Results All but one subject reported no need for glasses for distance and intermediate work, and most (25/29) reported no need for glasses for near work. Almost all subjects reported never wearing glasses or wearing them only a little, and being able to function without glasses at any distance all or most of the time. Ninety percent of subjects (26/29) reported being completely or mostly satisfied with their vision overall, without the use of glasses or contact lenses. The mean binocular visual acuity 1 and 3 months after surgery was better than 0.1 logMAR (20/25) at all test distances in both the uncorrected and distance-corrected states. The reported quality of vision appeared similar to previously reported data for the same IOL. Conclusion The trifocal IOL provided nearly all subjects with functional vision and spectacle independence for distance, intermediate and near work. It is a viable alternative for patients looking to reduce their overall dependence on spectacles after cataract surgery.

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Refraktive Intraokularchirurgie

Kohnen

Shajari

Mayer³

et al. 2023

Refraktive Chirurgie

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Patients satisfaction and clinical outcomes of binocular implantation of a new trifocal intraocular lens

Cited by 22 publications

References 30 publications

Clinical Outcomes After Bilateral Implantation of a Trifocal Presbyopia-Correcting Intraocular Lens in an Indian Population

Clinical Outcomes After Bilateral Implantation of a Trifocal Presbyopia-Correcting Intraocular Lens in an Indian Population

Spectacle Independence and Quality of Vision After Bilateral Implantation of a Trifocal Intraocular Lens

Refraktive Intraokularchirurgie

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