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      Comparison of short-term clinical outcomes of a diffractive trifocal intraocular lens with phacoemulsification and femtosecond laser assisted cataract surgery

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          Abstract

          Purpose

          To evaluate short-term visual and refractive outcomes after implantation of a diffractive trifocal intraocular lens (IOL) in cataract patients with phacoemulsification (PHACO) and femtosecond laser assisted cataract surgery (FLACS).

          Setting

          Department of Ophthalmology, Shanghai Aier Eye Hospital, China.

          Design

          A retrospective, observational study.

          Methods

          Patients who underwent cataract surgery combined with Acrysoft IQ PanOptix trifocal IOL implantation were enrolled and divided into three groups: PHACO group, LAstig-FLACS group (astigmatism less then 1D) and HAstig-FLACS group (astigmatism more than 1D). Logarithm of the minimum angle of resolution (logMAR) visual acuity of uncorrected distance (UDVA), intermediate (UIVA), near visual (UNVA), defocus curve, surgically induced astigmatism (SIA) were evaluated in 1 months postoperatively and wavefront aberrations were evaluated in 6 months.

          Results

          101 eyes of 60 patients were included with 31 eyes in PHACO group, 45 eyes in LAstig-FLACS group and 25 eyes in HAstig-FLACS group. Significant difference was found of internal Strehl Ratio (SR) between PHACO and LAstig-FLACS group ( P = 0.026). In PHACO group, 79.31%, 86.21%, 72.41% of eyes gain visual acuity LogMAR 0.1 or more in UDVA, UIVA and UNVA, while 83.72%, 93.02%, 93.02% of those in LAstig-FLACS group and 92.00%, 84.00%, 76.00% in HAstig-FLACS group.

          Conclusions

          Panoptix diffractive trifocal IOL provides satisfied visual outcome in no matter FLACS or PHACO. Besides, trifocal IOL implantation via FLACS can provide a better accumulative visual acuity outcome at all distance than PHACO in 1 month. Femtosecond laser assisted limbal relaxing incisions (FLLRIs) is an excellent way to reduce a patient’s corneal astigmatism.

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s12886-024-03440-7.

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          Most cited references49

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          Multifocal intraocular lenses: An overview.

          Jorge Alio, Ana Plaza-Puche, Roberto Fernández-Buenaga … (2017)
          Multifocal intraocular lenses are increasingly used in the management of pseudophakic presbyopia. After multifocal intraocular lens implantation, most patients do not need spectacles or contact lenses and are pleased with the result. Complications, however, may affect the patient's quality of life and level of satisfaction. Common problems with multifocal lenses are blurred vision and photic phenomena associated with residual ametropia, posterior capsule opacification, large pupil size, wavefront anomalies, dry eye, and lens decentration. The main reasons for these are failure to neuroadapt, lens dislocation, residual refractive error, and lens opacification. To avoid patient dissatisfaction after multifocal intraocular lens implantation, it is important to consider preoperatively the patient's lifestyle; perform an exhaustive examination including biometry, topography, and pupil reactivity; and explain the visual expectations and possible postoperative complications.
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            Refractive surgery

            Tae-im Kim, Jorge L Alió del Barrio, Mark A. Wilkins … (2019)
            Article 0 comments Cited 108 times – based on 0 reviews     Review now
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              Age-related cataract.

              Penny Asbell, Ivo Dualan, Joel Mindel … (2005)
              Cataract, opacification of the lens, is one of the commonest causes of loss of useful vision, with an estimated 16 million people worldwide affected. Several risk factors have been identified in addition to increasing age--genetic composition, exposure to ultraviolet light, and diabetes. However, no method to halt the formation of a cataractous lens has been shown to be effective. Nevertheless, advances in surgical removal of cataracts, including small-incision surgery, use of viscoelastics, and the development of intraocular lenses, have made treatment very effective and visual recovery rapid in most cases. Despite these advances, cataract continues to be a leading public-health issue that will grow in importance as the population increases and life expectancy is extended worldwide.
              Article 0 comments Cited 88 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Xu Chen: francois.chenxu@gmail.com
                Journal
                Journal ID (nlm-ta): BMC Ophthalmol
                Journal ID (iso-abbrev): BMC Ophthalmol
                Title: BMC Ophthalmology
                Publisher: BioMed Central (London )
                ISSN (Electronic): 1471-2415
                Publication date (Electronic): 24 April 2024
                Publication date PMC-release: 24 April 2024
                Publication date Collection: 2024
                Volume: 24
                Electronic Location Identifier: 189
                Affiliations
                [1 ]Aier Eye Hospital, Jinan University, ( https://ror.org/02xe5ns62) No. 191, Huanshi Middle Road, Yuexiu District, Guangzhou, Guangdong China
                [2 ]Jinan University, ( https://ror.org/02xe5ns62) No.601, Huangpu Road West, Guangzhou, China
                [3 ]Department of Ophthalmology, Shanghai Aier Eye Hospital, Shanghai, China
                [4 ]Department of Ophthalmology, Shanghai Aier Qingliang Eye Hospital, Qingpu, Shanghai, China
                [5 ]Department of Ophthalmology & Optometry, SinoUnited Health Clinic, Shanghai, China
                [6 ]Hankou Aier Eye Hospital, Wuhan, China
                Article
                Publisher ID: 3440
                DOI: 10.1186/s12886-024-03440-7
                PMC ID: 11040763
                PubMed ID: 38658894
                SO-VID: 10c87bed-d058-40d4-92e3-59a9b15baf46
                Copyright © © The Author(s) 2024
                License:

                Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                Date received : 25 December 2023
                Date accepted : 9 April 2024
                Funding
                Funded by: Alcon China
                Award ID: IIT 76431535；62206053
                Funded by: Research Funds of Shanghai Municipal Health Commission
                Award ID: 201940214
                Funded by: Shanghai Qingpu District Science and Technology Development Fund Project
                Award ID: QKY2022-50
                Categories
                Subject: Research
                Custom metadata
                issue-copyright-statement © BioMed Central Ltd., part of Springer Nature 2024

                ScienceOpen disciplines: Ophthalmology & Optometry
                Keywords: cataract,intraocular lens,trifocal,femtosecond laser,visual acuity,refractive outcomes
                Data availability:
                ScienceOpen disciplines: Ophthalmology & Optometry
                Keywords: cataract, intraocular lens, trifocal, femtosecond laser, visual acuity, refractive outcomes

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