Visual Outcomes, Patient Satisfaction and Spectacle Independence with a Trifocal Diffractive Intraocular Lens
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Purpose: To evaluate visual outcomes following implantation of a trifocal diffractive intraocular lens (IOL) and toanalyze their correlation with patient satisfaction and ease of performing daily tasks. Methods: This was a prospective study enrolling 100 eyes of 50 patients undergoing cataract surgery with implantationof trifocal IOL AT LISA tri 839MP. Visual and refractive outcomes were evaluated during a 3-monthfollow-up. Postoperatively, a questionnaire was used to evaluate patient satisfaction with regard to surgicaloutcome, spectacle independence, perception of photic phenomena, and ease of performing some vision-relatedactivities. Results: A total of 91%, 87%, and 79% of eyes achieved a monocular uncorrected distance, near, and intermediatevisual acuity of 0.1 logarithm of the minimum angle of resolution or better, respectively. After the surgery,96% of the patients could perform their daily activities without problems. The mean spectacle independencescores for reading, doing computer work, and for distance were 10.33 ± 12.47, 5.71 ± 11.90, and 3.92 ± 9.77,respectively (scale: 0 = no spectacles needed; 40 = spectacles always needed). No correlation was foundbetween spectacle independence and visual outcome (-0.101 ≤ r ≤ 0.244, p ≥ 0.087). Mean scores (0 = nosymptoms; 40 = strong symptoms) for glare at night, ghost images, and halos were 15.15 ± 12.02, 4.49 ± 7.92,and 13.34 ± 10.82, respectively. No correlation was found between photic phenomena and visual outcome(-0.199 ≤ r ≤ 0.209, p ≥ 0.150). A total of 80% of patients reported satisfaction with the surgery outcome, and86% would recommend the surgery to friends and family. Conclusions: Implantation of the AT LISA tri 839MP IOL after cataract surgery provides effective visual restorationassociated with a minimal level of photic phenomena, a positive impact on the performance of vision-relateddaily activities, and a high level of postoperative patient satisfaction.
Abstract
Purpose: To evaluate visual outcomes following implantation of a trifocal diffractive intraocular lens (IOL) and toanalyze their correlation with patient satisfaction and ease of performing daily tasks. Methods: This was a prospective study enrolling 100 eyes of 50 patients undergoing cataract surgery with implantationof trifocal IOL AT LISA tri 839MP. Visual and refractive outcomes were evaluated during a 3-monthfollow-up. Postoperatively, a questionnaire was used to evaluate patient satisfaction with regard to surgicaloutcome, spectacle independence, perception of photic phenomena, and ease of performing some vision-relatedactivities. Results: A total of 91%, 87%, and 79% of eyes achieved a monocular uncorrected distance, near, and intermediatevisual acuity of 0.1 logarithm of the minimum angle of resolution or better, respectively. After the surgery,96% of the patients could perform their daily activities without problems. The mean spectacle independencescores for reading, doing computer work, and for distance were 10.33 ± 12.47, 5.71 ± 11.90, and 3.92 ± 9.77,respectively (scale: 0 = no spectacles needed; 40 = spectacles always needed). No correlation was foundbetween spectacle independence and visual outcome (-0.101 ≤ r ≤ 0.244, p ≥ 0.087). Mean scores (0 = nosymptoms; 40 = strong symptoms) for glare at night, ghost images, and halos were 15.15 ± 12.02, 4.49 ± 7.92,and 13.34 ± 10.82, respectively. No correlation was found between photic phenomena and visual outcome(-0.199 ≤ r ≤ 0.209, p ≥ 0.150). A total of 80% of patients reported satisfaction with the surgery outcome, and86% would recommend the surgery to friends and family. Conclusions: Implantation of the AT LISA tri 839MP IOL after cataract surgery provides effective visual restorationassociated with a minimal level of photic phenomena, a positive impact on the performance of vision-relateddaily activities, and a high level of postoperative patient satisfaction.
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