Comparison of Visual Performance and Patient Satisfaction Outcomes with Two Trifocal IOLs with Similar Optical Design but Different Materials

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Poyales Galán, Francisco and Pérez Izquierdo, Ricardo and López Brea, Israel and Zhou, Ying and Rico del Viejo, Laura and Garzón Jiménez, Nuria (2020) Comparison of Visual Performance and Patient Satisfaction Outcomes with Two Trifocal IOLs with Similar Optical Design but Different Materials. Clinical Ophthalmology, 14 . pp. 3237-3247. ISSN 1177-5467

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Official URL: https://doi.org/10.2147/OPTH.S273641




Abstract

Purpose: To compare clinical outcomes in a prospective trial of cataract surgery patients bilaterally implanted with two different trifocal intraocular lenses (IOLs) with very similar optical designs but consisting of different IOL materials (hydrophobic and hydrophilic).
Patients and Methods: Fifty-one patients (102 eyes) were randomized to receive trifocal IOLs bilaterally – FineVision POD F (hydrophilic) or FineVision POD F GF (hydrophobic) (both PhysIOL, Liége, Belgium). The follow-up period was 3 months. Outcome measurements included uncorrected distance (UDVA), corrected distance (CDVA), distance-corrected intermediate (DCIVA), and distance-corrected near visual acuity (DCNVA), refraction, negative dysphotopsia, optical quality of vision, contrast sensitivity under photopic and mesopic conditions, halometry (discrimination index), and patient-reported outcomes.
Results: At the final study visit, mean (SD) values for binocular UDVA, CDVA, DCIVA (80 cm), and DCNVA (40 cm) were − 0.01 (0.06), − 0.04 (0.04), 0.09 (0.10), and 0.10 (0.09) logMAR, respectively, for POD F, and 0.01 (0.08), − 0.03 (0.03), 0.08 (0.1), and 0.13 (0.11) respectively, for POD F GF. Defocus assessments showed a continuous curve with a functional range of visual acuity (≤ 0.15 logMAR) from ∼ 30 cm to infinity in both groups. The discrimination index was > 0.85 for all patients, and both groups showed similar contrast sensitivity under photopic and mesopic conditions. At 3 months, no patient reported negative dysphotopsia, and high satisfaction rates were observed.
Conclusion: Clinical outcomes showed no significant difference between each lens when measured at 1 month and 3 months after implantation. This equally good clinical performance of hydrophilic and hydrophobic trifocal lenses allows the surgeon to choose the IOL material based on personal preferences or patients’ needs.


Item Type:Article
Additional Information:

Received: 23 july 2020
This study was sponsored by PhysIOL SA, Liège, Belgium.

Uncontrolled Keywords:Trifocal FineVision, Intraocular lens, Biomaterial, Hydrophobic, Hydrophilic, Glistening-free
Subjects:Medical sciences > Medicine > Surgery
Medical sciences > Optics > Visual perception
Medical sciences > Optics > Optical materials
ID Code:62957
Deposited On:12 Nov 2020 13:27
Last Modified:12 Nov 2020 13:27

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