Visual outcomes following high water-content hydrophobic acrylic trifocal intraocular lens implantation.
Humans
Visual Acuity
/ physiology
Male
Female
Aged
Prospective Studies
Middle Aged
Lens Implantation, Intraocular
Multifocal Intraocular Lenses
Contrast Sensitivity
/ physiology
Acrylic Resins
Vision, Binocular
/ physiology
Hydrophobic and Hydrophilic Interactions
Phacoemulsification
Pseudophakia
/ physiopathology
Prosthesis Design
Binocular contrast sensitivity
Binocular visual acuity
Hydrophobic acrylic
Trifocal intraocular lens
Water-content
Journal
BMC ophthalmology
ISSN: 1471-2415
Titre abrégé: BMC Ophthalmol
Pays: England
ID NLM: 100967802
Informations de publication
Date de publication:
28 Oct 2024
28 Oct 2024
Historique:
received:
23
01
2024
accepted:
17
10
2024
medline:
28
10
2024
pubmed:
28
10
2024
entrez:
28
10
2024
Statut:
epublish
Résumé
To prospectively evaluate binocular visual outcomes after implantation of trifocal intraocular lenses (IOLs) with high-water-content hydrophobic acrylic material in Japanese patients. In 59 patients (mean age 65.1 ± 7.9 years), Clareon PanOptix (CNWTT0: Alcon) with a high-water-content hydrophobic acrylic material was implanted bilaterally. Three months postoperatively, binocular uncorrected visual acuity (BUCVA) and distance-corrected visual acuity (BDCVA) at distances of 5 m, 80, 60, and 40 cm, binocular defocus curves, and binocular photopic contrast sensitivity were examined. Subjective symptoms (night vision disturbance, glare, halos, haze, or blurry vision) were also assessed. The mean postoperative BUCVA/BDCVA at 5 m, 80 cm, 60 cm, and 40 cm were - 0.115/-0.163, -0.052/-0.047, -0.054/-0.075, and - 0.043/-0.067 logMAR, respectively. A smooth defocus curve, contrast sensitivity within the normal range, and acceptable subjective symptom rates were obtained. The trifocal IOL, composed of a high-water-content hydrophobic acrylic material, provides good continuous binocular vision from distance to near. This investigator-initiated study was registered in the Japan Registry for Clinical Trials (identifier: jRCTs032220042) on April 26, 2022.
Sections du résumé
BACKGROUND
BACKGROUND
To prospectively evaluate binocular visual outcomes after implantation of trifocal intraocular lenses (IOLs) with high-water-content hydrophobic acrylic material in Japanese patients.
METHODS
METHODS
In 59 patients (mean age 65.1 ± 7.9 years), Clareon PanOptix (CNWTT0: Alcon) with a high-water-content hydrophobic acrylic material was implanted bilaterally. Three months postoperatively, binocular uncorrected visual acuity (BUCVA) and distance-corrected visual acuity (BDCVA) at distances of 5 m, 80, 60, and 40 cm, binocular defocus curves, and binocular photopic contrast sensitivity were examined. Subjective symptoms (night vision disturbance, glare, halos, haze, or blurry vision) were also assessed.
RESULTS
RESULTS
The mean postoperative BUCVA/BDCVA at 5 m, 80 cm, 60 cm, and 40 cm were - 0.115/-0.163, -0.052/-0.047, -0.054/-0.075, and - 0.043/-0.067 logMAR, respectively. A smooth defocus curve, contrast sensitivity within the normal range, and acceptable subjective symptom rates were obtained.
CONCLUSIONS
CONCLUSIONS
The trifocal IOL, composed of a high-water-content hydrophobic acrylic material, provides good continuous binocular vision from distance to near.
TRIAL REGISTRATION
BACKGROUND
This investigator-initiated study was registered in the Japan Registry for Clinical Trials (identifier: jRCTs032220042) on April 26, 2022.
Identifiants
pubmed: 39465378
doi: 10.1186/s12886-024-03735-9
pii: 10.1186/s12886-024-03735-9
doi:
Substances chimiques
Acrylic Resins
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
469Informations de copyright
© 2024. The Author(s).
Références
Tañá-Rivero P, Rodríguez-Carrillo MD, Tañá-Sanz P, Ruiz-Santos M, Tañá-Sanz S. Clinical outcomes of trifocal toric intraocular lenses. Eur J Ophthalmol. 2023;33:1773–85.
doi: 10.1177/11206721231155047
pubmed: 36788496
Zhu D, Ren S, Mills K, Hull J, Dhariwal M. Rate of complete spectacle independence with a Trifocal Intraocular Lens: a systematic literature review and Meta-analysis. Ophthalmol Ther. 2023;12:1157–71.
doi: 10.1007/s40123-023-00657-5
pubmed: 36745314
pmcid: 10011212
Werner L, Thatthamla I, Ong M, Schatz H, Garcia-Gonzalez M, Gros-Otero J, Cañones-Zafra R, Teus MA. Evaluation of clarity characteristics in a new hydrophobic acrylic IOL in comparison to commercially available IOLs. J Cataract Refract Surg. 2019;45:1490–7.
doi: 10.1016/j.jcrs.2019.05.017
pubmed: 31399323
Werner L. Glistenings and surface light scattering in intraocular lenses. J Cataract Refract Surg. 2010;36:1398–420.
doi: 10.1016/j.jcrs.2010.06.003
pubmed: 20656166
Oshika T, Fujita Y, Inamura M, Miyata K. Mid-term and long-term clinical assessments of a new 1-piece hydrophobic acrylic IOL with hydroxyethyl methacrylate. J Cataract Refract Surg. 2020;46:682–7.
doi: 10.1097/j.jcrs.0000000000000142
pubmed: 32358260
Kinoshita K, Miyata K, Nejima R, Honbo R, Mori M, Minami Y. Surface light scattering from 1-piece hydrophobic acrylic intraocular lenses with hydroxyethyl methacrylate: contralateral observation for 7 years. J Cataract Refract Surg. 2021;47:702–5.
doi: 10.1097/j.jcrs.0000000000000621
pubmed: 33769764
Khoramnia R, Naujokaitis T, Baur ID, Hassel O, Henningsen N, Reitemeyer E, Chychko L, Łabuz G, Auffarth GU. Functional outcomes after refractive Lens Exchange with Implantation of a glistening-free Diffractive Trifocal intraocular Lens. Am J Ophthalmol. 2024;268:296–305.
doi: 10.1016/j.ajo.2024.07.037
pubmed: 39117256
Jo E, Kim B, Kim TI, Kim MK, Choi CY. Clinical outcomes of a new hydrophobic trifocal intraocular Lens with Hydroxyethyl Methacrylate in cataract surgery: a prospective Multicenter Study. Korean J Ophthalmol. 2024;38:212–20.
doi: 10.3341/kjo.2023.0140
pubmed: 38644651
pmcid: 11175982
Kohnen T, Marchini G, Alfonso JF, Bala C, Cochener B, Martinez A, Carreño E. Innovative trifocal (quadrifocal) presbyopia-correcting IOLs: 1-year outcomes from an international multicenter study. J Cataract Refract Surg. 2020;46:1142–8.
doi: 10.1097/j.jcrs.0000000000000232
pubmed: 32358415
pmcid: 7688079
Fernández J, Ribeiro FJ, Rodríguez-Vallejo M, Dupps WJ Jr, Werner L, Srinivasan S, Kohnen T. Standard for collecting and reporting outcomes of IOL-based refractive surgery: update for enhanced monofocal, EDOF, and multifocal IOLs. J Cataract Refract Surg. 2022;48:1235–41.
doi: 10.1097/j.jcrs.0000000000001013
pubmed: 36315627
Bissen-Miyajima H, Ota Y, Hayashi K, Igarashi C, Sasaki N. Results of a clinical evaluation of a trifocal intraocular lens in Japan. Jpn J Ophthalmol. 2020;64:140–9.
doi: 10.1007/s10384-019-00712-4
pubmed: 31900871
Kohnen T, Lapid-Gortzak R, Ramamurthy D, Bissen-Miyajima H, Maxwell A, Kim TI, Modi S. Clinical outcomes after bilateral implantation of a diffractive trifocal intraocular Lens: a Worldwide Pooled analysis of prospective clinical investigations. Clin Ophthalmol. 2023;17:155–63. https://doi.org/10.2147/OPTH.S377234 .
doi: 10.2147/OPTH.S377234
pubmed: 36647516
pmcid: 9840399
Modi S, Lehmann R, Maxwell A, Solomon K, Cionni R, Thompson V, Horn J, Caplan M, Fisher B, Hu JG, Yeu E. Visual and patient-reported outcomes of a Diffractive Trifocal Intraocular Lens Compared with those of a Monofocal Intraocular Lens. Ophthalmology. 2021;128:197–207.
doi: 10.1016/j.ophtha.2020.07.015
pubmed: 33004211
Nuijts RMMA, Bhatt U, Nanavaty MA, Roberts TV, Peterson R, Teus MA. Three-year multinational clinical study on an aspheric hydrophobic acrylic intraocular lens. J Cataract Refract Surg. 2023;49:672–8.
doi: 10.1097/j.jcrs.0000000000001173
pubmed: 36848238
pmcid: 10284131
Wang CX, Lin N, Guo YX. Visual requirement for Chinese reading with normal vision. Brain Behav. 2019;9:e01216. https://doi.org/10.1002/brb3.1216 .
doi: 10.1002/brb3.1216
pubmed: 30793523
pmcid: 6456801
Hayashi K, Yoshida M, Igarashi C, Hirata A. Effect of refractive astigmatism on all-distance visual acuity in eyes with a trifocal intraocular lens. Am J Ophthalmol. 2021;221:279–86.
doi: 10.1016/j.ajo.2020.07.051
pubmed: 32777380