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Comparison of the Early Visual Performance after Bilateral Implantation of Trifocal and Bifocal Intraocular Lenses |
Bichao Chen1, 2, Qian Tan1, 3, Xiao Wang1, 2, Xueting Li1, 2, Danmin Cao1, 2, Yong Wang1, 2 |
1 Aier School of Ophthalmology, Central South University, Changsha 410000, China 2 Wuhan Aier Eye Hospital, Aier Eye Hospital Group, Wuhan 430000, China 3 Changsha Aier Eye Hospital, Aier Eye Hospital Group, Changsha 410000, China |
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Abstract To compare visual performance after bilateral implantation of a bifocal (ReSTOR +3.0 D) or trifocal (AT Lisa tri. 839MP) intraocular lens (IOL). Methods: This prospective clinical study involvedpatients who had cataract surgery that included the bilateral implantation of a bifocal or trifocal IOL from April 2017 to May 2018 at Wuhan Aier Eye Hospital. Fifty-two eyes (26 patients) were implanted with a trifocal IOL (AT Lisa tri. 839MP) as trifocal group and fifty-two eyes (26 patients) with a bifocal IOL (ReSTOR +3.0 D) as bifocal IOL group. The follow-up was 3 months. Near, intermediate, and distance visual acuities, defocus curve, optical quality, including modulation transfer functions and intraocular aberrations, ocular aberrations with 3 mm and 5 mm pupil diameters, National Eye Institute Visual Functioning Questionnaire-14 for Chinese people (VF-14-CN), spectacle independence and patient satisfaction were assessed in all patients. Data were assessed with a Student's t test, Mann-Whitney U test, and Chi-square test. Results: No statistically significant difference was found in distance, near, best corrected distance, distance-corrected intermediate, or distance-corrected near visual acuity between the two groups. Uncorrected intermediate visual acuity was significantly better in the trifocal IOL group (Z=-2.347, P=0.019). In the binocular defocus curve, visual acuity was also significantly better for defocus at -1.0, -3.0, 3.5 and 4.0 diopters (Z=-2.619, -2.452, -2.452, -2.147; P=0.009, 0.014, 0.014, 0.032). No significant difference was found between the two groups for mean postoperative contrast sensitivity function under photopic conditions with or without glare. With a 3 mm or 5 mm pupil diameter, intraocular higher-order aberrations, coma, trefoil and total higher-order aberrations, and trefoil aberrations were significantly lower in the trifocal IOL group (P<0.05). With a 5 mm pupil diameter, intraocular spherical aberrations were significantly lower in the trifocal IOL group (Z=-3.053, P=0.002), but no statistically significant difference was found in modulation transfer function at 3 mm and 5 mm pupil diameters between the two groups. The level of overall satisfaction was similarly high for both groups. Conclusions: Trifocal IOLs can provide significantly better intermediate vision and equivalent distance and near visual performance compared to bifocal IOLs and have the same level of overall satisfaction.
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Received: 13 November 2018
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Fund: Hubei Province Health Family Planning Commission Research Project (WJ2017M205); Science Research Foundation of Aier Eye Hospital Group (AM148D17) |
Corresponding Authors:
Yong Wang, Aier School of Ophthalmology, Central South University, Changsha
410000, China; Wuhan Aier Eye Hospital, Aier Eye Hospital Group, Wuhan 430000, China (Email:
wangyongeye@163.com)
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[1] |
Kretz FT, Breyer D, Diakonis VF, et al. Clinical outcomes after binocular implantation of a new trifocal diffractive intraocular lens. J Ophthalmol, 2015, 2015: 962891. DOI: 10.1155/2015/ 962891.
|
[2] |
Carballo-Alvarez J, Vazquez-Molini JM, Sanz-Fernandez JC, et al. Visual outcomes after bilateral trifocal diffractive intraocular lens implantation. BMC Ophthalmol, 2015, 15: 26. DOI: 10.1186/ s12886-015-0012-4.
|
[3] |
Kretz FT, Choi CY, Müller M, et al. Visual outcomes, patient satisfaction and spectacle independence with a trifocal diffractive intraocular lens. Korean J Ophthalmol, 2016, 30(3): 180-191. DOI: 10.3341/kjo.2016.30.3.180.
|
[4] |
Liu X, Xie L, Huang Y. Comparison of the visual performance after implantation of bifocal and trifocal intraocular lenses having an identical platform. J Refract Surg, 2018, 34(4): 273- 280. DOI: 10.3928/1081597X-20180214-01.
|
[5] |
肖雪冰, 乌兰, 栾多, 等. 三焦点人工晶状体植入术后的早期临床效果. 中华眼视光学与视觉科学杂志, 2017, 19(5): 311- 314. DOI: 10.3760/cma.j.issn.1674-845X.2017.05.011.
|
[6] |
吴杰, 朱磊. 多焦点人工晶状体植入术后早期全程视力和拟 调节力的临床观察. 眼科新进展, 2017, 6(37): 572-575. DOI: 10.13389/j.cnki.rao.2017.0145.
|
[7] |
田芳, 张红, 胡尊霞. +3.00 D非球面ReSTOR人工晶状体植 入术后功能性视力的临床研究. 中华眼科杂志, 2012, 4(35): 302-306. DOI: 10.3760/cma.j.issn.0412-4081.2012.04.004.
|
[8] |
Santhiago MR, Wilson SE, Netto MV, et al. Visual performance of an apodized diffractive multifocal intraocular lens with +3.00-d addition: 1-year follow-up. J Refract Surg, 2011, 27(12): 899-906. DOI: 10.3928/1081597X-20110816-01.
|
[9] |
Gundersen KG, Potvin R. Comparison of visual outcomes and subjective visual quality after bilateral implantation of a diffractive trifocal intraocular lens and blended implantation of apodized diffractive bifocal intraocular lenses. Clin Ophthalmol, 2016, 10: 805-811. DOI: 10.2147/OPTH.S107162.
|
[10] |
Mojzis P, Kukuckova L, Majerova K, et al. Comparative analysis of the visual performance after cataract surgery with implantation of a bifocal or trifocal diffractive IOL. J Refract Surg, 2014, 30(10): 666-672. DOI: 10.3928/1081597X-20140903-06.
|
[11] |
王思聪, 朱怡, 袁景, 等. 三焦点与双焦点人工晶状体临床应用效果的Meta分析. 中华眼外伤职业眼病杂志, 2017, 3(39): 232-237. DOI: 10.3760/cma.j.issn.2095-1477.2017.03.020.
|
[12] |
Yang JJ, Liu QP, Li JM, et al. Comparison of visual outcomes with implantation of trifocal versus bifocal intraocular lens after phacoemulsification: A meta-analysis. Int J Ophthalmol, 2018, 11(3): 484-492. DOI: 10.18240/ijo.2018.03.20.
|
[13] |
Shen Z, Lin Y, Zhu Y, et al. Clinical comparison of patient outcomes following implantation of trifocal or bifocal intraocular lenses: A systematic review and meta-analysis. Sci Rep, 2017, 7(1): 45337. DOI: 10.1038/srep45337.
|
[14] |
周龚莉, 王勇. 中老年白内障患者中角膜高阶波前像差与眼轴长度相关性变化. 临床眼科杂志, 2016, 24(6): 510-513. DOI: 10.3969/j.issn.1006-8422.2016.06.010.
|
[15] |
王雁, 刘永基. 人眼成像质量的判断. 见: 王雁, 赵堪兴. 波前像差与临床视觉矫正. 北京: 人民卫生出版社, 2011: 78-88.
|
[16] |
Doane JF, Slade SG. An introduction to wavefront-guided refractive surgery. Int Ophthalmol Clin, 2003, 43(2): 101-117.
|
|
|
|