Outcomes of bilateral implantation of trifocal and extended depth of focus IOLs

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PURPOSE

Comparative analysis of the results of trifocal and EDOF IOL implantation in patients with presbyopia and/or cataract.

MATERIAL AND METHODS

This prospective study included 72 patients (144 eyes) after bilateral implantation of either Tecnis Symfony EDOF IOL (18 patients, 36 eyes; group I) or AcrySof PanOptix trifocal IOL (54 patients, 108 eyes; group II). In 18 patients out of 72 (25%) the implantation involved mini-monovision, i.e. the calculation of the IOL power on the nondominant eye was performed at –0.5 D. The average follow-up period for the patients was 7.1±1.2 months.

RESULTS

There was a significant (p<0.05) increase in uncorrected near visual acuity (UCNVA), uncorrected intermediate visual acuity (UCIVA) and uncorrected distance visual acuity (UCDVA) at the maximum follow-up time compared to the preoperative indices in all groups. Group II was characterized by slightly better UCNVA dynamics (0.85±0.13 versus 0.2±0.04 before surgery, as comparted to 0.78±0.11 versus 0.19±0.06 before surgery in group I), but differences were not statistically significant (p>0.05). Statistically significant differences (p=0.046) were observed when comparing best corrected near vision acuity (BCNVA) in groups I and II (0.79±0.05 and 0.98±0.08, respectively) at 6 months compared to the preoperative period (0.62±0.09 and 0.6±0.11, respectively).

CONCLUSION

Trifocal IOL implantation was associated with acceptable near and far vision correction and a higher frequency of adverse optical phenomena, while implantation of the EDOF IOL was associated with slightly better correction of intermediate vision and a significantly lower incidence of halo and glare. Patients were satisfied with the outcomes of surgery in all cases.

Keywords:

cataract phacoemulsification

presbyopia

multifocal IOLs

extended depth of focus IOLs

mini-monovision

Authors:

Pershin K.B.

Ophthalmologic Clinic «Excimer»;
Academy of Postgraduate Education of the Federal Scientific Clinical Center of Specialized Medical Care and Medical Technologies Federal Medical-Biological Agency

Pashinova N.F.

Ophthalmologic Clinic «Excimer»;
Academy of Postgraduate Education of the Federal Scientific Clinical Center of Specialized Medical Care and Medical Technologies Federal Medical-Biological Agency

Tsygankov A.Yu.

Ophthalmologic Clinic «Excimer»

Antonov E.A.

Ophthalmologic Clinic «Excimer»

Konovalova M.M.

S.P. Botkin City Clinical Hospital

Received:

27.08.2021

Accepted:

29.09.2021

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