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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

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

Authors:

Pershin K.B., Pashinova N.F., Tsygankov A.Yu., Antonov E.A., Konovalova M.M.

More about the authors

Journal: Russian Annals of Ophthalmology. 2022;138(5): 30‑38

DOI: 10.17116/oftalma202213805130

Read: 2277 times

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Table of contents

OUTCOMES OF BILATERAL IMPLANTATION OF TRIFOCAL AND EXTENDED DEPTH OF FOCUS IOLS
OUTCOMES OF BILATERAL IMPLANTATION OF TRIFOCAL AND EXTENDED DEPTH OF FOCUS IOLS

To cite this article:

Pershin KB, Pashinova NF, Tsygankov AYu, Antonov EA, Konovalova MM. Outcomes of bilateral implantation of trifocal and extended depth of focus IOLs. Russian Annals of Ophthalmology. 2022;138(5):30‑38. (In Russ.)
https://doi.org/10.17116/oftalma202213805130

Подписка 2026 Вестник офтальмологии (Russian Annals of Ophthalmology)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

In recent years, a new class of extended depth of focus (EDOF) intraocular lenses (IOLs) has become available on the market. There is only a limited number of scientific papers comparing trifocal and EDOF IOL data, and the results are often contradictory.

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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