Spectacle independence and patient satisfaction with FineVision trifocal compared to bifocal intraocular lens implantation in refractive lens exchange procedures

Session Details

Session Title: Presbyopia Correction

Session Date/Time: Tuesday 13/09/2016 | 16:00-18:00

Paper Time: 17:18

Venue: Auditorium A

First Author: : K.Nistad NORWAY

Co Author(s): :    P. Furuskog                    

Abstract Details

Purpose:

To report the outcomes of a patient satisfaction survey of a large cohort of patients undergoing refractive lens exchange (RLE) with trifocal and bifocal intraocular lens implants (IOLs).

Setting:

Scandinavian–based private refractive surgery clinics, Memira. RLE was performed in 20644 patients in the period January 2012 to September 2015. All patients were invited to complete an anonymous, online, patient satisfaction survey 3 and 12 months after their surgery. The survey response rate was 50% @3-month and 57% @12-month.

Methods:

Survey questions included the frequency with which spectacles were required, the frequency with which they noted halos or glare and the need of reading light compared to before surgery. Patient satisfaction was rated with Net Promotor Score (NPS) (willingness to recommend to friends). Across clinics, mainly 3 different multifocal IOLs were used: FineVision trifocal, Lentis Mplus, and ReSTOR +3. ReSTOR and Mplus were mainly implanted 2012-2013, and FineVision 2013-2015. Numbers of survey responses 3 and (12)-month postop were 1989 (6302) for Mplus, 112 (665) for ReSTOR and 3571 (2128) for FineVison.

Results:

12-month postop more respondents with FineVision reported complete spectacle independence (89%) compared with respondents with bifocals (78%) (p<0.001). 2% of the FineVision respondents reported needing reading glasses always or often and 3% glasses for intermediate. Corresponding numbers for bifocal-patients was 7% and 8%. All groups reported similar frequency of noticing light disturbances. Respondents with trifocals did more frequently report need for much more light for reading (31%) than Mplus-patients (15%), but less than ReSTOR-patients (48%). The NPS-score for the three IOLs were in average 60 for all lenses @3-month, but @12-month FineVision-patients average NPS was 53, and bifocal-patients NPS 42.

Conclusions:

In the Memira setting, refractive lens exchange-patients with FineVision trifocal IOL report a higher proportion of spectacle independence compared with those receiving a bifocal IOL, and patient satisfaction measured with NPS seems to be higher 12-month post-operatively with the FineVision IOL. Patients with FineVision trifocal IOLs report the same amount of light disturbances compared with their bifocal IOL counterparts, but seems to need more extra reading light than Mplus-patients, but less than ReSTOR-patients.

Financial Disclosure:

NONE