Quality of vision after innovative trifocal IOL implantation in presbyopic cataract patients

Session Details

Session Title: Presented Poster Session: Enlarged Depth of Focus vs Multifocal IOLs

Venue: Poster Village: Pod 1

First Author: : E.Mrukwa-Kominek POLAND

Co Author(s): :    W. Lubon   A. Piotrowska-Gwozdz   M. Sarnat-Kucharczyk   M. Kozikowska              

Abstract Details

Purpose:

To evaluate quality of patients’ vision, refractive and functional results of the innovative Trifocal IOL implantation and the improvement of patient satisfaction in presbyopic cataract patients.

Setting:

1 Department of Ophthalmology, Katowice Division, Medical University of Silesia, Poland 2 Department of Ophthalmology, Professor K. Gibinski University Clinical Center of the Medical University of Silesia, Katowice,  Poland

Methods:

The analysed group of patients consisted of 18 patients (36 eyes) with Trifocal IOL (RayOne Trifocal IOL, Rayner, UK) implanted. There were 10 men and 8 woman in age 40-76 (mean 67.25y). Exclusion criteria: corneal astigmatism > 1.0D Cyl., corneal, retinal or optic nerve pathologies, previous eye surgery. Follow-up examination were done until  6 months postoperative. There were assessed: Binocular UCDVA, UCIVA, UCNVA, Patient’s postoperative quality of life (VF-14 test), Best reading distance, Reading speed after bilateral implantation, Contrast sensitivity in photopic and mesopic conditions, Independence from glasses, Visual adverse effects, Defocus curve and postoperative complications.

Results:

Implanted IOL power 12.5-25.0D, Mean UCDVA improved from 0.3 to 1,0, (p=0.002). UCNVA improved significantly p=0.0003 (1.25 to 0.5 in Snellen scale). Postop intermediate J2 was reached in 15 patients. Mean refractive error before was -2.543 +/- 2.45 and after surgery –0.345 +/-0.23. No refractive unexpected cases were observed. Contrast sensitivity improved significantly p<0.05. No one IOL were dislocated. Changes in VF-14 test was statistically significant (T-test for dependent variables p=0.002) and was 60.3 (40.5-85.0 SD +/-15.5) and 92.0 (78.2 – 100.0 SD +/-9.5) points. Corneal endothelial cells density (mean: 2557.44 versus 2677.34) and IOP - no significant differences.

Conclusions:

This solution (RayOne Trifocal IOL) seems to be good option for patients with presbyopia. In the significant majority of patients, the maximum visual acuity was reached for distance, near and intermediate. In this initial patients group during this observation time refractive error was stable. This trifocal IOL gives high patients satisfaction

Financial Disclosure:

None