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Javier García Bella, Jose Vazquez-Molinin, Laura Valcarce, Jesus Carballo, Juan Velez, Juan Carlos Sanz, Vicente Polo, Jose Martinez de la Casa; Visual outcomes and patient satisfaction after cataract surgery with a diffractive trifocal intraocular lens. Invest. Ophthalmol. Vis. Sci. 2013;54(15):841.
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© ARVO (1962-2015); The Authors (2016-present)
To assess the visual and refractive outcomes after implantation of the FineVision trifocal IOL (PhysIOL, Belgium).
Fifty eyes of twenty five patients were implanted consecutively with the FineVision trifocal IOL. This IOL combine 2 diffractive profiles to achieve far, intermediate, and near correction. Outcome measures recorded 3 months postoperatively were uncorrected and distance-corrected (far, near, intermediate) visual acuities, defocus curve, contrast sensitivity, reading speed (radner vissum reading chart) and patients' quality of life (visual function questionnaire VFQ-25, halos and glare presence, overall satisfaction).
At the 3-month postoperative visit, the mean sphere was -0.16 ± 0.45 D and the mean cylinder -0.50 ± 0.55. Binocular uncorrected and best corrected distance acuity were 0,10 ± 0.11 and 0.03 ± 0.07 logMAR respectively. The mean binocular uncorrected best distance-corrected near acuity 0.11 ± 0.12 logMAR. The photopic defocus curve showed similar performance in intermediate and near distance with visual acuity around 0.1 logMAR. The speed reading improved from 69,7 ± 13.8 words per minute preoperatively to 94,7 ± 43,9 in the postoperative period. The photopic contrast sensitivity was within the standard normal range. The rate of spectacle independence for all the distances was higher than 85%. A low percentage of patients referred significative halos or ghost images.
The FineVision trifocal IOL provided a satisfactory full range of vision with high optical quality and patient satisfaction.
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