Comparison Of Visual Outcomes And Patient Satisfaction Between Two Diffractive Trifocal Intraocular Lenses (Iols) And One Monofocal Iol In Bilateral Cataract Surgery
Published 2022 - 40th Congress of the ESCRS
Reference: PO199 | Type: ESCRS 2022 - Posters | DOI: 10.82333/bx9q-d198
Authors: Aurelio Imburgia* 1 , Francesco Gaudenzi 2 , Kira Mularoni 2 , Gloria Mussoni 2 , Alessandro Mularoni 2
1Ophthalmology,ARNAS Ospedali Civico Di Cristina Benfratelli,Palermo,Italy, 2Ophthalmology,San Marino State Hospital,San Marino,San Marino
Purpose
To compare the visual outcomes, optical performance, and patient satisfaction between two diffractive trifocal intraocular lenses, RayOne Trifocal IOL (Rayner), AcrySof IQ PanOptix IOL (Alcon) and one monofocal AcrySof IQ SN60WF IOL.
Setting
San Marino State Hospital, 47893 Cailungo, Republic of San Marino
Methods
In a prospective, non-randomized case-series 48 patients underwent cataract surgery with bilateral implantation of RayOne Trifocal IOL (Rayner) (n=16), the AcrySof IQ PanOptix IOL (Alcon) (n=16), and the AcrySof IQ SN60WF IOL (Alcon) (n=16). The outcome measures at 1-month, 3-months and 12-months were monocular and binocular uncorrected and corrected distance, intermediate at 70 cm, and near at 30 cm visual acuities, subjective refractive outcomes, defocus curves, contrast sensitivity and ocular aberrometry. Quality of vision was assessed at 12-months with the NEI RQL-42 questionnaire in both trifocal IOL groups.
Results
The UDVA was 20/20 (0.0 logMAR) or better in 100% of eyes in the RayOne Trifocal group, in 75% of eyes in the PanOptix group. Both trifocal IOLs demonstrated superior visual acuity to the monofocal IOL at near and intermediate ranges and along the defocus curves at all points. The patient satisfaction results were comparable with slightly better score given for glare and dysphotopic phenomena in the RayOne Trifocal group. One patient reported a satisfaction of 37.5 of 100 in the PanOptix group with regards to glare. The contrast sensitivity outcomes in photopic condition were found slighty better in the RayOne Trifocal group.
Conclusions
Both trifocal intraocular lenses performed similarly providing good visual outcomes at all distances, demonstrating superior visual acuity compared to the monofocal IOL. RayOne Trifocal IOL is leading to better improvement in distance visual acuity compared to the other two IOLs. Patients implanted with these trifocal IOLs reported similar levels of quality of vision and satisfaction. A trend of better visual and contrast sensitivity outcomes and less disturbing dysphotopsia and glare were observed in the RayOne Trifocal group compared to the PanOptix group.