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Visual performance after implantation of a novel presbyopia-correcting trifocal intraocular lens following lens removal

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Session Details

Session Title: Presented Poster Session: Cataract Surgery Outcomes

Venue: Poster Village: Pod 1

First Author: : M.Böhm GERMANY

Co Author(s): :    M. Herzog   E. Hemkeppler   S. Schoenbrunn   N. De Lorenzo   K. Petermann   T. Kohnen

Abstract Details


To evaluate the visual performance after bilateral implantation of a diffractive aspheric trifocal intraocular lens (IOL) with a +2.17 diopter (D) (60 cm) intermediate and a +3.25 D (40 cm) near add power.


Department of Ophthalmology, Goethe-University, Frankfurt, Germany.


In this prospective single-arm study, twenty-seven patients (54 eyes) had bilateral implantation of the PanOptix IOL (AcrySof® IQ PanOptixTM, Alcon Research, Fort Worth, TX, USA) pre-enrollment. Exclusion criteria were previous ocular surgeries, corneal astigmatism of > 1.5 diopter, ocular pathologies or corneal abnormalities. Postoperative examination at 3 months included manifest refraction, monocular and binocular uncorrected (UCVA) and distance-corrected (DCVA) visual acuity in 4 m, 80 cm, 60 cm and 40 cm, slit-lamp examination, monocular and binocular defocus testing, binocular contrast sensitivity (CS) under photopic and mesopic conditions, and a questionnaire on subjective quality of vision, optical phenomena, and spectacle independence.


Mean spherical equivalent was -0.04 ± 0.321 D 3 months postoperatively. Binocular UCVA at distance, intermediate (80 cm, 60 cm) and near was 0.00 ± 0.094 logMAR, 0.09 ± 0.107 logMAR, 0.02 ± 0.112 logMAR, and 0.01 ± 0.087 logMAR respectively. Binocular defocus curve showed peaks with best VA at 0.00 D (-0.07 logMAR) and -2.00 D (-0.02 logMAR). The lowest mean VA between far (4 m) and near distance (40 cm) showed 0.07 logMAR at -1.00 D. Despite some optical phenomena, 81% of patients would choose the same IOL again, and would also recommend it to others.


Visual performance of PanOptix trifocal IOL showed good visual acuity at far (4 m), intermediate (60 cm, 80 cm) and near (40 cm) distance; high patient satisfaction despite some optical phenomena; and high spectacle independence at 3 months postoperatively.

Financial Disclosure:

gains financially from product or procedure presented, travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented, receives consulting fees, retainer, or contract payments from a competing company, receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented

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