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AT LISA® tri839MP vs AcrySof® IQ PanOptix™: comparative analysis of qualitative and quantitative visual outcomes

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Session Details

Session Title: Multifocal IOLs

Session Date/Time: Sunday 23/09/2018 | 16:30-18:00

Paper Time: 16:48

Venue: Room A3, Podium 1

First Author: : P.Baptista PORTUGAL

Co Author(s): :    V. Lages   L. Malheiro   D. Jose   M. Lume   R. Salgado   M. Brochado     

Abstract Details


To compare qualitative and quantitative visual outcomes after bilateral refractive lens exchange followed by implantation of two intraocular trifocal lenses (IOLs): the AT LISA® tri839MP and the AcrySof® IQ PanOptix™


Centro Hospitalar Universitário do Porto (CHUP) - Porto, Portugal


Retrospective study including 48 eyes (24 patients). Refractive lens exchange followed by bilateral implantation of AT LISA® tri839MP (group 1, n=26eyes) or AcrySof® IQ PanOptix™ (group 2, n=22eyes) was performed. Best-corrected and uncorrected visual acuity (BCVA and UCVA, logMAR) – 3 distances - and slit lamp biomicroscopy were evaluated. Vision quality was assessed applying a modified Cataract TyPESpecification questionnaire and by an optical quality analysis system - HD Analyzer® - measuring the objective scatter index (OSI), potential visual acuity (PVA) at fotopic, mesopic and scotopic conditions, modulation transfer function (MTF) and tear film (TF) analysis. Minimum follow-up was 12 months


There were no preoperative differences between groups in all the parameters evaluated. Postoperative UCVA’s for distance, intermediate and near were slightly better in group 2, without statistically significant differences (p=0,70). OSI, PVA in the 3 conditions and MTF values were significantly better in group 2 (p<0,001 for all). The variation in OSI during TF analysis was higher in group 1 (p<0,001). Questionnaire analysis showed better quality of vision in group 2 patients: average score 49/60 (group 1) and 58/60 (group 2); less glare and halos complaints (group 2). Only one patient (group 1) reported spectacles dependency


Postoperative UCVA for different distances was similar with AT LISA® tri839MP or AcrySof® IQ PanOptix™ IOLs implantation. Independency of spectacles for different distances was achieved in almost all patients. However AcrySof® IQ PanOptix™ IOL provided better quality of vision in both qualitative and quantitative analysis. Patient's satisfaction was higher with AcrySof® IQ PanOptix™ IOL

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