TY - JOUR
T1 - Comparison of the intermediate distance of a trifocal IOL with an extended depth-of-focus IOL
T2 - results of a prospective randomized trial
AU - Webers, Valentijn S C
AU - Bauer, Noel J C
AU - Saelens, Isabelle E Y
AU - Creten, Onne J M
AU - Berendschot, Tos T J M
AU - van den Biggelaar, Frank J H M
AU - Nuijts, Rudy M M A
N1 - Funding Information:
Supported by a grant from Abbott Laboratories, Santa Ana, USA.
Funding Information:
Disclosures: Dr. Nuijts is a consultant at Alcon Laboratories, Inc., ASICO LLC, and Thea Pharma, and receives financial support for research from Abbott Medical Optics, Inc., Alcon Laboratories, Inc., Bausch & Lomb, Inc., Carl Zeiss Meditec AG, Oculentis GmbH, and Ophtec BV. Dr. Bauer isa consultant for Alcon Laboratories, Inc. and Bausch & Lomb, Inc.; receives financial support for research from Alcon Laboratories, Inc.; and receives lecture fees from Alcon Laboratories, Inc. and Bausch & Lomb, Inc. None of the other authors has a financial or proprietary interest in any material or method mentioned.
Publisher Copyright:
© 2020 Elsevier Inc.. All rights reserved.
PY - 2020/2
Y1 - 2020/2
N2 - PURPOSE: To compare visual outcomes, reading ability, and visual quality between the Symfony extended depth-of-focus intraocular lens (IOL) and the trifocal AT LISA tri 839MP IOL.SETTING: University Eye Clinic Maastricht, The Netherlands.DESIGN: Prospective randomized controlled trial.METHODS: Patients were randomly assigned to bilateral Symfony IOL or AT LISA tri 839MP IOL implantation. The primary outcome measure was uncorrected intermediate visual acuity (UIVA measured at 66 cm). Secondary outcomes included uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), reading ability, and comparison of defocus curves, contrast sensitivity, optical adverse effects, and quality of vision.RESULTS: The study enrolled 60 eyes of 30 patients. The mean UIVA was -0.02 ± 0.03 (SD) vs 0.01 ± 0.03 logarithm of the minimal angle of resolution (logMAR) in the Symfony and AT LISA tri 839MP groups, respectively (P = .047). The UDVA was 0.01 ± 0.12 and -0.05 ± 0.07 logMAR (P = .11) and the UNVA was 0.09 ± 0.05 and 0.04 ± 0.07 logMAR (P = .052) in the Symfony and AT LISA tri 839MP groups, respectively. Reading ability was similar in both groups at 40 cm and 66 cm (P = .87 and P = .14, respectively). Less than 10% of patients in both groups experienced disabling glare. Patients experienced disabling halos in the AT LISA tri 839 MP group compared to the Symfony group in 39% and 21% of cases, respectively (P = .12). The mean score for visual functioning was 88.0 ± 14.1 n the trifocal group and 88.2 ± 10.9 for the EDOF group (P = .96).CONCLUSIONS: The UIVA was better in the Symfony group than in the AT LISA tri 839MP group. No significant differences were seen in the binocular UNVA and UDVA, contrast sensitivity, reading ability, incidence of photopic phenomena, and patient satisfaction.
AB - PURPOSE: To compare visual outcomes, reading ability, and visual quality between the Symfony extended depth-of-focus intraocular lens (IOL) and the trifocal AT LISA tri 839MP IOL.SETTING: University Eye Clinic Maastricht, The Netherlands.DESIGN: Prospective randomized controlled trial.METHODS: Patients were randomly assigned to bilateral Symfony IOL or AT LISA tri 839MP IOL implantation. The primary outcome measure was uncorrected intermediate visual acuity (UIVA measured at 66 cm). Secondary outcomes included uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), reading ability, and comparison of defocus curves, contrast sensitivity, optical adverse effects, and quality of vision.RESULTS: The study enrolled 60 eyes of 30 patients. The mean UIVA was -0.02 ± 0.03 (SD) vs 0.01 ± 0.03 logarithm of the minimal angle of resolution (logMAR) in the Symfony and AT LISA tri 839MP groups, respectively (P = .047). The UDVA was 0.01 ± 0.12 and -0.05 ± 0.07 logMAR (P = .11) and the UNVA was 0.09 ± 0.05 and 0.04 ± 0.07 logMAR (P = .052) in the Symfony and AT LISA tri 839MP groups, respectively. Reading ability was similar in both groups at 40 cm and 66 cm (P = .87 and P = .14, respectively). Less than 10% of patients in both groups experienced disabling glare. Patients experienced disabling halos in the AT LISA tri 839 MP group compared to the Symfony group in 39% and 21% of cases, respectively (P = .12). The mean score for visual functioning was 88.0 ± 14.1 n the trifocal group and 88.2 ± 10.9 for the EDOF group (P = .96).CONCLUSIONS: The UIVA was better in the Symfony group than in the AT LISA tri 839MP group. No significant differences were seen in the binocular UNVA and UDVA, contrast sensitivity, reading ability, incidence of photopic phenomena, and patient satisfaction.
KW - ACUITY
KW - BILATERAL IMPLANTATION
KW - CATARACT-SURGERY
KW - CLINICAL-OUTCOMES
KW - DIFFRACTIVE INTRAOCULAR LENSES
KW - OPTICAL-QUALITY
KW - RANGE
KW - READING PERFORMANCE
KW - VISION
KW - VISUAL OUTCOMES
U2 - 10.1097/j.jcrs.0000000000000012
DO - 10.1097/j.jcrs.0000000000000012
M3 - Article
C2 - 32126031
SN - 0886-3350
VL - 46
SP - 193
EP - 203
JO - Journal of Cataract and Refractive Surgery
JF - Journal of Cataract and Refractive Surgery
IS - 2
ER -