J Korean Ophthalmol Soc.  2018 Feb;59(2):145-152. 10.3341/jkos.2018.59.2.145.

Clinical Outcomes of Diffractive Aspheric Trifocal Intraocular Lens Implantation

• Lee JH
• Cho YJ
• Lim TH
• Choi KY
• Cho BJ

• KMID: 2403807
• DOI: http://doi.org/10.3341/jkos.2018.59.2.145

Abstract

PURPOSE
To evaluate the clinical outcomes of patients with diffractive aspheric trifocal intraocular lens FineVision Pod F IOL (PhysIOL, Liège, Belgium) implantation.
METHODS
Thirty eight eyes received phacoemulsification and implantation of FineVision Pod F IOL. Uncorrected distant visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), refractive values, and defocus curve were evaluated at postoperative 1 month and 3 months. Optical quality was evaluated with the contrast sensitivity test, OQAS® (Optical Quality Analysis System, Visiometrics, Cerdanyola del Vallès, Spain) and questionnaire.
RESULTS
At the 3-month postoperative follow-up, the mean spherical equivalent was 0.01 ± 0.31 D and the mean UDVA, UIVA and UNVA were 0.04 ± 0.07, 0.19 ± 0.12, and 0.04 ± 0.07, respectively. Mean contrast sensitivities at 0.75, 1.5, 3, 6, 12, and 18 cycles per degrees were 2.00 ± 1.54, 2.16 ± 1.60, 2.25 ± 1.76, 2.16 ± 1.83, 1.52 ± 1.47 and 1.03 ± 0.95 respectively and mean objective scatter index by OQAS® (Optical Quality Analysis System, Visiometrics) was 1.54 ± 0.74. In satisfaction analysis, general satisfaction with surgery was 89% and spectacle independence were 89% at far, 78% at intermediate and 83% at near distance. Postoperative dissatisfaction factors were dryness (36%), glare at night (32%), halo (18%).
CONCLUSIONS
The FineVision Pod F IOL showed excellent distant and near visual acuities with an effective intermediate visual acuity. The eyes with FineVision Pod F IOL expected to achieve the favorable visual outcome and patient satisfaction.

Keyword

Cataract; FineVision Pod F IOL; Intermediate visual acuity; Patient satisfaction; Trifocal IOL

MeSH Terms

Cataract
Contrast Sensitivity
Follow-Up Studies
Glare
Humans
Lens Implantation, Intraocular*
Lenses, Intraocular*
Patient Satisfaction
Phacoemulsification
Visual Acuity

Figure

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  Figure 1 PhysIOL FineVision Pod F intraocular lens. This is a diffractive trifocal intraocular lens (the manufacturer approved the use of the photograph of their product officially).

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  Figure 2 Mean monocular defocus curve at 1 and 3 months after surgery. Two peaks were observed at both far and near distances. There was no considerable decrease in the corrected visual acuity in the intermediate distance range. PL = plano.

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  Figure 3 Contrast sensitivity test for patients underwent cataract surgery using FineVision trifocal intraocular lens at 4 m distance in photopic condition at 3 months after the surgery. The results of the contrast sensitivity test in the photopic condition at 3 months after the cataract surgery were measured within the normal range.

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