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KMID : 0213520160300030180
Korean Journal of Ophthalmology
2016 Volume.30 No. 3 p.180 ~ p.191
Visual Outcomes, Patient Satisfaction and Spectacle Independence with a Trifocal Diffractive Intraocular Lens
Kretz Florian Tobias Alwin

Choi Chul-Young
Muller Matthias
Gerl Matthias
Gerl Ralf Helmar
Auffarth Gerd Uwe
Abstract
Purpose: To evaluate visual outcomes following implantation of a trifocal diffractive intraocular lens (IOL) and to analyze their correlation with patient satisfaction and ease of performing daily tasks.

Methods: This was a prospective study enrolling 100 eyes of 50 patients undergoing cataract surgery with implantation of trifocal IOL AT LISA tri 839MP. Visual and refractive outcomes were evaluated during a 3-month follow-up. Postoperatively, a questionnaire was used to evaluate patient satisfaction with regard to surgical outcome, spectacle independence, perception of photic phenomena, and ease of performing some vision-related activities.

Results: A total of 91%, 87%, and 79% of eyes achieved a monocular uncorrected distance, near, and intermediate visual acuity of 0.1 logarithm of the minimum angle of resolution or better, respectively. After the surgery, 96% of the patients could perform their daily activities without problems. The mean spectacle independence scores for reading, doing computer work, and for distance were 10.33 ¡¾ 12.47, 5.71 ¡¾ 11.90, and 3.92 ¡¾ 9.77, respectively (scale: 0 = no spectacles needed; 40 = spectacles always needed). No correlation was found between spectacle independence and visual outcome (-0.101 ¡Â r ¡Â 0.244, p ¡Ã 0.087). Mean scores (0 = no symptoms; 40 = strong symptoms) for glare at night, ghost images, and halos were 15.15 ¡¾ 12.02, 4.49 ¡¾ 7.92, and 13.34 ¡¾ 10.82, respectively. No correlation was found between photic phenomena and visual outcome (-0.199 ¡Â r ¡Â 0.209, p ¡Ã 0.150). A total of 80% of patients reported satisfaction with the surgery outcome, and 86% would recommend the surgery to friends and family.

Conclusions: Implantation of the AT LISA tri 839MP IOL after cataract surgery provides effective visual restoration associated with a minimal level of photic phenomena, a positive impact on the performance of vision-related daily activities, and a high level of postoperative patient satisfaction.
KEYWORD
Cataract, Presbyopia, Surveys and questionnaire
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