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Research ArticleOriginal Article
Open Access

Comparison of postoperative visual performance between trifocal intraocular lens and monofocal intraocular lens

Wanping Zhang, Ting Peng, Xi Cheng, Chen Wang, Xiangyun Lv, Siting Liang and Jun Hu
Saudi Medical Journal May 2023, 44 (5) 456-462; DOI: https://doi.org/10.15537/smj.2023.44.5.20220833
Wanping Zhang
From the Department of Ophthalmology (Zhang, Cheng, Hu), Tongji Hospital, Huazhong University of Science and Technology; and from the Department of Cataract (Zhang, Peng, Lv); from the Department of Imaging (Liang), Aier Eye Hospital of Wuhan University; and from the Department of Ophthalmology (Wang), Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
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Ting Peng
From the Department of Ophthalmology (Zhang, Cheng, Hu), Tongji Hospital, Huazhong University of Science and Technology; and from the Department of Cataract (Zhang, Peng, Lv); from the Department of Imaging (Liang), Aier Eye Hospital of Wuhan University; and from the Department of Ophthalmology (Wang), Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
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Xi Cheng
From the Department of Ophthalmology (Zhang, Cheng, Hu), Tongji Hospital, Huazhong University of Science and Technology; and from the Department of Cataract (Zhang, Peng, Lv); from the Department of Imaging (Liang), Aier Eye Hospital of Wuhan University; and from the Department of Ophthalmology (Wang), Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
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Chen Wang
From the Department of Ophthalmology (Zhang, Cheng, Hu), Tongji Hospital, Huazhong University of Science and Technology; and from the Department of Cataract (Zhang, Peng, Lv); from the Department of Imaging (Liang), Aier Eye Hospital of Wuhan University; and from the Department of Ophthalmology (Wang), Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
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Xiangyun Lv
From the Department of Ophthalmology (Zhang, Cheng, Hu), Tongji Hospital, Huazhong University of Science and Technology; and from the Department of Cataract (Zhang, Peng, Lv); from the Department of Imaging (Liang), Aier Eye Hospital of Wuhan University; and from the Department of Ophthalmology (Wang), Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
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Siting Liang
From the Department of Ophthalmology (Zhang, Cheng, Hu), Tongji Hospital, Huazhong University of Science and Technology; and from the Department of Cataract (Zhang, Peng, Lv); from the Department of Imaging (Liang), Aier Eye Hospital of Wuhan University; and from the Department of Ophthalmology (Wang), Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
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Jun Hu
From the Department of Ophthalmology (Zhang, Cheng, Hu), Tongji Hospital, Huazhong University of Science and Technology; and from the Department of Cataract (Zhang, Peng, Lv); from the Department of Imaging (Liang), Aier Eye Hospital of Wuhan University; and from the Department of Ophthalmology (Wang), Union Hospital, Huazhong University of Science and Technology, Wuhan, China.
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  • For correspondence: [email protected]
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Article Figures & Data

Figures

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  • Figure 1
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    Figure 1

    - Visual acuity distribution of each group. A) distance UCVA distribution of each group; B) intermedia UCVA distribution of each group; C) near UCVA distribution of each group; D) distance BCVA distribution of each group; E) near BCVA distribution of each group. UCVA: uncorrected visual acuity, BCVA: best-corrected visual acuity

  • Figure 2
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    Figure 2

    - Contrast sensitivity function and modulation transfer function (MTF) of each group after surgery. CS: contrast sensitivity, cpd: cycles per degree

  • Figure 3
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    Figure 3

    - The defocus curves and the area-of-focus metric of the 2 groups. A) The defocus curves of the 2 groups; B) the area-of-focus metric of the 2 groups. The near area was between -4.0 D and -2.0 D, corresponding to the range from 25 cm to 50 cm; the intermediate area was between -2.0 D and -0.50 D, corresponding to the range from 50 cm to 2 m; the distance area was defined as -0.50 D to +0.50 D, corresponding to the range beyond 2 m. D: diopter, VA: vision acuity, logMAR: minimum angle of resolution

Tables

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    Table 1

    - Characteristics of study participants.+

    CharacteristicsGroup AGroup BP-value
    Number4249
    Gender (female/male)19/2325/24
    Eyes (female/male)34/3138/35
    Age (years)*57.14±14.6760.42±12.270.395
    Endothelial cells (pcs/mm2)2623.07±302.752675.05±258.050.677
    Axis (mm)23.94±1.1123.84±1.130.867
    UCVA0.23±0.250.32±0.240.694
    BCVA0.40±0.310.39±0.270.616

    +All comparisons were not significant (p>0.05),

    UCVA: uncorrected vision acuity,

    BCVA: best-corrected vision acuity

    • ↵* Person’s age at the time of eye surgery,

    • View popup
    Table 2

    - Distance, intermediate, and near vision at 3 months after surgery with LISA tri 839MP and Mi60.+

    Intraocular lensn*Distance UCVADistance BCVAIntermediate UCVANear UCVANear BCVASE
    AT LISA tri 839MP630.04±0.080.04±0.080.04±0.090.03±0.060.04±0.07-0.46±0.30
    Mi60700.12±0.100.12±0.100.20±0.060.06±0.00.07±0.07-0.92±0.40
    P-value<0.0010.006<0.0010.1090.228<0.001

    UCVA: uncorrected visual acuity,

    BCVA: best-corrected visual acuity,

    SE: spherical equivalent

    • ↵* n represented the number of eyes followed up after surgery (one case in group A was lost to follow-up, and there were 2 cases of fundus disease in group B not found before the operation. These 3 patients were not included in the postoperative statistical analysis).

    • ↵+ All visual acuity was expressed in logMAR,

    • View popup
    Table 3

    - The MTF average height, SR, and DLI at 3 months after surgery with LISA tri 839MP and Mi60.

    Intraocular lensn*MTF averSR andDLI and
    AT LISA tri 839MP630.277±0.0120.094±0.0108.725±0.367
    Mi60700.252±0.0150.084±0.1168.909±0.330
    P-value0.2070.5000.717

    MTF: modulation transfer function,

    SR: Strehl ratio,

    DLI: dysfunctional lens index

    • ↵* n represented the number of eyes followed up after surgery,

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Saudi Medical Journal: 44 (5)
Saudi Medical Journal
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1 May 2023
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Comparison of postoperative visual performance between trifocal intraocular lens and monofocal intraocular lens
Wanping Zhang, Ting Peng, Xi Cheng, Chen Wang, Xiangyun Lv, Siting Liang, Jun Hu
Saudi Medical Journal May 2023, 44 (5) 456-462; DOI: 10.15537/smj.2023.44.5.20220833

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Comparison of postoperative visual performance between trifocal intraocular lens and monofocal intraocular lens
Wanping Zhang, Ting Peng, Xi Cheng, Chen Wang, Xiangyun Lv, Siting Liang, Jun Hu
Saudi Medical Journal May 2023, 44 (5) 456-462; DOI: 10.15537/smj.2023.44.5.20220833
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Keywords

  • contrast sensitivity
  • defocus curve
  • modulation transfer function
  • Strehl ratio
  • dysfunctional lens index

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