RT Journal Article
SR Electronic
T1 Comparison of postoperative visual performance between trifocal intraocular lens and monofocal intraocular lens
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 456
OP 462
DO 10.15537/smj.2023.44.5.20220833
VO 44
IS 5
A1 Zhang, Wanping
A1 Peng, Ting
A1 Cheng, Xi
A1 Wang, Chen
A1 Lv, Xiangyun
A1 Liang, Siting
A1 Hu, Jun
YR 2023
UL http://smj.org.sa/content/44/5/456.abstract
AB Objectives: To compare the subjective and objective visual quality more comprehensively after surgery of the commonly used multifocal intraocular lenses (IOL) and monolocal IOL implants through long-term systematic clinical observation, providing reference and basis for clinical application.Methods: Non-randomized controlled trial. A total of 91 (138 eyes) patients between June 2020 and December 2020 were implanted trifocal IOL or monofocal IOL after phacoemulsification in a tertiary class hospital in Wuhan. Monocular testing 3 months after surgery included best-spectacles corrected and uncorrected visual at distant, intermediate, and near vision; spherical equivalent (SE); defocus curve; modulation transfer function (MTF); dysfunctional lens index (DLI); Strehl ratio (SR); mesopic contrast sensitivity function; quality-of-life, spectacles independence, visual disturbance, and surgical satisfaction surveys 3 months post-surgery.Results: There was statistically better uncorrected vision acuity with trifocal IOLs in all range, while monofocal IOL had statistically better mesopic contrast sensitivity at specific spatial frequencies and statistically worse defocus curves, spectacles independence, and surgical satisfaction. The trifocal IOL performed better in subjective quality of vision and life and spectacles independence questionnaires, and the objective quality of vision had no statistical significance.Conclusion: Compared to monofocal IOL, trifocal IOL could provide a full range of clear vision for the majority of patients with simple cataracts, improve the rate of spectacles independence and patient satisfaction. And the objective quality of vision did not show any difference.