Functional outcomes after refractive lens exchange with implantation of a glistening-free diffractive trifocal intraocular lens

• Verfasst von: Khoramnia, Ramin [VerfasserIn]
• Verfasst von: Naujokaitis, Tadas [VerfasserIn]
• Verfasst von: Baur, Isabella [VerfasserIn]
• Verfasst von: Hassel, Oliver [VerfasserIn]
• Verfasst von: Henningsen, Nikola [VerfasserIn]
• Verfasst von: Reitemeyer, Emanuel [VerfasserIn]
• Verfasst von: Chychko, Lizaveta [VerfasserIn]
• Verfasst von: Łabuz, Grzegorz [VerfasserIn]
• Verfasst von: Auffarth, Gerd U. [VerfasserIn]
• Titel: Functional outcomes after refractive lens exchange with implantation of a glistening-free diffractive trifocal intraocular lens
• Verf.angabe: Ramin Khoramnia, Tadas Naujokaitis, Isabella D. Baur, Oliver Hassel, Nikola Henningsen, Emanuel Reitemeyer, Lizaveta Chychko, Grzegorz Łabuz, and Gerd U. Auffarth
• E-Jahr: 2024
• Jahr: December 2024
• Umfang: 10 S.
• Illustrationen: Illustrationen
• Fussnoten: Online verfügbar: 6. August 2024, Artikelversion: 11. September 2024 ; Gesehen am 11.02.2025
• Titel Quelle: Enthalten in: American journal of ophthalmology
• Ort Quelle: New York, NY : Elsevier Science, 1918
• Jahr Quelle: 2024
• Band/Heft Quelle: 268(2024) vom: Dez., Seite 296-305
• ISSN Quelle: 1879-1891
• DOI: doi:10.1016/j.ajo.2024.07.037
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1916945597

Abstract

Purpose - To evaluate visual outcomes and patient-reported results after bilateral femtosecond-laser-assisted refractive lens exchange (RLE) with the implantation of a diffractive trifocal intraocular lens. - Design - Prospective interventional case series. - Methods - A study of 27 patients (54 eyes) implanted with the Clareon PanOptix (Alcon) multifocal intraocular lens during femtosecond-laser-assisted RLE in a university hospital setting. The uncorrected (UDVA) and corrected (CDVA) distance visual acuity, uncorrected (UIVA) and distance-corrected (DCIVA) intermediate visual acuity at 60 cm, uncorrected (UNVA) and distance-corrected (DCNVA) near visual acuity at 40 and 33 cm were evaluated at 3 months postoperatively and compared with the preoperative values. In addition, we assessed the postoperative defocus curve, mesopic and photopic contrast sensitivity, and patient-reported spectacle independence. - Results - The mean postoperative binocular UDVA was -0.02 ± 0.06 logMAR and CDVA was -0.11 ± 0.05 logMAR. The UIVA was -0.07 ± 0.05 logMAR and DCIVA was -0.07 ± 0.07 logMAR. The UNVA at 40 cm was 0.03 ± 0.09 logMAR and DCNVA was -0.02 ±0.06 logMAR; and, at 33 cm UNVA was 0.14 ± 0.10 logMAR and DCNVA was 0.11 ± 0.08 logMAR. In comparison to the preoperative binocular CDVA (-0.12 ± 0.08 logMAR), no statistically significant change was observed (P = 1.0), while all the other binocular visual acuities improved (P < .01). In the mean binocular defocus curve, the visual acuity was better than 0.10 logMAR in the range between +0.5 D and -3.0 D. The mean contrast sensitivity was within the normal range, and most patients reported complete spectacle independence. - Conclusions - The RLE surgery improved uncorrected visual acuity at far, intermediate, and near distances without negatively affecting the CDVA. Patients achieved a high level of spectacle independence.