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        Visual Outcomes, Patient Satisfaction and Spectacle Independence with a Trifocal Diffractive Intraocular Lens

        Florian Tobias Alwin Kretz,최철영,Matthias Müller,Matthias Gerl,Ralf Helmar Gerl,Gerd Uwe Auffarth 대한안과학회 2016 Korean Journal of Ophthalmology Vol.30 No.3

        Purpose: To evaluate visual outcomes following implantation of a trifocal diffractive intraocular lens (IOL) and toanalyze 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 implantationof trifocal IOL AT LISA tri 839MP. Visual and refractive outcomes were evaluated during a 3-monthfollow-up. Postoperatively, a questionnaire was used to evaluate patient satisfaction with regard to surgicaloutcome, spectacle independence, perception of photic phenomena, and ease of performing some vision-relatedactivities. Results: A total of 91%, 87%, and 79% of eyes achieved a monocular uncorrected distance, near, and intermediatevisual 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 independencescores for reading, doing computer work, and for distance were 10.33 ± 12.47, 5.71 ± 11.90, and 3.92 ± 9.77,respectively (scale: 0 = no spectacles needed; 40 = spectacles always needed). No correlation was foundbetween spectacle independence and visual outcome (-0.101 ≤ r ≤ 0.244, p ≥ 0.087). Mean scores (0 = nosymptoms; 40 = strong symptoms) for glare at night, ghost images, and halos were 15.15 ± 12.02, 4.49 ± 7.92,and 13.34 ± 10.82, respectively. No correlation was found between photic phenomena and visual outcome(-0.199 ≤ r ≤ 0.209, p ≥ 0.150). A total of 80% of patients reported satisfaction with the surgery outcome, and86% would recommend the surgery to friends and family. Conclusions: Implantation of the AT LISA tri 839MP IOL after cataract surgery provides effective visual restorationassociated with a minimal level of photic phenomena, a positive impact on the performance of vision-relateddaily activities, and a high level of postoperative patient satisfaction.

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        Clinical Evaluation of Functional Vision of +1.5 Diopters near Addition, Aspheric, Rotational Asymmetric Multifocal Intraocular Lens

        Florian Tobias Alwin Kretz,Rahmin Khoramnia,Mary Safwat Attia,Michael Janusz Koss,Katharina Linz,Gerd Uwe Auffarth 대한안과학회 2016 Korean Journal of Ophthalmology Vol.30 No.5

        Purpose: To evaluate postoperative outcomes and visual performance in intermediate distance afterimplantation of a +1.5 diopters (D) addition, aspheric, rotational asymmetric multifocal intraocularlens (MIOL). Methods: Patients underwent bilateral cataract surgery with implantation of an aspheric, asymmetricMIOL with +1.5 D near addition. A complete ophthalmological examination was performed preoperativelyand 3 months postoperatively. The main outcome measures were monocular and binocularuncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrectedintermediate visual acuity (UIVA), distance corrected intermediate visual acuity (DCIVA), uncorrectednear visual acuity (UNVA) and distance corrected keratometry, and manifest refraction. The SalzburgReading Desk was used to analyze unilateral and bilateral functional vision with uncorrected and correctedreading acuity, reading distance, reading speed, and the smallest log-scaled print size that could be read effectivelyat near and intermediate distances. Results: The study comprised 60 eyes of 30 patients (mean age, 68.30 ± 9.26 years; range, 34 to 80years). There was significant improvement in UDVA and CDVA. Mean UIVA was 0.01 ± 0.09 logarithmof the minimum angle of resolution (logMAR) and mean DCIVA was -0.02 ± 0.11 logMAR. In Salzburg ReadingDesk analysis for UIVA, the mean subjective intermediate distance was 67.58 ± 8.59 cm with meanUIVA of -0.02 ± 0.09 logMAR and mean word count of 96.38 ± 28.32 words/min. Conclusions: The new aspheric, asymmetric, +1.5 D near addition MIOL offers good results for distancevisual function in combination with good performance for intermediate distances and functionalresults for near distance.

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