J Korean Ophthalmol Soc > Volume 56(9); 2015 > Article
Journal of the Korean Ophthalmological Society 2015;56(9):1331-1337.
DOI: https://doi.org/10.3341/jkos.2015.56.9.1331    Published online September 15, 2015.
Clinical Outcomes of Diffractive Trifocal Intraocular Lens in Both Eyes: A 6-Month Follow-Up.
Young Ki Kwon, Hong Kyun Kim, Jun Hun Lee
1Department of Ophthalmology, Kyungpook National University School of Medicine, Daegu, Korea.
2Metro Eye Center, Daegu, Korea. eyedr.lee@gmail.com
양안에 삽입한 회절성 삼중초점 인공수정체의 6개월 임상 결과
권영기1⋅김홍균1⋅이준훈2
경북대학교 의학전문대학원 안과학교실1, 메트로 안과2
Received: 30 April 2015   • Revised: 10 July 2015   • Accepted: 14 August 2015
Abstract
PURPOSE
To evaluate clinical outcomes after cataract surgery with bilateral implantation of the diffractive trifocal intraocular lens (IOL). METHODS: Forty-four eyes of 22 patients were analyzed in the present study from July 2014 to December 2014. Phacoemulsification with bilateral implantation of an AT Lisa tri 839 MP IOL (Carl Zeiss Meditec, Jena, Germany) was performed. Over a 6-month follow-up, the main outcome measures were uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA) at 80 cm, uncorrected near visual acuity (UNVA) at 40 cm, and spherical equivalent refraction. Visual quality and patient satisfaction were evaluated using a Quality of Vision questionnaire. Finally, the defocus curve was measured. RESULTS: The mean monocular UNVA, UIVA, and UDVA were 0.23, 0.22, and 0.02 log MAR at 1 month, 0.21, 0.20, and 0.01 log MAR at 3 months and 0.20, 0.22, and 0.01 log MAR at 6 months postoperatively, respectively. The mean binocular UNVA, UIVA, and UDVA were 0.16, 0.12, and 0.0 log MAR at 1 month, 0.15, 0.11, and 0.0 log MAR at 3 months and 0.15, 0.13, and 0.0 log MAR at 6 months postoperatively, respectively. Twelve patients reported glare and 17 patients reported halo. Defocus curve showed best visual acuity results at 0.0 D and second peak at - 2.5 D. The intermediate-vision values were stable. CONCLUSIONS: Diffractive trifocal IOL provided excellent distance, intermediate, and near visual outcomes.
Key Words: Diffractive;Intraocular lens;Multifocal;Presbyopia;Trifocal


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