Functional Visual Outcomes After Implantation of Refractive Segmental Multifocal Rotational Asymmetric Intraocular Lens.

Visual, Refractive, and Patient-Reported Outcomes After Unilateral Implantation of a Rotationally Asymmetric Refractive Multifocal IOL.

PURPOSE To evaluate visual, refractive, and quality-of-vision outcomes after unilateral cataract surgery or refractive lens exchange (RLE) with implantation of a rotationally asymmetric refractive multifocal intraocular lens (IOL), including the LENTIS Mplus LS-313 MF30 and LENTIS MplusX. METHODS Thirty-nine patients who underwent unilateral lens extraction (24 for cataract, 15 for RLE) with LENTIS Mplus multifocal IOL implantation were analyzed. Examinations were performed preoperatively and postoperatively at 1, 3, and 6 months, and at the final follow-up. Distance, intermediate, and near visual acuity, refraction, wavefront aberrations, contrast sensitivity, defocus curves, and Quality of Vision questionnaire scores were assessed. RESULTS At the final visit, 60.72 ± 37.75 months postoperatively, mean uncorrected and corrected distance visual acuity were 0.10 ± 0.23 and 0.01 ± 0.08 logMAR, respectively. Mean uncorrected and corrected near visual acuity were 0.10 ± 0.11 and 0.09 ± 0.17 logMAR, respectively. Mean uncorrected intermediate, corrected distance intermediate, and corrected distance near visual acuity were 0.12 ± 0.14, 0.12 ± 0.07, and 0.12 ± 0.15 logMAR, respectively. Defocus curves demonstrated broad functional vision across distance, intermediate, and near ranges. Contrast sensitivity and quality-of-vision outcomes suggested generally mild visual disturbances. CONCLUSION Unilateral implantation was well tolerated, with favorable monocular and binocular performance, high refractive predictability, and minimal optical side effects.

Visual Outcomes and Patient Satisfaction With a New Trifocal, Toric Intraocular Lens

The CNWTTx lens results in excellent visual acuities at distance, intermediate, and near, leading to high rates of spectacle independence and patients are subjectively satisfied with their visual outcomes.

Modern Hydrophobic Acrylic Intraocular Lens Incorporating HEMA: Three-Month Refractive and Visual Outcomes

The CNA0T0 IOL demonstrated favorable short-term refractive accuracy and binocular functional intermediate visual outcomes, with minimal dysphotopsia and no glistenings detected at 3 months.

Clinical performance of a segmented refractive multifocal IOL: visual outcomes, rotational stability, and the role of higher-order aberrations

Extended Depth of Field Intraocular Lens for Cataract After Vitrectomy for Retinal Detachment: A Prospective Trial

This study aimed to evaluate visual outcomes and patient satisfaction following implantation of a non-diffractive extended depth of focus (EDOF) intraocular lens (IOL) in eyes with cataract developing after pars plana vitrectomy (PPV) for rhegmatogenous retinal detachment (RRD). Patients who underwent PPV for RRD, with or without macular involvement, and subsequently developed cataract were prospectively enrolled. Cataract surgery was performed with implantation of the Vivity EDOF-IOL (Alcon). Bilateral implantation was performed according to patient preference. Inclusion criteria were attached retina 3–6 months after PPV and corrected distant visual acuity of 0.3–0.7 logMAR. Primary outcomes were monocular and binocular, corrected and uncorrected distance, intermediate, and near visual acuity (CDVA, UDVA, DCIVA, UIVA, DCNVA, UNVA) at 6 months. Secondary outcomes included defocus curve and patient-reported satisfaction. Twenty-seven patients (43 eyes) underwent surgery at 6 ± 3 months after PPV (16 patients bilateral). Thirteen patients had RRD with macular involvement. In the RRD-affected eyes CDVA improved statistically significantly from 0.35 ± 0.16 to 0.03 ± 0.12 and UDVA from 1.01 ± 0.34 to 0.16 ± 0.19 logMAR at 6 months. Mean visual acuities at 6 months for RRD-affected eyes were DCIVA 0.53 ± 0.21, UIVA 0.44 ± 0.15, DCNVA 0.59 ± 0.23, and UNVA 0.47 ± 0.23 logMAR. Binocular UDVA, UIVA, and UNVA for the bilateral cases were − 0.04 ± 0.11, 0.29 ± 0.10, and 0.26 ± 0.13 logMAR, respectively. The defocus curve was comparable between macula-on, macula-off, and fellow eyes. Patient satisfaction was favorable with just two patients reporting halos. Using the Vivity EDOF-IOL in selected patients with cataract after successful PPV for RRD appears to be a safe and effective option, yielding favorable visual outcomes regardless of macular involvement. DRKS00037029.

Comparison of Visual Field Outcomes After Monofocal, Bifocal, and Trifocal Intraocular Lens Implantation.

Postoperative VF sensitivity improved after all three IOL types, whereas multifocal IOLs, particularly trifocal IOLs, showed higher MS in paracentral and peripheral zones.