Comparison of visual performance between diffractive bifocal and diffractive trifocal intraocular lenses

Abstract To evaluate the visual performance of a diffractive bifocal intraocular lens (IOL) with + 4.0 D near addition (ZMB00) and a diffractive trifocal IOL with + 2.17 D and + 3.25 D near addition (AcrySof IQ PanOptix TFNT00), we investigated the 10-week postoperative parameters after cataract sur...

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Main Authors: Junya Kawamura, Hirotaka Tanabe, Tomohiro Shojo, Tomofusa Yamauchi, Kosuke Takase, Hitoshi Tabuchi
Format: Article
Language:English
Published: Nature Portfolio 2024-03-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-024-55926-5
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author Junya Kawamura
Hirotaka Tanabe
Tomohiro Shojo
Tomofusa Yamauchi
Kosuke Takase
Hitoshi Tabuchi
author_facet Junya Kawamura
Hirotaka Tanabe
Tomohiro Shojo
Tomofusa Yamauchi
Kosuke Takase
Hitoshi Tabuchi
author_sort Junya Kawamura
collection DOAJ
description Abstract To evaluate the visual performance of a diffractive bifocal intraocular lens (IOL) with + 4.0 D near addition (ZMB00) and a diffractive trifocal IOL with + 2.17 D and + 3.25 D near addition (AcrySof IQ PanOptix TFNT00), we investigated the 10-week postoperative parameters after cataract surgery in which ZMB00 or TFNT00 lenses were implanted bilaterally from 2011 to 2020 (with a 3-month interval between implantation of the right and left lenses). The study included 1448 eyes of 724 patients. The diffractive bifocal group comprised 1326 eyes of 663 patients (aged 67.0 ± 7.8 years; females/males, 518/145), and the diffractive trifocal group comprised 122 eyes of 61 patients (aged 66.6 ± 7.3 years; females/males, 35/26). A linear mixed-effects model using data for both eyes, with strict adjustments for sex, age, subjective refraction spherical equivalent, subjective refraction cylinder, corneal astigmatism, axial length, corneal higher-order aberrations, and pupil diameter, ensured statistical validity. Uncorrected near visual acuity and higher-order aberrations (ocular/internal, scaled to a pupil size of 4 mm) (Wavefront_4mm_postoperative_Ocular/Internal_Spherical) were significantly better in the bifocal group (p < 0.00068, Wald test). Uncorrected intermediate visual acuity, contrast sensitivity (6.3/4.0/2.5/1.6/1.0/0.7 degrees), and contrast sensitivity with glare (4.0/1.6/1.0/0.7 degrees) were significantly better in the trifocal group (p < 0.00068, Wald test).
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spelling doaj.art-3f3e60be3a26465f806056fd927705062024-03-05T18:43:06ZengNature PortfolioScientific Reports2045-23222024-03-0114111310.1038/s41598-024-55926-5Comparison of visual performance between diffractive bifocal and diffractive trifocal intraocular lensesJunya Kawamura0Hirotaka Tanabe1Tomohiro Shojo2Tomofusa Yamauchi3Kosuke Takase4Hitoshi Tabuchi5Department of Ophthalmology, Tsukazaki HospitalDepartment of Ophthalmology, Tsukazaki HospitalDepartment of Ophthalmology, Tsukazaki HospitalDepartment of Ophthalmology, Tsukazaki HospitalDepartment of Ophthalmology, Tsukazaki HospitalDepartment of Ophthalmology, Tsukazaki HospitalAbstract To evaluate the visual performance of a diffractive bifocal intraocular lens (IOL) with + 4.0 D near addition (ZMB00) and a diffractive trifocal IOL with + 2.17 D and + 3.25 D near addition (AcrySof IQ PanOptix TFNT00), we investigated the 10-week postoperative parameters after cataract surgery in which ZMB00 or TFNT00 lenses were implanted bilaterally from 2011 to 2020 (with a 3-month interval between implantation of the right and left lenses). The study included 1448 eyes of 724 patients. The diffractive bifocal group comprised 1326 eyes of 663 patients (aged 67.0 ± 7.8 years; females/males, 518/145), and the diffractive trifocal group comprised 122 eyes of 61 patients (aged 66.6 ± 7.3 years; females/males, 35/26). A linear mixed-effects model using data for both eyes, with strict adjustments for sex, age, subjective refraction spherical equivalent, subjective refraction cylinder, corneal astigmatism, axial length, corneal higher-order aberrations, and pupil diameter, ensured statistical validity. Uncorrected near visual acuity and higher-order aberrations (ocular/internal, scaled to a pupil size of 4 mm) (Wavefront_4mm_postoperative_Ocular/Internal_Spherical) were significantly better in the bifocal group (p < 0.00068, Wald test). Uncorrected intermediate visual acuity, contrast sensitivity (6.3/4.0/2.5/1.6/1.0/0.7 degrees), and contrast sensitivity with glare (4.0/1.6/1.0/0.7 degrees) were significantly better in the trifocal group (p < 0.00068, Wald test).https://doi.org/10.1038/s41598-024-55926-5
spellingShingle Junya Kawamura
Hirotaka Tanabe
Tomohiro Shojo
Tomofusa Yamauchi
Kosuke Takase
Hitoshi Tabuchi
Comparison of visual performance between diffractive bifocal and diffractive trifocal intraocular lenses
Scientific Reports
title Comparison of visual performance between diffractive bifocal and diffractive trifocal intraocular lenses
title_full Comparison of visual performance between diffractive bifocal and diffractive trifocal intraocular lenses
title_fullStr Comparison of visual performance between diffractive bifocal and diffractive trifocal intraocular lenses
title_full_unstemmed Comparison of visual performance between diffractive bifocal and diffractive trifocal intraocular lenses
title_short Comparison of visual performance between diffractive bifocal and diffractive trifocal intraocular lenses
title_sort comparison of visual performance between diffractive bifocal and diffractive trifocal intraocular lenses
url https://doi.org/10.1038/s41598-024-55926-5
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