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This is a prospective, consecutive, nonrandomized,comparative study. Comparison of the Visual Performance After Implantation of a Trifocal Intraocular Lens and Two Bifocal Intraocular Lenses
Multifocal intraocular lenses were introduced in the 1980s and have the benefit of promoting near and far vision simultaneous. However, these multifocal lenses have the disadvantages, including lower contrast sensitivity(CS) and visual discomfort, such as halos, glares and starburst, et al. Therefore, careful patient selection is crucial to achieve good postoperative results. The purpose of this study was to compare the visual outcomes and subjective visual quality between bifocal intraocular Lens(ReSTOR +2.5/+ 3.0D and Diff-aay) and trifocal intraocular Lens(AT Lisa tri 839MP). This prospective, nonrandomized, consecutive, comparative study included the assessment of 60 patients implanted with multifocal intraocular lens. visual acuity was tested in all cases. Ophthalmological evaluation included the measurement of uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrected near visual acuity (UNVA), and uncorrected intermediate visual acuity (UIVA), the analysis of contrast sensitivity (CS), visual defocus curve, spectacle independence, patient satisfaction, residual sphere, spherical equivalent (SE), cylinder and complications.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| trifocal lens | trifocal lens implantation(AT Lisa tri 839MP) |
| |
| bifocal lens 1 | bifocal lens implantation(Diff-aay) |
| |
| bifocal lens 2 | bifocal lens implantation(ReSTOR +3.0D) |
| |
| bifocal lens 3 | bifocal lens implantation(ReSTOR +2.5D) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| trifocal lens | Procedure | phacoemusification + trifocal lens(AT Lisa tri 839MP) implantation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Uncorrected distance visual acuity | Uncorrected distance visual acuity (4m) were measured using the reading table model of the Early Treatment Diabetic Retinopathy Study charts (ETDRS; Vector Vision, Ltd, Greenville, OH, USA). | 3 months after surgery |
| Uncorrected near visual acuity | Uncorrected near visual acuity (40cm) were measured using the reading table model of the Early Treatment Diabetic Retinopathy Study charts (ETDRS; Vector Vision, Ltd, Greenville, OH, USA). | 3 months after surgery |
| Uncorrected intermediate visual acuity | Uncorrected intermediate visual acuity (60cm) were measured using the reading table model of the Early Treatment Diabetic Retinopathy Study charts (ETDRS; Vector Vision, Ltd, Greenville, OH, USA). | 3 months after surgery |
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| Measure | Description | Time Frame |
|---|---|---|
| Quality of vision | Quality of vision was measured using the National Eye Institute Visual Function Questionnaire (NEI VFQ)-25. The NEI-VFQ was developed at the RAND under the sponsorship of the NEI; it provides a self-reported measure of visual function. | 3 months after surgery |
Inclusion Criteria:
Exclusion Criteria:
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cataract patients
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hua Fan | Contact | +8618988761617 | +8618988761617 | fanhua1116@163.com |
| Wensheng Li | Contact | +8618650424985 | +8618650424985 | drlws@qq.com |
| Name | Affiliation | Role |
|---|---|---|
| Wensheng Li | Shanghai Aier Eye Hosptial | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Wensheng Li | Recruiting | Shanghai | 200000 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29138533 | Background | de Medeiros AL, de Araujo Rolim AG, Motta AFP, Ventura BV, Vilar C, Chaves MAPD, Carricondo PC, Hida WT. Comparison of visual outcomes after bilateral implantation of a diffractive trifocal intraocular lens and blended implantation of an extended depth of focus intraocular lens with a diffractive bifocal intraocular lens. Clin Ophthalmol. 2017 Oct 26;11:1911-1916. doi: 10.2147/OPTH.S145945. eCollection 2017. | |
| 27051269 |
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all IPD that underlie results
After this study is finished the data will become available for 1year.
The analytical data will be accessed in published articles.
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| bifocal lens 1 | Procedure | phacoemusification +bifocal lens(Diff-aay) implantation |
|
| bifocal lens 2 | Procedure | phacoemusification +bifocal lens (ReSTOR +3.0D) implantation |
|
| bifocal lens 3 | Procedure | phacoemusification +bifocal lens (ReSTOR +2.5D) implantation |
|
| Background |
| Gundersen KG, Potvin R. Comparison of visual outcomes after implantation of diffractive trifocal toric intraocular lens and a diffractive apodized bifocal toric intraocular lens. Clin Ophthalmol. 2016 Mar 17;10:455-61. doi: 10.2147/OPTH.S103375. eCollection 2016. |
| 29073156 | Background | Xu Z, Cao D, Chen X, Wu S, Wang X, Wu Q. Comparison of clinical performance between trifocal and bifocal intraocular lenses: A meta-analysis. PLoS One. 2017 Oct 26;12(10):e0186522. doi: 10.1371/journal.pone.0186522. eCollection 2017. |