Visual performance after trifocal versus extended range of vision presbyopia-correcting intraocular lenses

• Main Authors: Ahmed Abd El Kareem El-Massry, Ahmed E Shama, Hazem W Kandil, Mohammed H Ghoneem
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2018-01-01
• Series: Delta Journal of Ophthalmology
• Subjects: cataract; finevision; intraocular lens; presbyopia; symfony
• Online Access: http://www.djo.eg.net/article.asp?issn=1110-9173;year=2018;volume=19;issue=4;spage=243;epage=245;aulast=El-Massry

Purpose The purpose of this article is to compare visual outcomes after cataract surgery with implantation of two intraocular lenses (IOLs): extended range of vision and trifocal. Patients and methods A prospective study comprising 14 patients (26 eyes) was conducted. Phaco-emulsification followed by implantation of Finevision IOL was performed in eight patients (15 eyes) and Symfony IOL in six patients (11 eyes). The following outcomes were assessed after 3 months from surgery: uncorrected and best-corrected monocular distance, intermediate and near visual acuities and spherical equivalent refraction. Results The mean values for the Finevision group and the Symfony group, respectively, were uncorrected visual acuity (UCVA) for far 0.05±0.08 logMAR and 0.02±0.04 logMAR; UCVA for intermediate 0.23±0.05 logMAR and 0.4±0.06 logMAR; UCVA for near 0.19±0.10 logMAR and 0.42±0.06 logMAR; best-corrected visual acuity (BCVA) for far −0.03±0.08 logMAR and −0.03±0.05 logMAR; BCVA for intermediate 0.22±0.04 logMAR and 0.4±0.06 logMAR; BCVA for near 0.19±0.07 logMAR and 0.41±0.05 logMAR. Finevision group was statistically significant (P<0.05) better than Symfony group in UCVA and BCVA for near and intermediate. Conclusion Both the Finevision IOL and the Symfony IOL are excellent presbyopia-correcting IOLs. In our study, they provided excellent visual acuities at all distances. The Finevision group had better near and intermediate visual acuities.