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Published on: July 7, 2023
Real-World IOL Performance with Bilateral Plano Outcomes After Cataract Surgery: A Prospective, Comparative Study
Wyche T Coleman Iii1, Curtis R Martin1, Ayorinde W Cooley1
1Department of Ophthalmology, Willis-Knighton Eye Institute, Shreveport, LA, USA.
Clinical Ophthalmology (Auckland, N.Z.)
|July 31, 2026
Summary
The PanOptix Trifocal intraocular lens (IOL) provided the highest patient satisfaction after cataract surgery, despite causing more visual disturbances. Patients may prioritize spectacle independence over perfect visual quality.
Area of Science:
- Ophthalmology
- Biomedical Engineering
Background:
- Cataract surgery involves replacing the clouded natural lens with an artificial intraocular lens (IOL).
- Choosing the right IOL is crucial for visual outcomes and patient satisfaction.
- Various IOL designs, including monofocal and trifocal options, offer different visual performance characteristics.
Purpose of the Study:
- To compare the visual performance and patient satisfaction of different intraocular lenses (IOLs).
- To evaluate outcomes following bilateral cataract extraction with plano target refraction.
Main Methods:
- 121 patients underwent staged, bilateral cataract surgery with AcrySof PanOptix Trifocal, AcrySof SA60 Monofocal, or TECNIS Eyhance monofocal IOL implantation.
- Femtosecond laser-assisted cataract surgery was used by a single surgeon.
- Postoperative follow-up occurred at 1 day, 1 month, and 3 months, with the Refractive Cataract Surgery Survey (RCSS) administered at 1 month.
Main Results:
- The AcrySof SA60 Monofocal IOL demonstrated superior uncorrected distance visual acuity (p < 0.05).
- The AcrySof PanOptix Trifocal IOL showed significantly better binocular uncorrected near visual acuity (p < 0.001).
- Despite a higher incidence of dysphotopsia, the PanOptix Trifocal IOL achieved the highest patient satisfaction scores on the RCSS.
Conclusions:
- Patient satisfaction was highest with the PanOptix Trifocal IOL, even with increased dysphotopsia.
- High satisfaction may stem from prioritizing spectacle independence across all visual distances.
- Optical trade-offs, such as diffractive dysphotopsias, may be accepted by patients seeking functional vision without glasses.