Published date: Jun 21 2024

Journal Title: Journal of Ophthalmic and Vision Research

Issue title: Apr–Jun 2024, Volume 19, Issue 2

Pages: 152–160

DOI: 10.18502/jovr.v19i2.11034

Pruthvi Kothari - pkothar3@gmail.com - https://orcid.org/0000-0002-2814-6752

Saumya Patel - spate552@uic.edu - https://orcid.org/0000-0002-6691-1400

Victoria Kuritza - vkurit2@uic.edu - https://orcid.org/0000-0001-9864-4426

Nichole Pompey - nicholep@uic.edu

Kayéromi Gomez - kayeromi@uic.edu

Mitul Vakharia - mvakharia@newvisionrockford.com - https://orcid.org/0000-0002-5609-0426

Purpose: To compare objective and subjective outcomes of the multifocal intraocular lenses ReSTOR SN6AD1 and Tecnis ZKB00, extended depth of focus IOL Symfony ZXR00, and trifocal IOL PanOptix TFNT00.

Methods: This study included 262 patients (524 eyes) who had phacoemulsification with IOL implantation, 128 eyes with SN6AD1, 124 eyes with ZKB00, 136 eyes with ZXR00, and 136 eyes with TFNT00. Objective outcomes included one-month postoperative uncorrected (U) and corrected (C) distance (D) and near (N) visual acuities (VA). Subjective outcomes included photic phenomena, spectacle use, and spectacle-independent visual function.

Results: Spectacle use (%) in the SN6AD1, ZKB00 ZXR00, and TFNT00 groups was 39, 64, 87, and 37 respectively (P < 0.0001). Presence of photic phenomena (%) for SN6AD1, ZKB00, ZXR00, and TFNT00 was 66, 61, and 67, and 73, respectively (P = 0.57). Spectacle-independent mean VF- 14 score (%) for SN6AD1, ZKB00, ZXR00, and TFNT00 was 89.5, 87.2, 80.9, and 83.6, respectively (P < 0.01).

Conclusion: All four IOLs provided excellent postoperative visual acuity and equally high rates of photic phenomena. SN6AD1 and TFNT00 provided the least spectacle use while ZXR00 had the highest spectacle use.

1. Asbell PA, Dualan I, Mindel J, Brocks D, Ahmad M, Epstein S. Age-related cataract. Lancet 2005;365:599– 609.

2. Shah S, Peris-Martinez C, Reinhard T, Vinciguerra P. Visual outcomes after cataract surgery: Multifocal versus monofocal intraocular lenses. J Refract Surg 2015;31:658–666.

3. Javitt JC, Steinert RF. Cataract extraction with multifocal intraocular lens implantation: A multinational clinical trial evaluating clinical, functional, and quality-of-life outcomes. Ophthalmology 2000;107:2040–1048.

4. Dick HB, Krummenauer F, Schwenn O, Krist R, Pfeiffer N. Objective and subjective evaluation of photic phenomena after monofocal and multifocal intraocular lens implantation. Ophthalmology 1999;106:1878–1886.

5. Alba-Bueno F, Vega F, Millán MS. [Halos and multifocal intraocular lenses: Origin and interpretation]. Arch Soc Esp Oftalmol 2014;89:397–404.
6. Häring G, Dick HB, Krummenauer F, Weissmantel U, Kröncke W. Subjective photic phenomena with refractive multifocal and monofocal intraocular lenses. Results of a multicenter questionnaire. J Cataract Refract Surg 2001;27:245–249.

7. Rosa AM, Miranda ÂC, Patrício MM, McAlinden C, Silva FL, Castelo-Branco M, et al. Functional magnetic resonance imaging to assess neuroadaptation to multifocal intraocular lenses. J Cataract Refract Surg 2017;43:1287–1296.

8. de Vries NE, Nuijts RM. Multifocal intraocular lenses in cataract surgery: Literature review of benefits and side effects. J Cataract Refract Surg 2013;39:268–278.

9. Eom Y, Song JS, Kim HM. Spectacle plane add power of multifocal intraocular lenses according to effective lens position. Can J Ophthalmol 2017;52:54–60. 1

0. Gatinel D, Loicq J. Clinically relevant optical properties of bifocal, trifocal, and extended depth of focus intraocular lenses. J Refract Surg 2016;32:273–280.

11. García-Pérez JL, Gros-Otero J, Sánchez-Ramos C, Blázquez V, Contreras I. Short term visual outcomes of a new trifocal intraocular lens. BMC Ophthalmol 2017;17:72.

12. Kretz FT, Gerl M, Gerl R, Müller M, Auffarth GU; ZKB00 Study Group. Clinical evaluation of a new pupil independent diffractive multifocal intraocular lens with a +2.75 D near addition: a European multicentre study. Br J Ophthalmol 2015;99:1655–1659.

13. Gierek-Ciaciura S, Cwalina L, Bednarski L, Mrukwa- Kominek E. A comparative clinical study of the visual results between three types of multifocal lenses. Graefes Arch Clin Exp Ophthalmol 2010;248:133–140.

14. Steinberg EP, Tielsch JM, Schein OD, Javitt JC, Sharkey P, Cassard SD, et al. The VF-14. An index of functional impairment in patients with cataract. Arch Ophthalmol 1994;112:630–638.

15. Schallhorn JM, Pantanelli SM, Lin CC, Al-Mohtaseb ZN, Steigleman WA 3rd, Santhiago MR, et al. Multifocal and accommodating intraocular lenses for the treatment of presbyopia: A report by the American Academy of Ophthalmology. Ophthalmology 2021;128:1469–1482.