Korean J Ophthalmol.  2018 Feb;32(1):16-22. 10.3341/kjo.2017.0060.

Myopic Shift after Implantation of a Novel Diffractive Trifocal Intraocular Lens in Korean Eyes

• Hwang S
• Lim DH
• Hyun J
• Kim MJ
• Chung TY

• KMID: 2402715
• DOI: http://doi.org/10.3341/kjo.2017.0060

Abstract

PURPOSE
To evaluate the clinical outcomes of cataract surgery using novel diffractive trifocal intraocular lenses (IOLs) in Koreans.
METHODS
This was a retrospective, consecutive, interventional study of cataract surgery using POD FineVision IOL implantation. Complete ophthalmologic examinations were performed preoperatively and postoperatively. Defocus curves were assessed over a range of +1.5 to −4.0 diopters in 0.5-diopter steps at one month postoperatively. Uncorrected distant visual acuity, uncorrected intermediate visual acuity, uncorrected near visual acuity, corrected distant visual acuity, distant-corrected intermediate visual acuity, and distant-corrected near visual acuity were assessed one month postoperatively, and manifest refraction was performed during every visit.
RESULTS
The study analyzed 31 eyes in 20 patients. There were statistically significant improvements in uncorrected distance visual acuity, uncorrected intermediate visual acuity, uncorrected near visual acuity, corrected distance visual acuity, distance-corrected intermediate visual acuity, and distance-corrected near visual acuity (p < 0.001). The final postoperative refractive outcomes showed statistically significant myopic shifts compared to the target refraction based on SRK/T, SRK-II, Haigis, and Hoffer Q formulas (p < 0.001).
CONCLUSIONS
POD FineVision IOLs provide stable visual restoration with improvements of near and intermediate vision in presbyopic eyes. POD FineVision IOLs show myopic shift in a Korean population; therefore, surgeons should be cautious when selecting IOL power in such patients.

Keyword

FineVision; Intraocular lenses; Myopic shift; Refractive errors; Trifocal

MeSH Terms

Cataract
Humans
Lenses, Intraocular*
Refractive Errors
Retrospective Studies
Surgeons
Visual Acuity

Figure

• 

  Fig. 1 Preoperative and one-month postoperative monocular defocus curves of the FineVision trifocal intraocular lens. logMAR = logarithm of the minimum angle of resolution.

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