Reported Patient Satisfaction and Spectacle Independence Following Bilateral Implantation of the PanOptix^® Trifocal Intraocular Lens

Abstract

Purpose

To assess the spectacle independence and satisfaction of subjects after bilateral implantation of the PanOptix^® trifocal intraocular lens (IOL) at the time of cataract surgery.

Design

Single site, prospective, single-arm study.

Methods

Eligible subjects interested in a trifocal IOL to potentially reduce dependence on spectacles for near, intermediate and distance vision were enrolled and followed for 3 months after the second eye surgery. Visual acuity and refractive data were collected 1 month and 3 months postoperative, including the uncorrected and best distance-corrected binocular visual acuities at distance (4m), intermediate (60 cm) and near (40cm). A patient satisfaction and spectacle independence questionnaire were administered at the 3-month visit.

Results

A total of 30 subjects successfully completed the study. Eighty-five percent of eyes (51/60) had a refraction within 0.50 D of plano with ≤ 0.50 D of refractive cylinder. One subject (3%) reported needing glasses for distance work, 3 (10%) for intermediate work and 4 (13%) for near work. Ninety percent or more of all subjects reported never wearing glasses or wearing them only a little at all working distances. Ninety percent or more were able to function without glasses at all 3 working distances all or most of the time. More than ninety percent of subjects reported being “com.pletely” or “mostly” satisfied with their vision without glasses or contact lenses at all three distances and overall.

Conclusion

A high percentage of patients are likely to achieve spectacle independence for distance, intermediate and near vision with this trifocal IOL.

Keywords:

• cataract surgery
• spectacle independence
• presbyopia correction
• trifocal IOL
• toric trifocal IOL

Acknowledgments

Maryann Thomas, research coordinator at Gainesville Eye Associates, provided data collection and administration support for this study. This research was conducted with support from Alcon, in the form of an investigator-initiated study grant (IIT # 50130835).

Disclosure

Richard Potvin is a consultant to Alcon and Carl Zeiss Meditec. Clayton Blehm reports grants from Alcon, outside the submitted work. The authors report no other conflicts of interest in this work.