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Bamdad S, Razavizadegan SA, Farvardin M, Mohaghegh S. Vision-related Quality of Life after Bilateral Implantation of Monofocal and Multifocal Intraocular Lenses. JOVR [Internet]. 2022Jan.21 [cited 2024Apr.24];17(1):19–26. Available from: https://knepublishing.com/index.php/JOVR/article/view/10166
https://doi.org/10.18502/jovr.v17i1.10166
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authors
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Shahram Bamdad
Shahram Bamdad
Poostchi Ophthalmology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
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Seyyed Ahmad Razavizadegan
Seyyed Ahmad Razavizadegan
Poostchi Ophthalmology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
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Mohsen Farvardin
Mohsen Farvardin
Poostchi Ophthalmology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
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Sahar Mohaghegh
Sahar Mohaghegh
Optometry Department, Rehabilitation Faculty, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Published Date
- Jan 21, 2022
Vision-related Quality of Life after Bilateral Implantation of Monofocal and Multifocal Intraocular Lenses
Abstract
Purpose: To evaluate vision-related quality of life in two sets of patients after routine cataract surgery implanting with traditional versus multifocal intraocular lens (IOLs).
Methods: In a cross-sectional prospective study, 58 and 33 candidates for cataract surgery were divided into traditional (Acrysof SN60WF, Alcon Laboratories, Inc) and multifocal IOL (AcrySof IQ PanOptix IOL TFNT00, Alcon Laboratories, Inc.) groups, respectively. The primary outcome was VFQ-25 scores. The secondary outcomes were making comparisons between the two IOL types in the near vision and the driving items.
Results: The mean patients’ age in traditional and multifocal IOL groups was 60.85 ± 7.40 (55% female) and 59.85 ± 8.95 (36% female) years, respectively. The mean VFQ-25 total scores in traditional and multifocal IOL groups before and after surgery were 63.69 ± 4.95 and 72.15 ± 9.66, and 98.08 ± 0.70 and 95.70 ± 1.30, respectively (P = 0.001 & 0.001). The mean scores of night driving in traditional and multifocal IOL groups were 38.79 ± 20.50 and 44.35 ± 21.12 (P = 0.1) before surgery which improved to 97.41 ± 7.68 and 56.45 ± 11.12 after surgery, respectively (P = 0.001). The mean scores of near vision in traditional and multifocal IOL groups were 46.83 ± 10.56 and 50.53 ± 8.58 (P = 0.2) before surgery which improved to 89.94 ± 4.87 and 100.00 ± 0.00 after surgery, respectively (P = 0.001).
Conclusion: Vision-related quality of life after cataract surgery with either type of traditional or multifocal (PanOptix) IOLs improved to an excellent level. Traditional IOLs provided more satisfaction in nighttime driving while multifocal IOLs provided increased satisfaction in near and intermediate vision.
Keywords:
Cataract Surgery, Multifocal IOL, Quality of Life, Presbyopia, Vision-Related Quality of Life
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26. Rosa AM, Miranda ÂC, Patrício M, McAlinden C, Silva FL, Murta JN, et al. Functional magnetic resonance imaging to assess the neurobehavioral impact of dysphotopsia with multifocal intraocular lenses. Ophthalmology 2017;124:1280–1289.
27. Seiler TG, Wegner A, Senfft T, Seiler T. Dissatisfaction after trifocal IOL implantation and its improvement by selective wavefront-guided Lasik. J Refract Surg 2019;35:346–352.
28. Xue S, Zhao G, Yin X, Lin J, Li C, Hu L, et al. Effect of incision on visual outcomes after implantation of a trifocal diffractive IOL. BMC Ophthalmol 2018;18:171.
29. Date RC, Al-Mohtaseb ZN. Advances in preoperative testing for cataract surgery. Int Ophthalmol Clin 2017;57:99–114.
30. Suzukamo Y, Oshika T, Yuzawa M, Tokuda Y, Tomidokoro A, Oki K, et al. Psychometric properties of the 25-Item National Eye Institute Visual Function Questionnaire (NEI VFQ-25), Japanese version. Health Qual Life Outcomes 2005;3:65.
31. Broman AT, Munoz B, West SK, Rodriguez J, Sanchez R, Snyder R, et al. Psychometric properties of the 25-Item NEI-VFQ in a Hispanic population: Proyecto ver. Invest Ophthalmol Vis Sci 2001;42:606–613.
32. Labiris G, Katsanos A, Fanariotis M, Tsirouki T, Pefkianaki M, Chatzoulis D, et al. Psychometric properties of the Greek version of the NEI-VFQ 25. BMC Ophthalmol 2008;8:4.
33. Steinwender G, Schwarz L, Böhm M, Slavík-Lencová A, Hemkeppler E, Shajari M, et al. Visual results after implantation of a trifocal intraocular lens in high myopes. J Cataract Refract Surg 2018;44:680–685.
34. Alfonso JF, Fernández-Vega-Cueto A, Alfonso-Bartolozzi B, Rodríguez-Uña I, Montés-Micó R. Visual and refractive outcomes in hyperopic pseudophakic Patients implanted with a trifocal intraocular lens. Clin Ophthalmol 2019;13:2261–2268.
35. 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.
2. Asbell PA, Dualan I, Mindel J, Brocks D, Ahmad M, Epstein S. Age-related cataract. Lancet 2005;365:599–609.
3. Pepose JS, Burke J, Qazi MA. Benefits and barriers of accommodating intraocular lenses. Curr Opin Ophthalmol 2017;28:3–8.
4. Kohnen T. First implantation of a diffractive quadrafocal (trifocal) intraocular lens. J Cataract Refract Surg 2015;41:2330–2332.
5. Kohnen T, Titke C, Böhm M. Trifocal intraocular lens implantation to treat visual demands in various distances following lens removal. Am J Ophthalmol 2016;161:71–77. e1.
6. Alfonso JF, Fernández-Vega-Cueto L, Fernández-Vega L, Montés-Micó R. Visual function after implantation of a presbyopia-correcting trifocal intraocular lens. Ophthalmic Res 2020;63:152–164.
7. Rodov L, Reitblat O, Levy A, Assia EI, Kleinmann G. Visual outcomes and patient satisfaction for trifocal, extended depth of focus and monofocal intraocular lenses. J Refract Surg 2019;35:434–440.
8. Yoon CH, Shin I-S, Kim MK. Trifocal versus bifocal diffractive intraocular lens implantation after cataract surgery or refractive lens exchange: a meta-analysis. J Korean Med Sci 2018;33:e275.
9. Mencucci R, Favuzza E, Caporossi O, Savastano A, Rizzo S. Comparative analysis of visual outcomes, reading skills, contrast sensitivity, and patient satisfaction with two models of trifocal diffractive intraocular lenses and an extended range of vision intraocular lens. Graefes Arch Clin Exp Ophthalmol 2018;256:1913–1922.
10. Ruiz-Mesa R, Abengózar-Vela A, Ruiz-Santos M. A comparative study of the visual outcomes between a new trifocal and an extended depth of focus intraocular lens. Eur J Ophthalmol 2018;28:182–187.
11. de Carneros-Llorente AM, de Carneros AM, de Carneros- Llorente PM, Jiménez-Alfaro I. Comparison of visual quality and subjective outcomes among 3 trifocal intraocular lenses and 1 bifocal intraocular lens. J Cataract Refract Surg 2019;45:587–594.
12. Kohnen T, Herzog M, Hemkeppler E, Schönbrunn S, De Lorenzo N, Petermann K, et al. Visual performance of a quadrifocal (trifocal) intraocular lens following removal of the crystalline lens. Am J Ophthalmol 2017;184:52–62.
13. Akman A, Asena L, Ozturk C, Güngör SG. Evaluation of quality of life after implantation of a new trifocal intraocular lens. J Cataract Refract Surg 2019;45:130–134.
14. Zhang F, Sugar A, Jacobsen G, Collins M. Visual function and spectacle independence after cataract surgery: bilateral diffractive multifocal intraocular lenses versus monovision pseudophakia. J Cataract Refract Surg 2011;37:853–858.
15. Rementería-Capelo LA, Contreras I, García-Pérez JL, Blázquez V, Ruiz-Alcocer J. Visual quality and patient satisfaction with a trifocal intraocular lens and its new toric version. J Cataract Refract Surg 2019;45:1584–1590.
16. Lee S, Choi M, Xu Z, Zhao Z, Alexander E, Liu Y. Optical bench performance of a novel trifocal intraocular lens compared with a multifocal intraocular lens. Clin Ophthalmol 2016;10:1031–1038.
17. Lamoureux E, Pesudovs K. Vision-specific quality-of-life research: a need to improve the quality. Am J Ophthalmol 2011;151:195–197. e2.
18. Asgari S, Hashemi H, Nedjat S, Shahnazi A, Fotouhi A. Persian version of the 25-Item National Eye Institute Visual Functioning Questionnaire (NEI-VFQ 39): a validation study. J Curr Ophthalmol 2011;23:5–14.
19. Kirwan C, Lanigan B, O’Keefe M. Vision-related quality of life assessment using the NEI-VFQ-25 in adolescents and young adults with a history of congenital cataract. J Pediatr Ophthalmol Strabismus 2012;49:26–31.
20. Zhu M, Yu J, Zhang J, Yan Q, Liu Y. Evaluating visionrelated quality of life in preoperative age-related cataract patients and analyzing its influencing factors in China: a cross-sectional study. BMC Ophthalmol 2015;15:160.
21. Hamdi IM. Subjective perception of trifocal IOL performance, including toric models. Clin Ophthalmol 2019;13:1955–1961.
22. Cochener B, Boutillier G, Lamard M, Auberger-Zagnoli C. A comparative evaluation of a new generation of diffractive trifocal and extended depth of focus intraocular lenses. J Refract Surg 2018;34:507–514.
23. Alió JL, Plaza-Puche AB, Alió Del Barrio JL, Amat-Peral P, Ortuño V, Yébana P, et al. Clinical outcomes with a diffractive trifocal intraocular lens. Eur J Ophthalmol 2018;28:419–424.
24. 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.
25. Monaco G, Gari M, Di Censo F, Poscia A, Ruggi G, Scialdone A. Visual performance after bilateral implantation of 2 new presbyopia-correcting intraocular lenses: trifocal versus extended range of vision. J Cataract Refract Surg 2017;43:737–747.
26. Rosa AM, Miranda ÂC, Patrício M, McAlinden C, Silva FL, Murta JN, et al. Functional magnetic resonance imaging to assess the neurobehavioral impact of dysphotopsia with multifocal intraocular lenses. Ophthalmology 2017;124:1280–1289.
27. Seiler TG, Wegner A, Senfft T, Seiler T. Dissatisfaction after trifocal IOL implantation and its improvement by selective wavefront-guided Lasik. J Refract Surg 2019;35:346–352.
28. Xue S, Zhao G, Yin X, Lin J, Li C, Hu L, et al. Effect of incision on visual outcomes after implantation of a trifocal diffractive IOL. BMC Ophthalmol 2018;18:171.
29. Date RC, Al-Mohtaseb ZN. Advances in preoperative testing for cataract surgery. Int Ophthalmol Clin 2017;57:99–114.
30. Suzukamo Y, Oshika T, Yuzawa M, Tokuda Y, Tomidokoro A, Oki K, et al. Psychometric properties of the 25-Item National Eye Institute Visual Function Questionnaire (NEI VFQ-25), Japanese version. Health Qual Life Outcomes 2005;3:65.
31. Broman AT, Munoz B, West SK, Rodriguez J, Sanchez R, Snyder R, et al. Psychometric properties of the 25-Item NEI-VFQ in a Hispanic population: Proyecto ver. Invest Ophthalmol Vis Sci 2001;42:606–613.
32. Labiris G, Katsanos A, Fanariotis M, Tsirouki T, Pefkianaki M, Chatzoulis D, et al. Psychometric properties of the Greek version of the NEI-VFQ 25. BMC Ophthalmol 2008;8:4.
33. Steinwender G, Schwarz L, Böhm M, Slavík-Lencová A, Hemkeppler E, Shajari M, et al. Visual results after implantation of a trifocal intraocular lens in high myopes. J Cataract Refract Surg 2018;44:680–685.
34. Alfonso JF, Fernández-Vega-Cueto A, Alfonso-Bartolozzi B, Rodríguez-Uña I, Montés-Micó R. Visual and refractive outcomes in hyperopic pseudophakic Patients implanted with a trifocal intraocular lens. Clin Ophthalmol 2019;13:2261–2268.
35. 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.