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Panoptix vs finevision ESCRS 2017

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Panoptix vs finevision ESCRS 2017

  1. 1. COMPARISON OF VISUAL OUTCOMES ONE MONTH AFTER CATARACT SURGERY WITH BILATERAL IMPLANTATION OF PANOPTIX OR FINEVISION TRIFOCAL INTRAOCULAR LENSES Jorge L. García Pérez PhD, Juan Gros Otero PhD , Vanesa Blázquez, Montserrat García González PhD, Juan Pérez Lanzac, Inés Contreras Martín PhD Anterior Segment Unit. Clínica Rementeria. Private Eye Clinic. Madrid, Spain The authors have no financial or personal interest in any material mentioned in this study
  2. 2. INTRODUCTION • The goal of multifocal intraocular lenses (IOLs) is to provide clear and comfortable vision to patients at all viewing distances • Trifocal diffractive lenses were developed to address the intermediate vision limitations of bifocal IOL designs • Optical bench studies indicated peak IOL performance at 42 cm for near and at 60 cm for intermediate, and at 39 cm for near and at 80 cm for intermediate with Panoptix and Finevision trifocal IOLs, respectively. PURPOSE • To compare the visual outcomes one month after cataract surgery in patients receiving bilateral implantation of Panoptix or Finevision trifocal IOLs Panoptix IOL Finevision IOL
  3. 3. PATIENTS AND METHODS • Consecutive patients undergoing bilateral cataract surgery or lensectomy were evaluated for inclusion in the study • Patients receiving bilateral Panoptix IOLs were included in group 1 and patients receiving bilateral Finevision IOLs in group 2. • Patients who were diagnosed with any ocular pathology apart from cataracts which could compromise visual acuity or produce a visual field defect were excluded, as well as patients presenting intra or postoperative complications. • One month after surgery en extensive ophthalmic evaluation was performed, including photopic and mesopic mono and binocular visual acuity for far (4 metres), intermediate (60 cm) and near (33 cm) distances • A monocular defocus curve and binocular contrast sensitivity were also performed
  4. 4. RESULTS Photopic Mesopic VISUAL ACUITY (LogMAR) PANOPTIX (17 patients) FINEVISION (22 patients) PANOPTIX (17 patients) FINEVISION (22 patients) Monocular Binocular Monocular Binocular Monocular Binocular Monocular Binocular Far distance 0.03 (0.05) 0.02 (0.03) 0.06 (0.06) 0.02 (0.03) 0.03 (0.04) 0.01 (0.04) 0.05 (0.07) 0.02 (0.05) Intermediate distance 0.20 (0.10) 0.11 (0.06) 0.27 (0.10) 0.20 (0.09) 0.16 (0.12) 0.08 (0.11) 0.23 (0.11) 0.16 (0.11) Near distance 0.03 (0.08) -0.03 (0.08) 0.07 (0.07) 0.02 (0.09) 0.09 (0.10) 0.03 (0.09) 0.08 (0.11) 0.03 (0.10)
  5. 5. • The monocular defocus curve was very similar between groups, with a better visual function in group 1 for -1.50 D and group 2 at -1.00 D • There were no statistically significant differences in binocular contrast sensitivity RESULTS 0 0.2 0.4 0.6 0.8 1 1.2 -6-4-2024 Panoptix Finevision 1 1.2 1.4 1.6 1.8 2 2.2 2.4 0 3 6 9 12 15 18 21 PANOPTIX MESÓPICO FINEVISION MESOPICO PANOPTIX FOTOPICO FINEVISIONFOTOPICO Defocus curve Contrast sensitivity
  6. 6. CONCLUSIONS • Panoptix and Finevision trifocal diffractive lenses have very good visual results for far, near and intermediate vision one month after cataract surgeries • Panoptix lens has a better intermediate vision at 60 cm both under photopic and mesopic luminance conditions. • Defocus curves are similar with an optimum performance between -2.50 and +0.50 • There are small differences in the optimum working distance for intermediate vision for each lens • There is a trend towards a better contrast sensitivity with the Panoptix lens • The small sample size causes that some of the results are inconclusive

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