Abstract:
PURPOSE:To compare visual outcomes in patients with cataract surgery and bilateral implantation of a trifocal or bifocal intraocular lens (IOL). SETTING:University Eye Clinic Maastricht, the Netherlands. DESIGN:Prospective randomized clinical trial. METHODS:Eyes with cataract and less than 1.0 diopter (D) of corneal astigmatism were randomized to receive bilateral implantation of Finevision Micro F trifocal IOLs or Acrysof IQ Restor +3.0 bifocal IOLs. Outcome measures were monocular and binocular uncorrected distance (UDVA), uncorrected intermediate (UIVA), and uncorrected near (UNVA) visual acuities; refractive outcomes; binocular defocus curve; contrast sensitivity; reading speed; patient satisfaction; and spectacle independence. RESULTS:Six months postoperatively, the mean binocular UDVA, UIVA, and UNVA in 56 eyes of 28 patients were 0.01 logMAR ± 0.11 (SD), 0.32 ± 0.15 logMAR, and 0.15 ± 0.13 logMAR in the trifocal group (n = 15) and 0.00 ± 0.09 logMAR, 0.28 ± 0.08 logMAR, and 0.12 ± 0.08 logMAR in the bifocal group (n = 13), respectively. The trifocal group showed a more continuous defocus curve and better results at -1.0 D of defocus (P < .01). The mean mesopic contrast sensitivity was higher in the bifocal group (P = .02). Complete spectacle independence was reported by 80% of trifocal patients and 50% of bifocal patients. There were no significant differences in refractive outcomes, reading speed, or patient satisfaction. CONCLUSION:This study showed noninferiority of visual outcomes with the trifocal IOL compared with the bifocal IOL, although the defocus curve was better at an intermediate distance with the trifocal IOL. FINANCIAL DISCLOSURE:Dr. Bauer received study grants from Alcon Laboratories, Inc., Carl Zeiss Meditec AG, and Physiol S.A. and a lecture fee from Alcon Surgical, Inc. Dr. Nuijts is a consultant to Alcon Surgical, Inc., Théa Pharma GmbH, and ASICO LLC; he has received study grants from Acufocus, Inc., Alcon Surgical, Inc., Carl Zeiss Meditec AG, Ophtec BV, and Physiol S.A. No other author has a financial or proprietary interest in any material or method mentioned.
journal_name
J Cataract Refract Surgjournal_title
Journal of cataract and refractive surgeryauthors
Jonker SM,Bauer NJ,Makhotkina NY,Berendschot TT,van den Biggelaar FJ,Nuijts RMdoi
10.1016/j.jcrs.2015.08.011subject
Has Abstractpub_date
2015-08-01 00:00:00pages
1631-40issue
8eissn
0886-3350issn
1873-4502pii
S0886-3350(15)01002-0journal_volume
41pub_type
杂志文章,随机对照试验abstract:PURPOSE:To compare the shape and volume of the lenticules of corneal tissue ablated for the correction of spherical, cylindrical, and spherocylindrical refractive errors using Boolean operations of theoretical 3-dimensional (3-D) surfaces. SETTING:Department of Ophthalmology, Rothschild Foundation, Paris, France. MET...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(02)01379-2
更新日期:2002-11-01 00:00:00
abstract:PURPOSE:To assess visual outcomes after bilateral implantation of an apodized +3.0 diopter (D) addition power toric diffractive multifocal intraocular lens (IOL). SETTING:Five study sites in Europe and South America. DESIGN:Cohort study. METHODS:Patients had bilateral implantation of the AcrySof(®) IQ ReSTOR(®)+3.0 ...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1016/j.jcrs.2013.06.026
更新日期:2014-01-01 00:00:00
abstract::Surgery is a major source of errors in patient care. Preventing complications from surgical errors in the operating room is estimated to lead to reduction of up to 41,846 readmissions and save $620.3 million per year. It is now established that poor technical skill is associated with an increased risk of severe advers...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1097/j.jcrs.0000000000000322
更新日期:2020-07-13 00:00:00
abstract:PURPOSE:To determine the physical and mechanical conditions of an impacting air bag that causes corneal rupture in a post-radial keratotomy (RK) eye using a simulation model of the human eye. SETTING:Numerical simulation study on a computer. METHODS:The simulations were performed by a computer using the finite elemen...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)00966-x
更新日期:2001-11-01 00:00:00
abstract::A 21-year-old woman had crosslinking for keratoconus in the right eye; the left eye was scheduled for penetrating keratoplasty. Five days postoperatively, she presented with geographic epithelial keratitis and iritis. Analysis of tear samples by polymerase chain reaction confirmed the diagnosis. The patient was treate...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.06.036
更新日期:2007-11-01 00:00:00
abstract:PURPOSE:To evaluate the long-term evolution of refractive error changes in eyes of children who have primary intraocular lens (IOL) implantation to allow more accurate prediction of what IOL power should be implanted at a given age. SETTING:Department of Ophthalmology, Indiana University School of Medicine, Indianapol...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(01)01156-7
更新日期:2002-05-01 00:00:00
abstract:PURPOSE:To investigate the long-term effect of phacoemulsification on intraocular pressure (IOP) in patients with ocular hypertension and open-angle glaucoma. SETTING:Three multispecialty ophthalmology practices and one glaucoma specialty group. DESIGN:Retrospective comparative case series. METHODS:Review of medical...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,多中心研究
doi:10.1016/j.jcrs.2012.01.016
更新日期:2012-05-01 00:00:00
abstract:PURPOSE:To assess patient comfort with and without intravenous (i.v.) cannulation during 1-quadrant sub-Tenon's anesthesia during phacoemulsification. SETTING:Royal Alexandra Hospital, Paisley, Scotland, United Kingdom. METHODS:This prospective masked controlled clinical trial comprised 119 patients having elective c...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0886-3350(03)00247-5
更新日期:2003-06-01 00:00:00
abstract:PURPOSE:To evaluate long-term intraocular pressure (IOP) control after extracapsular cataract extraction (ECCE) with posterior chamber intraocular lens (IOL) implantation in patients with primary angle-closure glaucoma. SETTING:Ophthalmology Department, Groote Schuur Hospital, Cape Town, South Africa. METHODS:This re...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80255-6
更新日期:1997-07-01 00:00:00
abstract::Soon after the diagnosis of pellagra in a 20-year-old patient with beta thalassemia, bilateral intumescent cataracts rapidly developed. We believe the patient's crystalline lenses were at an increased oxidative state due to iron overload from the thalassemia. Depletion of the lens epithelial cells of an important anti...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.05.011
更新日期:2007-09-01 00:00:00
abstract::We report a case of a significant hyperopic shift 2 years after myopic photorefractive keratectomy with an interim of stability. The patient was an otherwise healthy man who reported a sudden change in vision when climbing to altitude. Medical considerations for refractive shifts should be looked at before retreatment...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.09.028
更新日期:2007-02-01 00:00:00
abstract:PURPOSE:To observe changes in intraocular pressure (IOP), the manner in which the eye is suctioned, and the effect of the number of suction ports. SETTING:Department of Ophthalmology, Tokyo Dental College, Suidobashi Hospital, Tokyo, Japan. METHODS:Suction rings with single or dual ports were made of transparent acry...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.06.085
更新日期:2005-03-01 00:00:00
abstract:PURPOSE:To study the effect of timolol maleate, dorzolamide, or a combination of both in post photorefractive keratectomy (PRK) eyes with an elevated intraocular pressure (IOP) after topical steroid administration. SETTING:Refractive Surgery Outpatient Department, 1st Department of Ophthalmology, Semmelweis University...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0886-3350(01)00889-6
更新日期:2001-07-01 00:00:00
abstract::We used power modulations in addition to new technology available from 6 phacoemulsification manufacturers and altered our phacoemulsification techniques to take advantage of these technologies to significantly reduce the amount of ultrasound energy placed into the eye and enhance the rapidity and level of visual reha...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(00)00834-8
更新日期:2001-02-01 00:00:00
abstract:PURPOSE:To assess whether laser in situ keratomileusis (LASIK) assisted by corneal topography can successfully treat corneal irregularities or irregular astigmatism in patients with previous ocular surgery or ocular trauma. SETTING:University Eye Hospital, Klinikum Mannheim, Mannheim, Germany. METHODS:In a prospectiv...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(98)80196-x
更新日期:1998-02-01 00:00:00
abstract::A specially designed grid and software used to assess the postoperative rotation of a toric intraocular lens (IOL) are described. Postoperatively, a digital retroillumination image of the patient is taken and this image is superimposed on the grid. The software determines the center of the IOL. A prominent episcleral ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2008.10.057
更新日期:2009-03-01 00:00:00
abstract:PURPOSE:To evaluate 1-year outcomes of corneal collagen crosslinking (CXL) for treatment of keratoconus and corneal ectasia. SETTING:Cornea and refractive surgery subspecialty practice. DESIGN:Prospective randomized controlled clinical trial. METHODS:Collagen crosslinking was performed in eyes with keratoconus or ec...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jcrs.2010.07.030
更新日期:2011-01-01 00:00:00
abstract:PURPOSE:To evaluate and compare the incidence of cyanopsia using the neutralization method in eyes in which clear or yellow intraocular lenses (IOLs) were implanted. SETTING:Miyata Eye Clinic, Hiroshima, Japan. DESIGN:Retrospective comparative study. METHODS:Patients who had cataract surgery with the implantation of...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2014.07.040
更新日期:2015-04-01 00:00:00
abstract:PURPOSE:To compare the volumetric occlusion break surge responses of phacoemulsification units from 1 company over 3 generations under varying vacuum limits and target intraocular pressure (IOP) settings. SETTING:Alcon Research, Ltd., Lake Forest, California, USA. DESIGN:Experimental study. METHODS:Three generations...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2018.01.032
更新日期:2018-12-01 00:00:00
abstract:PURPOSE:To evaluate the results of wavefront- and topography-guided ablation in myopic eyes using Zyoptix (Bausch & Lomb). SETTING:Eye Research Center and Dr. Agarwal's Eye Hospital, Chennai, India. METHODS:This observational case study comprised 150 eyes with myopia and compound myopic astigmatism. Preoperatively, t...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2003.07.004
更新日期:2004-02-01 00:00:00
abstract::We report 2 cases of postoperative intraocular pressure (IOP) elevation in secondary piggyback intraocular lens (IOL) implantation without history of glaucoma or ocular hypertension. A 74-year-old woman with myopic pseudophakia and a 68-year-old man with hyperopic pseudophakia received secondary piggyback AcrySof IOL ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2005.06.034
更新日期:2005-09-01 00:00:00
abstract::We describe a case of corneal chromoblastomycosis with Cladophialophora carrionii in a 69-year-old woman 4 weeks after clear corneal cataract surgery. The patient presented with right eye pain and decreased visual acuity of 20/100. Examination showed a deep posterior stromal keratitis accompanied by a dense fibrinous ...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.03.007
更新日期:2011-05-01 00:00:00
abstract::We report the case of a 30-year-old woman with recent onset of unilateral iris distortion and glaucoma that was noticed following uneventful laser in situ keratomileusis (LASIK). The corneal endothelium in the right eye appeared normal with the slitlamp microscope, and LASIK-related anterior segment ischemia was initi...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2007.12.047
更新日期:2008-05-01 00:00:00
abstract:PURPOSE:To develop a technique to quantify biomechanical changes in the cornea after microkeratome incisions as would be performed in laser in situ keratomileusis. SETTING:St Thomas' Hospital, London, and the Wolfson School of Mechanical and Manufacturing Engineering, Loughborough University, Loughborough, United King...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2004.10.038
更新日期:2005-01-01 00:00:00
abstract:PURPOSE:To examine the outcomes of photoastigmatic refractive keratectomy using corneal and refractive parameters for myopia and astigmatism in eyes with forme fruste and mild keratoconus. SETTING:Private practice, Melbourne, Australia. METHODS:Photoastigmatic refractive keratectomy was performed with a Star 1 or Sta...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.12.014
更新日期:2007-04-01 00:00:00
abstract::We report 2 cases of implantation with the Kamra corneal inlay to describe central and peripheral retinal visibility and the quality of optical coherence tomography (OCT) scans. Under pharmacological mydriasis, the central and peripheral retina was explored without disturbance by an experienced retinal ophthalmologist...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2011.07.002
更新日期:2011-09-01 00:00:00
abstract:PURPOSE:To find the conditions that prevent posterior capsule opacification through in vitro analysis of the relationship between intraocular lens (IOL) optic configuration and lens epithelial cell (LEC) migration. SETTING:Division of Morphogenesis, Department of Developmental Biology, National Institute for Basic Bio...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(97)80245-3
更新日期:1997-07-01 00:00:00
abstract::Measurement of laser in situ keratomileusis flap thickness is required to estimate residual bed thickness. Historically, flap thickness has been assumed, estimated based on microkeratome head labeling, guessed based on flap handling characteristics, or calculated by subtraction pachymetry. We describe a method for mea...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/j.jcrs.2006.01.003
更新日期:2006-04-01 00:00:00
abstract::A 43-year-old white woman with a history of multiple ocular surgeries, including 4 penetrating keratoplasties, developed a concentric retrocorneal membrane at the graft periphery in the right eye. A white-light, tandem, scanning confocal microscope using a 24x/0.60 contact objective was used to examine the right eye i...
journal_title:Journal of cataract and refractive surgery
pub_type: 杂志文章
doi:10.1016/s0886-3350(99)00133-9
更新日期:1999-08-01 00:00:00
abstract::Multifocal intraocular lenses (MIOLs) have been designed to provide better uncorrected near visual acuity than monofocal IOLs. However, the increase in depth of focus is combined with a significant decrease in contrast sensitivity and glare. We implanted a new zonal-progressive MIOL (AMO Array) in 31 eyes of 25 patien...
journal_title:Journal of cataract and refractive surgery
pub_type: 临床试验,杂志文章
doi:10.1016/s0886-3350(13)80217-9
更新日期:1995-09-01 00:00:00