High patient satisfaction, good performance at all distances reported with trifocal IOL
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MILAN — A patient satisfaction questionnaire showed high appreciation and few minor problems with a trifocal IOL.
Camille Budo, MD, implanted the FineVision IOL (PhysIOL) in 37 cataract patients and 41 clear lens extraction patients.
Camille Budo
“Only 3% to 5% of the patients spontaneously reported about glare. When asked, the rate increased to 20%, but all patients said that it caused minimal disturbance,” Budo said at the European Society of Cataract and Refractive Surgeons meeting.
The lens seemed to help patients with their daily activities, with minimal difficulties in performing specific tasks.
“Only between 3% and 5% of the patients reported some degree of difficulty in night driving, shopping, computer work, and reading books and newspapers. None had problems with daytime driving, watching TV, cooking or recognizing faces,” Budo said.
Overall satisfaction was high for all patients, and cost was not an issue. All patients were either very happy (70%) or happy (30%) with the price of the lens.
Patient selection is crucial, Budo said. The best candidates are those who want spectacle independence and are willing to accept minor photic phenomena.
“Personally I refuse patients asking preoperatively more than five questions. They are likely to be too demanding,” he said.
There is concern about the long-term performance of the IOL’s hydrophilic material, which might generate capsular fibrosis and eventually cause IOL decentration, he said.
Because of this, one group of eyes has been implanted with a PMMA capsular tension ring, and results with and without the ring will be compared.