ophthalmologyОфтальмологияOphthalmology in Russia1816-50952500-0845Ophthalmology10.18008/1816-5095-2023-4-656-663ophthalmology-2234Research ArticleОФТАЛЬМОХИРУРГИЯOPHTHALMOSURGERYОценка безопасности, эффективности применения трифокальной интраокулярной линзы. Сравнение эффективности ИОЛ PanOptix и монофокальной ИОЛAssessment of Safety, Efficacy and Predictability of a Trifocal Intraocular Lens. Performance of PanOptix Trifocal Versus Monofocal IOLСолиманМарианSolimanMarian

Каир, Египет Салах Салем, Рабаа, округ Гиза, провинция Гиза 3724302

Ophthalmology specialist

Salah Salem, Rabaa, Giza District, Giza Governorate 3724302

ОсманАмрOsmanAmr

Мухафаза Гиза 12613

MD, Professor of Ophthalmology at faculty of medicine

Giza Governorate 12613

ЭйссаШериф А.EissaSherif A.

Мухафаза Гиза 12613

MD, Associate Professor of Ophthalmology at faculty of medicine

Giza Governorate 12613

АнисМохамедAnisMohamed

Мухафаза Гиза 12613

MD, Lecturer of Ophthalmology at faculty of medicine

Giza Governorate 12613

БаррадаОмар А.BarradaOmar A.

Мухафаза Гиза 12613

 MD, FRCOphth

Giza Governorate 12613

ХасабаллаМохамедHasaballahMohamed

Мухафаза Гиза 12613

MD, Professor of Ophthalmology at faculty of medicine

Giza Governorate 12613

Ом Больница Эль-МасринЕгипетOm El Мasreen HospitalEgyptКаирский университетЕгипетCairo UniversityEgypt202327122023204656663Copyright © Солиман М., Осман А., Эйсса Ш.А., Анис М., Баррада О.А., Хасабалла М., 20232023Солиман М., Осман А., Эйсса Ш.А., Анис М., Баррада О.А., Хасабалла М.Soliman M., Osman A., Eissa S.A., Anis M., Barrada O.A., Hasaballah M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ophthalmojournal.com/opht/article/view/2234

Цель: оценить эффективность результатов применения трифокальной ИОЛ Acrysof PanOptix с точки зрения безопасности, эффективности, предсказуемости результатов и оценки качества зрения после имплантации; контрастную чувствительность и аберрации. Методы. Проспективное интервенционное нерандомизированное исследование, включавшее 40 глаз 21 пациента со старческой катарактой. Все операции были проведены в период с сентября 2019 по январь 2020 г. Пациентам проведена факоэмульсификация катаракты с имплантацией ИОЛ. Пациенты были разделены на две группы; группа А включала 20 глаз одиннадцати пациентов, которым была имплантирована трифокальная ИОЛ AcrySof IQ PanOptix модели TFNT00. Группа Б была контрольной и включала 20 глаз десяти пациентов, которым была имплантирована монофокальная ИОЛ AcrySof. Средний возраст составил 56,6 ± 6,9 года в группе А и 62,8 ± 7,1 года в группе Б (диапазон 50–70 лет). Результаты. Обнаружено статистически значимое различие между обеими группами, причем в группе А получены более высокая послеоперационная острота зрения без коррекции вдаль, на промежуточном, с коррекцией на близком расстоянии. В группе Б имела место статистически значимо лучшая послеоперационная контрастная чувствительность по сравнению с группой А. Выводы. В исследовании продемонстрирована высокая безопасность, эффективность, предсказуемость и независимость от очков на всех расстояниях при использовании трифокальной ИОЛ Acrysof PanOptix. Однако отмечена несколько сниженная контрастная чувствительность по сравнению с группой Б (монофокальная ИОЛ), что не влияло на повседневную деятельность пациента. Было отмечено, что аберрации высокого порядка (кома, трефойл) больше влияли на качество зрения, но не на повседневную деятельность пациента.

Purpose. To evaluate the performance and the visual outcomes of Acrysof PanOptix trifocal IOL in terms of safety, efficacy, predictability and assessment of the quality of vision after implantation as regards; contrast sensitivity and ocular aberrations. Methods. A prospective interventional non randomized study that included forty eyes of twenty one patients with senile cataract. All surgeries were carried out between September 2019 and January 2020. Patients underwent phacoemulsification for cataract removal with IOL implantation. They were divided into two groups; group(A) included twenty eyes of eleven patients who were implanted with AcrySof IQ PanOptix trifocal IOL Model TFNT00. While group (B) included twenty eyes of ten patients who were implanted with monofocal AcrySof IOLs as a control group. Results. There were 21 subjects enrolled in our study. Mean age was 56.6 ± 6.9 years in group (A) and 62.8 ± 7.1 years in group (B),(range 50–70).We found statistical significant difference between both groups with group A showing better post operative uncorrected distance, intermediate, near, and best corrected near visual acuity . Group (B) showed statistically significant better post operative contrast sensitivity compared to group (A). Conclusion: In this study, Acrysof PanOptix trifocal IOL showed excellent safety, efficacy, predictability and spectacle independence at all distances, This prospective interventional non-randomized study showed excellent safety, efficacy and predictability of the PanOptix IOL with higher spectacle independence, slightly impaired contrast sensitivity without affecting daily activities. However, contrast sensitivity was compromised in comparison to the monofocal group and high order aberrations (coma, trefoil) were noted to be higher affecting the quality of vision but not the daily activities of the patient.

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The authors declare that there are no conflicts of interest present.