PMID- 32358415 OWN - NLM STAT- MEDLINE DCOM- 20210728 LR - 20221005 IS - 1873-4502 (Electronic) IS - 0886-3350 (Print) IS - 0886-3350 (Linking) VI - 46 IP - 8 DP - 2020 Aug TI - Innovative trifocal (quadrifocal) presbyopia-correcting IOLs: 1-year outcomes from an international multicenter study. PG - 1142-1148 LID - 10.1097/j.jcrs.0000000000000232 [doi] AB - PURPOSE: To evaluate visual acuity (VA) and safety of the new AcrySof IQ PanOptix presbyopia-correcting IOL at 12 months postimplantation. SETTING: Seventeen sites in Europe, Australia, and South America. DESIGN: Prospective, single-arm, nonmasked, nonrandomized study. METHODS: Of 167 patients enrolled, 149 received study IOLs in both eyes; 145 completed the study. Binocular uncorrected distance VA (UDVA; 4 m), monocular corrected distance VA (CDVA), binocular distance-corrected intermediate VA (DCIVA; 60 cm and 80 cm), binocular uncorrected near VA (UNVA; 40 cm), and binocular defocus curves were evaluated. Safety was assessed by monitoring adverse events (AEs). RESULTS: Of 149 patients, 92 patients (62%) were women and 139 patients (93%) were white; mean +/- SD age was 68.9 +/- 9.3 years. At 12 months, mean binocular UDVA was 0.02 +/- 0.11 logarithm of the minimum angle of resolution (logMAR); monocular CDVA was 0.01 +/- 0.13 logMAR (first eye) and 0.01 +/- 0.10 logMAR (second eye); binocular DCIVA was 0.04 +/- 0.12 logMAR and 0.08 +/- 0.14 logMAR at 60 cm and 80 cm, respectively; and binocular UNVA was 0.07 +/- 0.11 logMAR. At 6 months, mean binocular defocus curve VA (0.00 diopter [D] to -3.00 D) ranged from -0.04 to 0.13 logMAR. Binocular VA at distance (0.00 D), intermediate (-1.50 D), and near (-2.50 D) was -0.04 +/- 0.11 logMAR, 0.07 +/- 0.13 logMAR, and 0.07 +/- 0.13 logMAR, respectively. Serious ocular AE rates were 1.4% or less in first and second eyes. Posterior capsulotomy rates were 3.4% (first eye) and 2.7% (second eye). CONCLUSIONS: The study IOL provided good VA outcomes. Defocus curve showed VA of 20/25 Snellen or better from near to intermediate distance. Rates of serious and nonserious AEs were low. FAU - Kohnen, Thomas AU - Kohnen T AD - From the Department of Ophthalmology, Goethe-University (Kohnen), Frankfurt, Germany; Eye Clinic, Department of Neurosciences, Biomedicine and Movement, University of Verona, AOUI-Borgo Roma Hospital (Marchini), Verona, Italy; Fernandez-Vega Ophthalmological Institute, School of Medicine, University of Oviedo (Alfonso), Oviedo, Spain; Department of Ophthalmology, Macquare University (Bala), Sydney, NSW, Australia; Ophthalmology Department, University Hospital CHU (Cochener), Brest, France; Alcon Vision LLC (Martinez), Fort Worth, Texas, USA; Centro Oftalmologico Carreno (Carreno), Santiago, Chile. FAU - Marchini, Giorgio AU - Marchini G FAU - Alfonso, Jose F AU - Alfonso JF FAU - Bala, Chandra AU - Bala C FAU - Cochener, Beatrice AU - Cochener B FAU - Martinez, Aldo AU - Martinez A FAU - Carreno, Edgardo AU - Carreno E LA - eng PT - Journal Article PT - Multicenter Study PL - United States TA - J Cataract Refract Surg JT - Journal of cataract and refractive surgery JID - 8604171 SB - IM MH - Aged MH - Australia MH - Europe MH - Female MH - Humans MH - *Lenses, Intraocular MH - Middle Aged MH - *Phacoemulsification MH - *Presbyopia/surgery MH - Prospective Studies MH - Prosthesis Design MH - Pseudophakia MH - Refraction, Ocular MH - Vision, Binocular PMC - PMC7688079 EDAT- 2020/05/03 06:00 MHDA- 2021/07/29 06:00 PMCR- 2020/11/25 CRDT- 2020/05/03 06:00 PHST- 2020/05/03 06:00 [pubmed] PHST- 2021/07/29 06:00 [medline] PHST- 2020/05/03 06:00 [entrez] PHST- 2020/11/25 00:00 [pmc-release] AID - 02158034-202008000-00013 [pii] AID - JCRS-19-1097 [pii] AID - 10.1097/j.jcrs.0000000000000232 [doi] PST - ppublish SO - J Cataract Refract Surg. 2020 Aug;46(8):1142-1148. doi: 10.1097/j.jcrs.0000000000000232.