Patient Satisfaction Following Trifocal Intraocular Lens Implantation with Phacoemulsification

Abstract

Abstract Purpose To evaluate the rates of patient satisfaction following multifocal intraocular lens implantation with the PanOptix lens, and to identify pre- and post-operative patient characteristics that may predict future dissatisfaction. Methods This was a retrospective chart review study based in a private clinical practice in Albany, New York, USA. The first 78 consecutive trifocal intraocular implantations (PanOptix, Alcon) starting in 2019 were investigated. Exclusion criteria included subjects with less than one month of follow-up, or who did not respond to the post-operative survey. Data collection included refractive history, medical comorbidities, pre- and post-operative visual acuity, and refractive error. Subjective outcomes and satisfaction were assessed with patient phone calls. Results Of the 78 identified patients, 68 responded to the survey. 90% (61/68) of patients were satisfied with trifocal IOL Implantation. Pre-operatively, mean age, sex, pre-operative uncorrected and corrected distance visual acuity demonstrated no significant difference between satisfied and dissatisfied patients (P = 0.066, P = 0.69, P = 0.38, and P = 0.91 respectively). Dissatisfied patients had a significantly flatter mean pre-operative keratometry than satisfied patients (P = 0.049). Post-operatively, there was no significant difference in reported rates of bothersome glare/halos (P = 0.22). Unsatisfied patients had significantly higher rates of glasses use overall than satisfied patients (P = 0.002). Conclusion While patients are generally satisfied with their trifocal IOLs, flatter preoperative keratometry and greater cylinder on post-operative MRx correlates with greater dissatisfaction. Additionally, higher absolute and higher than expected rates of dependence on spectacle correction may play a larger role than dysphotopsia in satisfaction.