Visual and refractive outcomes and real-world evaluation of patient satisfaction following bilateral implantation of PanOptix Toric intraocular lens implantation.

PURPOSE: To evaluate 12-month visual and refractive outcomes, patient satisfaction, and the real-world experience following bilateral implantation of an Aspheric Trifocal Toric intraocular lens (IOL).

METHODS

Eligible patients underwent phacoemulsification followed by bilateral implantation of the AcrySof IQ PanOptix toric IOL (Alcon) for age-related cataract. All eyes were targeted at emmetropia using the Barrett TK Toric formula. Post-operative examinations at 6 months included binocular photopic uncorrected and corrected distance, near (40 cm) and intermediate (60 cm) visual acuity assessment, defocus curve testing (+2 to -4 D), reading performance at 40 and 66 cm with Salzburg Reading Desk (SRD), and subjective outcomes, including the IOL SAT quality of vision questionnaire for patient satisfaction and spectacle independence.

RESULT: Thirty patients with a mean age of 60 ± 12 years were included. Twelve months post-op, the mean binocular photopic uncorrected and corrected distance visual acuity (UDVA, CDVA), UNVA, DCNVA, UIVA, and DCIVA were -0.01 ± 0.05, -0.03 ± 0.05, 0.05 ± 0.07, 0.06 ± 0.05, 0.08 ± 0.04, and 0.09 ± 0.04 LogMAR, respectively. Reading performance evaluated at 40 cm and 66 cm showed mean reading speeds of 157.9 ± 44.9 and 159.5 ± 36.63 wpm, respectively (P = 0). Mean residual sphere, cylinder, and spherical equivalent (SE) were 0.02 ± 0.09, 0.00 ± 0.17, 0.02 ± 0.12 D, respectively. A total of 96.6% (29/30) of patients reported complete freedom from spectacles while working at all distances in all light conditions and rated their satisfaction after surgery as "very satisfied." No eye required re-rotation of toric IOL or YAG capsulotomy for posterior capsule opacification (PCO) or developed any other sight impeding complication by the end of the follow-up.

CONCLUSION

In the real-world scenario, PanOptix toric IOL allowed complete visual restoration with excellent patient satisfaction and visual quality outcomes.

CTRI REGISTRATION NUMBER: CTRI/2020/01/022808.