{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T14:41:29Z","timestamp":1775140889229,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,6,17]],"date-time":"2023-06-17T00:00:00Z","timestamp":1686960000000},"content-version":"vor","delay-in-days":167,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Ophthalmology"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p><jats:italic>Purpose<\/jats:italic>. To evaluate the vision\u2010related quality of life (QOL), visual acuities, and refractive outcomes of patients with different angle lambda (<jats:italic>\u03bb<\/jats:italic>) after a trifocal intraocular lens (IOL) implantation at Veni Vidi Eye Hospital, \u0130stanbul, Turkey. <jats:italic>Methods.<\/jats:italic> This retrospective, nonrandomized, and noncomparative case series included patients who had phacoemulsification bilaterally with the implantation of a trifocal IOL (Optiflex Trio) and responded to a vision\u2010related QOL questionnaire measuring patient satisfaction. The patients were divided into two groups according to the angle <jats:italic>\u03bb<\/jats:italic> with a cutoff value of 0.5\u2009mm. Evaluations were conducted to examine the monocular visual acuities, spherical equivalents, corneal astigmatism measured 3\u2009months after surgery, and outcomes of the QOL questionnaire in the two groups. <jats:italic>Results.<\/jats:italic> The study examined 130 eyes from 65 patients aged from 41 to 78\u2009years old. There were no statistically significant differences between the two groups at 3\u2009months after surgery in terms of uncorrected distance visual acuity (UDVA), monocular uncorrected intermediate visual acuity (UIVA), monocular uncorrected near visual acuity (UNVA), spherical equivalent, and corneal astigmatism (<jats:italic>P<\/jats:italic> &gt; 0.05). Patients with a greater angle <jats:italic>\u03bb<\/jats:italic> had significantly more difficulty going out to see movies, plays, or sporting events (<jats:italic>P<\/jats:italic> = 0.02), driving at night (<jats:italic>P<\/jats:italic> = 0.002), and driving in difficult conditions (<jats:italic>P<\/jats:italic> &lt; 0.001) than patients with a lower angle <jats:italic>\u03bb<\/jats:italic>. <jats:italic>Conclusions.<\/jats:italic> The Optiflex Trio showed good results in terms of visual acuity at all distances, positive refractive outcomes, and high patient satisfaction in daily life according to the QOL questionnaire. An angle <jats:italic>\u03bb<\/jats:italic> greater than 0.5\u2009mm may potentially cause dysphotopsia symptoms, especially during nighttime activities.<\/jats:p>","DOI":"10.1155\/2023\/7911449","type":"journal-article","created":{"date-parts":[[2023,6,17]],"date-time":"2023-06-17T18:35:06Z","timestamp":1687026906000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Impact of Angle Lambda on Patient Satisfaction after Optiflex Trio Trifocal Intraocular Lens Implantation"],"prefix":"10.1155","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4516-7472","authenticated-orcid":false,"given":"Sultan","family":"Kaya \u00dcnsal","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5370-7604","authenticated-orcid":false,"given":"Ertan","family":"Sunay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,6,17]]},"reference":[{"key":"e_1_2_9_1_2","doi-asserted-by":"publisher","DOI":"10.4103\/tjo.tjo_133_18"},{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40662-014-0010-2"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joco.2018.04.003"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2018.12.003"},{"key":"e_1_2_9_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2009.01.031"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004170100348"},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2017.05.028"},{"key":"e_1_2_9_8_2","article-title":"Theoretical study of relationship between angle lambda and wavefront aberrations in model eyes","volume":"50","author":"He J. 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