{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T13:03:58Z","timestamp":1784379838073,"version":"3.55.0"},"reference-count":41,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T00:00:00Z","timestamp":1784332800000},"content-version":"vor","delay-in-days":198,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100007816","name":"Alcon","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007816","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Ophthalmology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Describe visual outcomes, rotational stability, and patient experience with a new, trifocal, toric intraocular lens (IOL), CNWTTx (Alcon, Fort Worth, TX.)<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and methods<\/jats:title>\n                    <jats:p>Prospective, cohort study in a private practice in Salt Lake City, UT. Patients 45\u2009years and older with visually significant cataracts, bilateral regular corneal astigmatism requiring a T3\u2010T6 IOL power lens, no other significant eye disease undergoing sequential cataract surgery with Clareon PanOptix Toric IOL (CNWTTx) followed for 3\u2009months postoperatively. Primary endpoints: monocular corrected distance visual acuity (CDVA), distance\u2010corrected intermediate visual acuity (DCIVA), and distance\u2010corrected near visual acuity (DCNVA). Secondary endpoints: rotational position of the IOL and a patient satisfaction survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010five patients were recruited into the study and 22 received bilateral Clareon PanOptix Toric IOLs. At 3\u2010month postoperative visit, visions were monocular mean CDVA of LogMAR (LM) 0.004, mean DCIVA of LM 0.110, and mean DCNVA of LM 0.056. 89% of patients had 0.5 diopters or less of residual astigmatism. Mean lens rotation was 1.67\u00b0 at 1\u2009month, and no lenses had rotated more than 5\u00b0. The majority of patients \u201cnever\u201d used glasses at near (88%), at arm\u2019s length (100%) and at a distance (92%). In spite of 25% of patients noting photopic phenomena either \u201cmost of the time\u201d or \u201calways,\u201d a majority (88%) of patients were either \u201csatisfied\u201d or \u201cvery satisfied\u201d with their vision, and 92% would have the same lens implanted again.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The CNWTTx lens results in excellent visual acuities at distance, intermediate, and near, leading to high rates of spectacle independence. The lens is rotationally stable, and patients are subjectively satisfied with their visual outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/joph\/9983329","type":"journal-article","created":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T12:46:49Z","timestamp":1784378809000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Visual Outcomes and Patient Satisfaction With a New Trifocal, Toric Intraocular Lens"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-6243-6793","authenticated-orcid":false,"given":"Zachary","family":"Zavodni","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,18]]},"reference":[{"key":"e_1_2_10_1_2","article-title":"County Variation in Cataract Surgery Access in the United States","volume":"64","author":"Bhatnagar A.","year":"2023","journal-title":"Investigative Ophthalmology & Visual Science"},{"key":"e_1_2_10_2_2","article-title":"Overview of Major Ambulatory Surgeries Performed in Hospital-Owned Facilities","author":"McDermott K. 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