{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T18:50:36Z","timestamp":1791312636957,"version":"4.3.1"},"reference-count":37,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T00:00:00Z","timestamp":1761091200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To optically characterize and clinically evaluate the new trifocal AT ELANA 841P intraocular lens (IOL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The optical imaging performance was assessed using an on-bench model eye through the Through-Focus Modulation Transfer Function Area (TF-MTFa) from +1.00 to \u22123.50D. The clinical study included manifest refraction, uncorrected (UDVA) and corrected (CDVA) distance visual acuities, distance-corrected intermediate (DCIVA) and near visual acuity (DCNVA), binocular photopic and mesopic contrast sensitivity (CS) and binocular defocus curve. Postoperative evaluation was performed 3 months after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Optimal optical quality is observed at the distance focus on the TF-MTFa curve. From there, optical quality continuously degrades, initially rapid up to approximately \u22120.75D, then much slower extending to \u22122.0D. Subsequently, optical quality improves before a decline from \u22122.75D. The clinical study involved 40 patients. The mean postoperative\n                      <jats:bold>monocular<\/jats:bold>\n                      UDVA and CDVA were\n                      <jats:bold>0.04<\/jats:bold>\n                      \u2009\n                      <jats:bold>\u00b1<\/jats:bold>\n                      \u2009\n                      <jats:bold>0.05<\/jats:bold>\n                      and\n                      <jats:bold>0.01<\/jats:bold>\n                      \u2009\n                      <jats:bold>\u00b1<\/jats:bold>\n                      \u2009\n                      <jats:bold>0.02<\/jats:bold>\n                      logMAR, respectively.\n                      <jats:bold>All eyes achieved<\/jats:bold>\n                      a\n                      <jats:bold>monocular<\/jats:bold>\n                      UDVA of\n                      <jats:bold>0.2 logMAR<\/jats:bold>\n                      or better and a\n                      <jats:bold>monocular<\/jats:bold>\n                      CDVA of\n                      <jats:bold>0.1<\/jats:bold>\n                      logMAR or better. All patients reached a binocular DCNVA of 0.2 logMAR or better, and 95% achieved a DCIVA of 0.2 logMAR or better. The defocus curve yielded a range from +0.50 to \u22122.5D, in which the mean visual acuity was 0.1 logMAR or better. The binocular distance CS was within normal limits.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The implantation of the new AT ELANA IOL provided a satisfactory range of visual quality from distance to near, in excellent agreement with the IOL optical performance obtained with the on-bench model eye.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11206721251387374","type":"journal-article","created":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T18:27:27Z","timestamp":1761157647000},"page":"194-202","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Optical and clinical outcomes of a new diffractive trifocal intraocular lens"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9197-5847","authenticated-orcid":false,"given":"Luis","family":"Fern\u00e1ndez-Vega-Cueto","sequence":"first","affiliation":[{"name":"Fern\u00e1ndez-Vega Ophthalmological Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bel\u00e9n","family":"Alfonso-Bartolozzi","sequence":"additional","affiliation":[{"name":"Fern\u00e1ndez-Vega Ophthalmological Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Lisa","sequence":"additional","affiliation":[{"name":"Fern\u00e1ndez-Vega Ophthalmological Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8594-0872","authenticated-orcid":false,"given":"Fidel","family":"Vega","sequence":"additional","affiliation":[{"name":"Universitat Polit\u00e8cnica de Catalunya BarcelonaTech"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda S","family":"Mill\u00e1n","sequence":"additional","affiliation":[{"name":"Universitat Polit\u00e8cnica de Catalunya BarcelonaTech"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3927-2858","authenticated-orcid":false,"given":"David","family":"Madrid-Costa","sequence":"additional","affiliation":[{"name":"Universidad Complutense de Madrid"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0373-8209","authenticated-orcid":false,"given":"Jos\u00e9 F","family":"Alfonso","sequence":"additional","affiliation":[{"name":"Fern\u00e1ndez-Vega Ophthalmological Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,22]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajo.2017.04.013"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1120672120926870"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-91654-w"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.5301\/ejo.5000994"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20210420-01"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.5301\/ejo.5000780"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10092009"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20170504-04"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.5301\/ejo.5000407"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20180214-01"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.5301\/ejo.5000814"},{"key":"e_1_3_2_13_2","first-page":"805","article-title":"Comparison of visual outcomes and subjective visual quality after bilateral implantation of a diffractive trifocal intraocular lens and blended implantation of apodized diffractive bifocal intraocular lenses","volume":"10","author":"Gundersen KG","year":"2016","unstructured":"Gundersen KG, Potvin R. 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