{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T22:34:05Z","timestamp":1791326045834,"version":"4.3.1"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,10,14]],"date-time":"2024-10-14T00:00:00Z","timestamp":1728864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,10,14]],"date-time":"2024-10-14T00:00:00Z","timestamp":1728864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eye and Vis"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>To analyze the quality of vision of patients implanted bilaterally with the multifocal Precizon Presbyopic intraocular lens (IOL), as well as to evaluate the visual performance provided by the lens.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Setting<\/jats:title>\n                <jats:p>Vissum Miranza Alicante.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Design<\/jats:title>\n                <jats:p>Prospective multicenter study.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>56 patients (mean age 65.0\u2009\u00b1\u20098.7 years old) underwent bilateral implantation with multifocal Precizon Presbyopic IOL. The quality of vision was assessed by a quality of vision questionnaire at 6 months after the implantation procedure, a complete eye examination was also performed including visual and refractive measurements, defocus curve and contrast sensitivity assessment. Visual and refractive variables were compared in preoperative, 3-month postoperative and 6-month postoperative visits by Wilcoxon test.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The quality of vision analysis showed the absence of severe glare and severe haloes in all evaluated patients. Likewise, non-symptoms of glare, haloes and starbursts were seen in 75%, 68%, and 55% of subjects, respectively. Efficacy and safety index was 1.26 and 1.42, respectively. The 6-month postoperative binocular uncorrected distance visual acuity and near uncorrected visual acuity were 0.00\u2009\u00b1\u20090.09 and 0.20\u2009\u00b1\u20090.13 logMAR, respectively. Mean spherical equivalent was 0.29\u2009\u00b1\u20090.45 D.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The Precizon Presbyopic NVA IOL (OPHTEC BV) provides a suitable quality of vision with a low rate of disturbance photic phenomena induction, as well as an excellent visual performance at main distances of sight accomplishing the visual demands of the majority of patients.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40662-024-00408-y","type":"journal-article","created":{"date-parts":[[2024,10,14]],"date-time":"2024-10-14T04:01:51Z","timestamp":1728878511000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Visual and patient reported outcomes provided by a refractive multifocal intraocular lens based on continuous transitional focus"],"prefix":"10.1186","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8082-1751","authenticated-orcid":false,"given":"Jorge L.","family":"Ali\u00f3","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Mart\u00ednez-Abad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ram\u00f3n","family":"Ruiz-Mesa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyo Myung","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Javier","family":"Mendicute","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Filomena J.","family":"Ribeiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mike P.","family":"Holzer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Cant\u00f3-Cerd\u00e1n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,10,14]]},"reference":[{"issue":"10185","key":"408_CR1","doi-asserted-by":"publisher","first-page":"2085","DOI":"10.1016\/S0140-6736(18)33209-4","volume":"393","author":"TI Kim","year":"2019","unstructured":"Kim TI, Ali\u00f3 Del Barrio JL, Wilkins M, Cochener B, Ang M. Refractive surgery. Lancet. 2019;393(10185):2085\u201398.","journal-title":"Lancet"},{"issue":"2","key":"408_CR2","doi-asserted-by":"publisher","first-page":"362","DOI":"10.1038\/s41433-020-1096-5","volume":"35","author":"M Ang","year":"2021","unstructured":"Ang M, Gatinel D, Reinstein DZ, Mertens E, Ali\u00f3 Del Barrio JL, Ali\u00f3 JL. Refractive surgery beyond 2020. Eye (Lond). 2021;35(2):362\u201382.","journal-title":"Eye (Lond)"},{"issue":"5","key":"408_CR3","doi-asserted-by":"publisher","first-page":"611","DOI":"10.1016\/j.survophthal.2017.03.005","volume":"62","author":"JL Alio","year":"2017","unstructured":"Alio JL, Plaza-Puche AB, F\u00e9rnandez-Buenaga R, Pikkel J, Maldonado M. Multifocal intraocular lenses: an overview. Surv Ophthalmol. 2017;62(5):611\u201334.","journal-title":"Surv Ophthalmol"},{"issue":"4","key":"408_CR4","doi-asserted-by":"publisher","first-page":"419","DOI":"10.1177\/1120672118762231","volume":"28","author":"JL Ali\u00f3","year":"2018","unstructured":"Ali\u00f3 JL, Plaza-Puche AB, Ali\u00f3 Del Barrio JL, Amat-Peral P, Ortu\u00f1o V, Y\u00e9bana P, et al. Clinical outcomes with a diffractive trifocal intraocular lens. Eur J Ophthalmol. 2018;28(4):419\u201324.","journal-title":"Eur J Ophthalmol"},{"issue":"4","key":"408_CR5","first-page":"339","volume":"6","author":"DRH Breyer","year":"2017","unstructured":"Breyer DRH, Kaymak H, Ax T, Kretz FTA, Auffarth GU, Hagen PR. Multifocal intraocular lenses and extended depth of focus intraocular lenses. Asia Pac J Ophthalmol (Phila). 2017;6(4):339\u201349.","journal-title":"Asia Pac J Ophthalmol (Phila)"},{"key":"408_CR6","doi-asserted-by":"publisher","first-page":"71\u2009\u2013\u20097.e1","DOI":"10.1016\/j.ajo.2015.09.030","volume":"161","author":"T Kohnen","year":"2016","unstructured":"Kohnen T, Titke C, B\u00f6hm M. Trifocal intraocular lens implantation to treat visual demands in various distances following lens removal. Am J Ophthalmol. 2016;161:71-7.e1.","journal-title":"Am J Ophthalmol"},{"issue":"12","key":"408_CR7","first-page":"CD003169","volume":"12","author":"SR de Silva","year":"2016","unstructured":"de Silva SR, Evans JR, Kirthi V, Ziaei M, Leyland M. Multifocal versus monofocal intraocular lenses after cataract extraction. Cochrane Database Syst Rev. 2016;12(12):CD003169.","journal-title":"Cochrane Database Syst Rev"},{"issue":"1","key":"408_CR8","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1186\/s40662-022-00311-4","volume":"9","author":"O Al-Shymali","year":"2022","unstructured":"Al-Shymali O, Ali\u00f3 Del Barrio JL, McAlinden C, Canto M, Primavera L, Alio JL. Multifocal intraocular lens exchange to monofocal for the management of neuroadaptation failure. Eye Vis (Lond). 2022;9(1):40.","journal-title":"Eye Vis (Lond)"},{"issue":"1","key":"408_CR9","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1186\/s40662-022-00280-8","volume":"9","author":"O Al-Shymali","year":"2022","unstructured":"Al-Shymali O, McAlinden C, Alio Del Barrio JL, Canto-Cerdan M, Alio JL. Patients\u2019 dissatisfaction with multifocal intraocular lenses managed by exchange with other multifocal lenses of different optical profiles. Eye Vis (Lond). 2022;9(1):8.","journal-title":"Eye Vis (Lond)"},{"key":"408_CR10","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1186\/s40662-020-00205-3","volume":"7","author":"JL Ali\u00f3","year":"2020","unstructured":"Ali\u00f3 JL, Y\u00e9bana P, Cant\u00f3 M, Plaza AB, Vega A, Ali\u00f3 Del Barrio JL, et al. Clinical outcomes with a new design in multifocal intraocular lens: a pilot study. Eye Vis (Lond). 2020;7:38.","journal-title":"Eye Vis (Lond)"},{"issue":"4","key":"408_CR11","doi-asserted-by":"publisher","first-page":"567","DOI":"10.1097\/j.jcrs.0000000000000108","volume":"46","author":"M Royo","year":"2020","unstructured":"Royo M, Jim\u00e9nez \u00c1, Pi\u00f1ero D. Clinical outcomes of cataract surgery with implantation of a continuous transitional focus intraocular lens. J Cataract Refract Surg. 2020;46(4):567\u201372.","journal-title":"J Cataract Refract Surg"},{"issue":"11","key":"408_CR12","doi-asserted-by":"publisher","first-page":"740","DOI":"10.3928\/1081597X-20200828-02","volume":"36","author":"Y Eom","year":"2020","unstructured":"Eom Y, Yang SK, Yoon EG, Choi JN, Ryu D, Kim DW, et al. Multizonal design multifocal intraocular lens-induced astigmatism according to orientation. J Refract Surg. 2020;36(11):740\u20138.","journal-title":"J Refract Surg"},{"issue":"1","key":"408_CR13","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1186\/s40662-021-00258-y","volume":"8","author":"JL Alio","year":"2021","unstructured":"Alio JL, D\u2019Oria F, Toto F, Balgos J, Palazon A, Versaci F, et al. Retinal image quality with multifocal, EDoF, and accommodative intraocular lenses as studied by pyramidal aberrometry. Eye Vis (Lond). 2021;8(1):37.","journal-title":"Eye Vis (Lond)"},{"issue":"1","key":"408_CR14","doi-asserted-by":"publisher","first-page":"33","DOI":"10.3928\/1081597X-20221130-02","volume":"39","author":"E Pedrotti","year":"2023","unstructured":"Pedrotti E, Bonacci E, Ali\u00f3 Del Barrio JL, Longo R, Pagnacco C, Marchini G. Astigmatism tolerance and visual outcomes after bilateral implantation of a hybrid continuous transitional focus IOL. J Refract Surg. 2023;39(1):33\u20139.","journal-title":"J Refract Surg"},{"issue":"3","key":"408_CR15","doi-asserted-by":"publisher","first-page":"1621","DOI":"10.1007\/s40123-023-00679-z","volume":"12","author":"W Yan","year":"2023","unstructured":"Yan W, Auffarth GU, Khoramnia R, \u0141abuz G. Spectral effects and range of focus in a multizonal-refractive intraocular lens compared with a standard trifocal diffractive design. Ophthalmol Ther. 2023;12(3):1621\u201334.","journal-title":"Ophthalmol Ther"},{"issue":"14","key":"408_CR16","doi-asserted-by":"publisher","first-page":"4678","DOI":"10.3390\/jcm12144678","volume":"12","author":"L Salv\u00e1","year":"2023","unstructured":"Salv\u00e1 L, Garc\u00eda S, Garc\u00eda-Delpech S, Mart\u00ednez-Espert A, Montagud-Mart\u00ednez D, Ferrando V. Comparison of the polychromatic image quality of two refractive-segmented and two diffractive multifocal intraocular lenses. J Clin Med. 2023;12(14):4678.","journal-title":"J Clin Med"},{"key":"408_CR17","doi-asserted-by":"publisher","first-page":"2117","DOI":"10.2147\/OPTH.S261586","volume":"15","author":"MP Holzer","year":"2021","unstructured":"Holzer MP, Nuijts RMMA, Jonker SMR, Mertens ELJG, Sener AB, Cazal JAO, et al. Bilateral implantation of a new refractive multi-segmented multifocal intraocular lens in cataract or refractive lens exchange patients. Clin Ophthalmol. 2021;15:2117\u201326.","journal-title":"Clin Ophthalmol"},{"issue":"11","key":"408_CR18","doi-asserted-by":"publisher","first-page":"5537","DOI":"10.1167\/iovs.10-5341","volume":"51","author":"C McAlinden","year":"2010","unstructured":"McAlinden C, Pesudovs K, Moore JE. The development of an instrument to measure quality of vision: the Quality of Vision (QoV) questionnaire. Invest Ophthalmol Vis Sci. 2010;51(11):5537\u201345.","journal-title":"Invest Ophthalmol Vis Sci"},{"issue":"2","key":"408_CR19","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1007\/s40123-018-0134-x","volume":"7","author":"RR Mesa","year":"2018","unstructured":"Mesa RR, Monteiro T. Continuous transitional focus (CTF): a new concept in ophthalmic surgery. Ophthalmol Ther. 2018;7(2):223\u201331.","journal-title":"Ophthalmol Ther"},{"issue":"1","key":"408_CR20","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1016\/j.survophthal.2018.08.003","volume":"64","author":"V Vargas","year":"2019","unstructured":"Vargas V, Radner W, Allan BD, Reinstein DZ, Burkhard Dick H, Ali\u00f3 JL, et al. Methods for the study of near, intermediate vision, and accommodation: an overview of subjective and objective approaches. Surv Ophthalmol. 2019;64(1):90\u2013100.","journal-title":"Surv Ophthalmol"},{"issue":"7","key":"408_CR21","doi-asserted-by":"publisher","first-page":"3920","DOI":"10.1167\/iovs.11-9234","volume":"53","author":"PJ Buckhurst","year":"2012","unstructured":"Buckhurst PJ, Wolffsohn JS, Naroo SA, Davies LN, Bhogal GK, Kipioti A, et al. Multifocal intraocular lens differentiation using defocus curves. Invest Ophthalmol Vis Sci. 2012;53(7):3920\u20136.","journal-title":"Invest Ophthalmol Vis Sci"},{"issue":"5","key":"408_CR22","doi-asserted-by":"publisher","first-page":"412","DOI":"10.5301\/ejo.5000780","volume":"26","author":"AB Plaza-Puche","year":"2016","unstructured":"Plaza-Puche AB, Alio JL. Analysis of defocus curves of different modern multifocal intraocular lenses. Eur J Ophthalmol. 2016;26(5):412\u201317.","journal-title":"Eur J Ophthalmol"},{"issue":"10","key":"408_CR23","doi-asserted-by":"publisher","first-page":"654","DOI":"10.3928\/1081597X-20140903-01","volume":"30","author":"DZ Reinstein","year":"2014","unstructured":"Reinstein DZ, Archer TJ, Randleman JB. JRS standard for reporting astigmatism outcomes of refractive surgery. J Refract Surg. 2014;30(10):654\u20139.","journal-title":"J Refract Surg"},{"issue":"11","key":"408_CR24","doi-asserted-by":"publisher","first-page":"756","DOI":"10.3928\/1081597X-20131021-05","volume":"29","author":"JL Ali\u00f3","year":"2013","unstructured":"Ali\u00f3 JL, Montalb\u00e1n R, Pe\u00f1a-Garc\u00eda P, Soria FA, Vega-Estrada A. Visual outcomes of a trifocal aspheric diffractive intraocular lens with microincision cataract surgery. J Refract Surg. 2013;29(11):756\u201361.","journal-title":"J Refract Surg"},{"issue":"6","key":"408_CR25","doi-asserted-by":"publisher","first-page":"978","DOI":"10.1016\/j.jcrs.2011.12.033","volume":"38","author":"JL Ali\u00f3","year":"2012","unstructured":"Ali\u00f3 JL, Plaza-Puche AB, Montalban R, Javaloy J. Visual outcomes with a single-optic accommodating intraocular lens and a low-addition-power rotational asymmetric multifocal intraocular lens. J Cataract Refract Surg. 2012;38(6):978\u201385.","journal-title":"J Cataract Refract Surg"},{"issue":"2","key":"408_CR26","doi-asserted-by":"publisher","first-page":"103","DOI":"10.3928\/1081597X-20221130-04","volume":"39","author":"SAJ Al-Amri","year":"2023","unstructured":"Al-Amri SAJ, Ali\u00f3 JL, Mil\u00e1n-Castillo R, D'Oria F, Martinez-Abad A, Yebana P, et al. Clinical retinal image quality of a non-diffractive wavefront-shaping extended depth of focus (Vivity) intraocular lens. J Refract Surg. 2023;39(2):103\u201310.","journal-title":"J Refract Surg"},{"issue":"12","key":"408_CR27","doi-asserted-by":"publisher","first-page":"1721","DOI":"10.1016\/j.jcrs.2016.10.016","volume":"42","author":"RN McNeely","year":"2016","unstructured":"McNeely RN, Pazo E, Spence A, Richoz O, Nesbit MA, Moore TC, et al. Comparison of the visual performance and quality of vision with combined symmetrical inferonasal near addition versus inferonasal and superotemporal placement of rotationally asymmetric refractive multifocal intraocular lenses. J Cataract Refract Surg. 2016;42(12):1721\u20139.","journal-title":"J Cataract Refract Surg"},{"issue":"2","key":"408_CR28","doi-asserted-by":"publisher","first-page":"175","DOI":"10.5301\/EJO.2011.8371","volume":"22","author":"MA Gil","year":"2012","unstructured":"Gil MA, Varon C, Rosello N, Cardona G, Buil JA. Visual acuity, contrast sensitivity, subjective quality of vision, and quality of life with 4 different multifocal IOLs. Eur J Ophthalmol. 2012;22(2):175\u201387.","journal-title":"Eur J Ophthalmol"},{"issue":"8","key":"408_CR29","doi-asserted-by":"publisher","first-page":"507","DOI":"10.3928\/1081597X-20180530-02","volume":"34","author":"B Cochener","year":"2018","unstructured":"Cochener B, Boutillier G, Lamard M, Auberger-Zagnoli C. A comparative evaluation of a new generation of diffractive trifocal and extended depth of focus intraocular lenses. J Refract Surg. 2018;34(8):507\u201314.","journal-title":"J Refract Surg"},{"issue":"7","key":"408_CR30","doi-asserted-by":"publisher","first-page":"471","DOI":"10.3928\/1081597X-20090728-04","volume":"26","author":"JF Alfonso","year":"2010","unstructured":"Alfonso JF, Puchades C, Fernandez-Vega L, Merayo C, Mont\u00e9s-Mic\u00f3 R. Contrast sensitivity comparison between AcrySof ReSTOR and Acri.LISA aspheric intraocular lenses. J Refract Surg. 2010;26(7):471\u20137.","journal-title":"J Refract Surg"},{"issue":"4","key":"408_CR31","doi-asserted-by":"publisher","first-page":"700","DOI":"10.1016\/j.ophtha.2014.10.002","volume":"122","author":"V Maurino","year":"2015","unstructured":"Maurino V, Allan BD, Rubin GS, Bunce C, Xing W, Findl O, et al. Quality of vision after bilateral multifocal intraocular lens implantation: a randomized trial\u2013AT LISA 809\u00a0M versus AcrySof ReSTOR SN6AD1. Ophthalmology. 2015;122(4):700\u201310.","journal-title":"Ophthalmology"},{"issue":"7","key":"408_CR32","doi-asserted-by":"publisher","first-page":"418","DOI":"10.3928\/1081597X-20190528-02","volume":"35","author":"TB Ferreira","year":"2019","unstructured":"Ferreira TB, Ribeiro FJ. Prospective comparison of clinical performance and subjective outcomes between two diffractive trifocal intraocular lenses in bilateral cataract surgery. J Refract Surg. 2019;35(7):418\u201325.","journal-title":"J Refract Surg"},{"issue":"6","key":"408_CR33","doi-asserted-by":"publisher","first-page":"737","DOI":"10.1016\/j.jcrs.2017.03.037","volume":"43","author":"G Monaco","year":"2017","unstructured":"Monaco G, Gari M, Di Censo F, Poscia A, Ruggi G, Scialdone A. Visual performance after bilateral implantation of 2 new presbyopia-correcting intraocular lenses: trifocal versus extended range of vision. J Cataract Refract Surg. 2017;43(6):737\u201347.","journal-title":"J Cataract Refract Surg"}],"container-title":["Eye and Vision"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40662-024-00408-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40662-024-00408-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40662-024-00408-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,14]],"date-time":"2024-10-14T04:04:58Z","timestamp":1728878698000},"score":1,"resource":{"primary":{"URL":"https:\/\/eandv.biomedcentral.com\/articles\/10.1186\/s40662-024-00408-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,14]]},"references-count":33,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["408"],"URL":"https:\/\/doi.org\/10.1186\/s40662-024-00408-y","relation":{},"ISSN":["2326-0254"],"issn-type":[{"value":"2326-0254","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,14]]},"assertion":[{"value":"19 March 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 September 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 October 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"All patients gave their informed consent for their anonymized data to be submitted for audit and publication. Ethics Committee for Drug Research of C\u00e1diz approved this study as an audit study and gave it the following reference number AP01000740.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Jorge L. Ali\u00f3 is the associate editor of the journal. The authors have no proprietary or commercial interest in the medical devices that are involved in this manuscript.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"41"}}