{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T06:46:11Z","timestamp":1782715571806,"version":"3.54.5"},"reference-count":13,"publisher":"Media Sphere Publishing House","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rus. Ann. Ophthal."],"published-print":{"date-parts":[[2026,6,29]]},"abstract":"<jats:p>In modern cataract surgery, the ophthalmologist aims not only to remove the lens but also to optimize the patient\u2019s refractive status. Refractive lens exchange allows correction of presbyopia and reduces spectacle dependence, particularly in patients with high myopia who are not suitable candidates for corneal procedures. Objective. The study evaluated the postoperative outcomes of trifocal intraocular lenses (IOLs) implantation for correction of high myopia and myopic astigmatism. Material and methods. This retrospective study, conducted at the Eye Microsurgery Ophthalmological Center in Chi\u0219in\u0103u (January\u2014December 2023), analyzed data from 40 patients (75 eyes) who underwent refractive lens exchange with trifocal IOL implantation (Alcon PanOptix\/PanOptix Toric). The patients were selected according to specific criteria, and all underwent comprehensive preoperative assessment. Surgery was performed by phacoemulsification under local anesthesia, followed by postoperative care. The 1-month follow-up included measurement of uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrected intermediate visual acuity (UIVA), and corrected intermediate visual acuity (CIVA). Results. The patients included in our study received two types of trifocal IOLs. Alcon IQ PanOptix IOLs were implanted in 81% of cases, and Alcon IQ PanOptix Toric IOLs \u2014 in 19%. After surgery, patients showed a substantial improvement in visual acuity: UDVA increased by 81%, UIVA \u2014 by 39%, uncorrected near visual acuity (UNVA) \u2014 by 12%, and CDVA and corrected near visual acuity (CNVA) \u2014 by 2%. Peripheral retinal degeneration was the most common ocular pathology \u2014 47% (35 eyes). Conclusion. Trifocal IOL implantation in high myopia with myopic astigmatism provides high visual acuity, spectacle independence, and requires careful preoperative assessment.<\/jats:p>","DOI":"10.17116\/oftalma202614203145","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T06:05:27Z","timestamp":1782713127000},"page":"45","source":"Crossref","is-referenced-by-count":0,"title":["Refractive lens extraction with trifocal intraocular lens implantation in high myopia and myopic astigmatism"],"prefix":"10.17116","volume":"142","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7476-3527","authenticated-orcid":false,"given":"S.V.","family":"Porada","sequence":"first","affiliation":[{"name":"Eye Microsurgery Ophthalmologic Center in Moldova","place":["Chi\u0219in\u0103u, Republic of Moldova"]},{"name":"Timofei Mo\u0219neaga Republican Clinical Hospital","place":["Chi\u0219in\u0103u, Republic of Moldova"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3046-9275","authenticated-orcid":false,"given":"A.R.","family":"Cucereavaia","sequence":"additional","affiliation":[{"name":"Timofei Mo\u0219neaga Republican Clinical Hospital","place":["Chi\u0219in\u0103u, Republic of Moldova"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9879-8211","authenticated-orcid":false,"given":"A.K.","family":"Paduca","sequence":"additional","affiliation":[{"name":"Timofei Mo\u0219neaga Republican Clinical Hospital","place":["Chi\u0219in\u0103u, Republic of Moldova"]},{"name":"Nicolae Testemi\u021banu State University of Medicine and Pharmacy","place":["Chi\u0219in\u0103u, Republic of Moldova"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6743","reference":[{"key":"key-10.17116\/oftalma202614203145-1","doi-asserted-by":"publisher","DOI":"10.1177\/11206721231218909"},{"key":"key-10.17116\/oftalma202614203145-2","doi-asserted-by":"publisher","DOI":"10.1186\/s40662-014-0010-2"},{"key":"key-10.17116\/oftalma202614203145-3","unstructured":"American Academy of Ophthalmology (AAO). Intraocular Refractive Surgery [Internet]. March 04, 2024.  https:\/\/eyewiki.org\/Intraocular_Refractive_Surgery"},{"key":"key-10.17116\/oftalma202614203145-4","doi-asserted-by":"publisher","DOI":"10.1016\/j.survophthal.2014.04.004"},{"key":"key-10.17116\/oftalma202614203145-5","doi-asserted-by":"publisher","DOI":"10.4103\/0974-9233.194090"},{"key":"key-10.17116\/oftalma202614203145-6","doi-asserted-by":"publisher","DOI":"10.31083\/j.fbl2702041"},{"key":"key-10.17116\/oftalma202614203145-7","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD012648.pub2"},{"key":"key-10.17116\/oftalma202614203145-8","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2022.3667"},{"key":"key-10.17116\/oftalma202614203145-9","doi-asserted-by":"publisher","DOI":"10.15537\/smj.2023.44.5.20220833"},{"key":"key-10.17116\/oftalma202614203145-10","doi-asserted-by":"publisher","DOI":"10.25276\/2312-4911-2023-2-93-97"},{"key":"key-10.17116\/oftalma202614203145-11","unstructured":"Poznyak NI, Poznyak SN, Tobolevich YuS. Lens extraction in the correction of refractive errors. Belarusian Medical Journal. 2004;4(10):75-78. (In Russ.)"},{"key":"key-10.17116\/oftalma202614203145-12","unstructured":"Poznyak SN, Poznyak NI, Murashko VA, Radko AV. Correction of high-degree ametropia at the present stage. Journal of Grodno State Medical University. 2007;3(19):88-94 (In Russ.)"},{"key":"key-10.17116\/oftalma202614203145-13","doi-asserted-by":"publisher","DOI":"10.18008\/1816-5095-2024-3-471-480"}],"container-title":["Russian Annals of Ophthalmology"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T06:06:27Z","timestamp":1782713187000},"score":1,"resource":{"primary":{"URL":"https:\/\/mediasphera.ru\/issues\/vestnik-oftalmologii\/2026\/3\/10042465X2026031045"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,29]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6,29]]}},"alternative-id":["10.17116\/oftalma202614203145"],"URL":"https:\/\/doi.org\/10.17116\/oftalma202614203145","relation":{},"ISSN":["0042-465X"],"issn-type":[{"value":"0042-465X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6,29]]}}}