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Med."],"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>To compare the presbyopia-correcting performance, visual quality, satisfaction and life quality after implantation of a diffractive trifocal intraocular lens (IOL) in eyes with different axial lengths (AL).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This prospective cohort study enrolled patients with implantation of a trifocal IOL. Manifest refraction, uncorrected and distance-corrected visual acuity at different distances, contrast sensitivity, aberrations and IOL decentration were measured 3 months after surgery. Spectacle independence, adverse photic phenomena, overall satisfaction and life quality were assessed with a questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>This study included 61 eyes of 61 patients: 16 eyes in the short AL group, 28 eyes in the control group and 17 eyes in the long AL group. Postoperatively, the prediction error (PE) of spherical equivalent showed a difference (<jats:italic>P<\/jats:italic> = 0.002). The uncorrected near visual acuity in the long AL group was higher (<jats:italic>P<\/jats:italic> = 0.047). Although a higher IOL decentration was obtained in the long AL group (<jats:italic>P<\/jats:italic> = 0.034), no significant difference was found in contrast sensitivity and aberrations (all <jats:italic>P<\/jats:italic> &amp;gt; 0.05). In the questionnaire, patients in the long AL group showed a relatively lower spectacle independence at near distance (<jats:italic>P<\/jats:italic> = 0.060) and had difficulties in near activities, mental health and role in daily life (<jats:italic>P<\/jats:italic> = 0.003, 0.021, and 0.033). However, no significant difference was observed in overall satisfaction (<jats:italic>P<\/jats:italic> = 0.124).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>With detailed preoperative evaluation, the trifocal IOL provided satisfactory visual outcomes for patients with different AL. AL had a certain influence on predictability and IOL decentration. And for patients with long AL, the inadaptability to the near focal point might become an important problem.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fmed.2022.980110","type":"journal-article","created":{"date-parts":[[2022,9,2]],"date-time":"2022-09-02T08:47:50Z","timestamp":1662108470000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":11,"title":["Presbyopia-correcting performance and subjective outcomes of a trifocal intraocular lens in eyes with different axial lengths: A prospective cohort 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