{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T02:53:53Z","timestamp":1788836033738,"version":"build-2803163510"},"reference-count":26,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T00:00:00Z","timestamp":1721001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: To evaluate the clinical and patient-reported outcomes (PROMs) obtained with an optimized version of a previously investigated trifocal IOL. Methods: Prospective non-comparative single-center study enrolling 29 patients (55\u201371 years) undergoing bilateral cataract surgery with implantation of the trifocal diffractive IOL Liberty 677CMY (Medicontur Medical Engineering Ltd., Zs\u00e1mb\u00e9k, Hungary). Visual and refractive outcomes as well as PROMs were evaluated during a 3-month follow-up: measurement of uncorrected and corrected distance (UDVA, CDVA), intermediate (UIVA, DCIVA) and near visual acuities (UNVA, DCNVA), defocus curve, patient satisfaction, photic phenomena perception, spectacle independence, and difficulty in performing some vision-related activities. Results: A total of 100%, 92%, and 80% of patients achieved a postoperative binocular UDVA, UIVA, and UNVA of 20\/25 or better, respectively. Likewise, 100%, 80%, and 84% of patients achieved a postoperative binocular CDVA, DCIVA, and DCNVA of 20\/25 or better, respectively. In the defocus curve, all mean visual acuity values were better than 0.15 logMAR for all defocus levels. A total of 95.8%, 95.8%, and 91.7% of patients referred to be satisfied with their distance, intermediate, and near visual vision, respectively. Mean overall Catquest Rasch calibrated score was \u22123.12 \u00b1 0.98. Most of the patients were spectacle independent: far (95.8%), intermediate (95.8%) or near vision (91.7%). No bothersome or minimal to moderately bothersome halo, starburst, and glare was perceived by 83.3%, 83.4%, and 83.3% of patients, respectively. Conclusions: The trifocal IOL evaluated provides a visual acuity improvement, with high levels of spectacle independence, patient satisfaction, and perceived visual quality associated.<\/jats:p>","DOI":"10.3390\/jcm13144133","type":"journal-article","created":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T18:17:32Z","timestamp":1721067452000},"page":"4133","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Clinical and Patient Reported Outcomes of an Optimized Trifocal Intraocular Lens"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3587-7892","authenticated-orcid":false,"given":"Antonio","family":"Cano-Ortiz","sequence":"first","affiliation":[{"name":"Department of Anterior Segment, Cornea and Refractive Surgery, Hospital Arruzafa, 14012 Cordoba, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5303-988X","authenticated-orcid":false,"given":"\u00c1lvaro","family":"S\u00e1nchez-Ventosa","sequence":"additional","affiliation":[{"name":"Department of Anterior Segment, Cornea and Refractive Surgery, Hospital Arruzafa, 14012 Cordoba, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8549-8431","authenticated-orcid":false,"given":"Marta","family":"Villalba-Gonz\u00e1lez","sequence":"additional","affiliation":[{"name":"Department of Anterior Segment, Cornea and Refractive Surgery, Hospital Arruzafa, 14012 Cordoba, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9594-1601","authenticated-orcid":false,"given":"Timoteo","family":"Gonz\u00e1lez-Cruces","sequence":"additional","affiliation":[{"name":"Department of Anterior Segment, Cornea and Refractive Surgery, Hospital Arruzafa, 14012 Cordoba, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6456-3572","authenticated-orcid":false,"given":"Juan Jos\u00e9","family":"Prados-Carmona","sequence":"additional","affiliation":[{"name":"Ophthalmology Department, Reina Sof\u00eda Hospital, 14004 Cordoba, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanesa","family":"D\u00edaz-Mesa","sequence":"additional","affiliation":[{"name":"Department of Anterior Segment, Cornea and Refractive Surgery, Hospital Arruzafa, 14012 Cordoba, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1546-4807","authenticated-orcid":false,"given":"David P.","family":"Pi\u00f1ero","sequence":"additional","affiliation":[{"name":"Department of Optics, Pharmacology and Anatomy, University of Alicante, 03690 Alicante, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7612-2555","authenticated-orcid":false,"given":"Alberto","family":"Villarrubia-Cuadrado","sequence":"additional","affiliation":[{"name":"Department of Anterior Segment, Cornea and Refractive Surgery, Hospital Arruzafa, 14012 Cordoba, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,7,15]]},"reference":[{"key":"ref_1","first-page":"CD012648","article-title":"Trifocal intraocular lenses versus bifocal intraocular lenses after cataract extraction among participants with presbyopia","volume":"1","author":"Bartlett","year":"2023","journal-title":"Cochrane Database Syst. 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