Visual performance and patient-reported outcomes of a non-apodized diffractive trifocal intraocular lens in Chinese cataract patients: a prospective multicenter real-world study - Report - MDSpire

Visual performance and patient-reported outcomes of a non-apodized diffractive trifocal intraocular lens in Chinese cataract patients: a prospective multicenter real-world study

  • By

  • Yan Wen

  • Qiong Liao

  • Shuai Chen

  • Maosheng Chen

  • Xiaocheng Zhang

  • Lei Wu

  • Zhengdong Xu

  • Li An

  • Jilin Tan

  • July 8, 2026

  • 0 min

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Clinical Report: Evaluation of Visual Outcomes with a Trifocal IOL in China

Overview

This study evaluates the visual performance and patient satisfaction following bilateral implantation of the AcrySof® IQ PanOptix® trifocal intraocular lens (IOL) in Chinese patients with cataracts.

Background

Cataracts are a leading cause of reversible visual impairment, particularly affecting older populations. Traditional cataract surgery often restores distance vision but does not address presbyopia, leading to continued reliance on spectacles. The development of trifocal IOLs, such as the PanOptix, aims to enhance functional vision at multiple distances.

Data Highlights

OutcomeResult
Mean binocular UDVA0.017 ± 0.086 logMAR
Mean binocular UIVA0.061 ± 0.110 logMAR
Mean binocular UNVA0.061 ± 0.103 logMAR
Patients achieving ≤0.200 logMAR91.24%
Refractive predictability within ±0.50 D84.62%
Complete spectacle independence96.90%

Key Findings

  • 91.24% of patients achieved binocular visual acuity of ≤0.200 logMAR at all distances.
  • Mean binocular UDVA was 0.017 ± 0.086 logMAR at 3 months postoperatively.
  • High refractive predictability was observed, with 84.62% of eyes within ±0.50 D of emmetropia.
  • 96.90% of patients reported complete independence from spectacles.
  • The binocular defocus curve maintained ≤0.200 logMAR between +0.50 D and −2.50 D.

Clinical Implications

No clinical implications are provided in the source material.

Conclusion

Bilateral implantation of the PanOptix trifocal IOL demonstrates visual performance and patient satisfaction in a clinical setting in China.

Related Resources & Content

  1. Author(s)/Org, Source, Year -- Title
  2. Optometric Management, 2019 -- Focus
  3. Ophthalmology Management, 2011 -- The Importance of Quality of Vision
  4. BMC Ophthalmology, 2026 -- Influence of angle kappa and angle alpha on visual outcomes
  5. International consensuses and guidelines on multifocal IOLs, AAPPO -- PubMed
  6. NICE, 2025 -- Recommendations | Cataracts in adults: management
  7. ESCRS Cataract Guidelines, 2024 -- Draft version
  8. Chinese expert consensus on presbyopia-correcting IOLs, 2025 -- PubMed
  9. International consensuses and guidelines on multifocal intraocular lenses (IOLs) by the Academy of Asia-Pacific Professors of Ophthalmology (AAPPO) - PubMed
  10. Recommendations | Cataracts in adults: management | Guidance | NICE
  11. ESCRS Cataract Guidelines- Draft version
  12. [Chinese expert consensus on the clinical application of presbyopia-correcting intraocular lenses (2025)] - PubMed
  13. Comparison of visual function and patient-reported outcomes between two full range of field intraocular lenses: a randomized controlled study - PubMed
  14. Visual outcomes, quality of vision, and patient satisfaction of a trifocal intraocular lens - ScienceDirect
  15. Visual and refractive outcomes and real-world evaluation of patient satisfaction following bilateral implantation of PanOptix Toric intraocular lens implantation - PMC
  16. Patient-Reported Outcomes of Visual Disturbances with a Trifocal Intraocular Lens: A Meta-Analysis - PMC
  17. Visual Outcomes After Mix-and-Match Implantation of Trifocal and Extended Depth-of-Focus Intraocular Lenses: A Systematic Review and Meta-Analysis - PMC
  18. 5-Year Trifocal Intraocular Lens Outcomes in Chinese Cataract Patients: Visual Performance, Stability, and Satisfaction - ScienceDirect

Original Source(s)

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