Outcomes of Vision with a Diffractive Trifocal Intraocular Lens in Patients with Short Axial Length
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By
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Rui Qin
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Yiyun Liu
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Zihan Shen
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Dehai Liu
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Zeka Li
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Zhengze Sun
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Hong Qi
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March 4, 2026
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Clinical Scorecard: Outcomes of Vision with a Diffractive Trifocal Intraocular Lens in Patients with Short Axial Length
At a Glance
| Category | Detail |
|---|
| Condition | Cataract with Short Axial Length |
| Key Mechanisms | Bilateral implantation of trifocal intraocular lenses to improve visual acuity and correct presbyopia. |
| Target Population | Patients aged 45-80 years with axial length ≤ 22.0 mm. |
| Care Setting | Ophthalmology department in a tertiary care hospital. |
Key Highlights
- 9.5% of cataract surgery patients have an axial length ≤ 22.5 mm.
- Short axial length is associated with increased complexity in cataract surgery.
- Trifocal IOLs provide better vision and correct presbyopia in patients with short axial length; refer to specific studies for data.
Guideline-Based Recommendations
Diagnosis
- Assess axial length and ocular anatomy preoperatively.
Management
- Consider bilateral trifocal IOL implantation for patients with short axial length.
Monitoring & Follow-up
- Evaluate visual acuity and ocular health at 1 and 3 months postoperatively.
Risks
- Increased risk of ocular complications such as retinal detachment and glaucoma; include management strategies.
Patient & Prescribing Data
Patients with short axial length undergoing cataract surgery.
Trifocal IOLs effectively address presbyopia and improve visual outcomes.
Clinical Best Practices
- Perform thorough preoperative examinations including biometric evaluation and corneal topography.
- Use standardized postoperative medication regimens to prevent complications; specify medications.
References
