Photopic and mesopic performance of 2 different trifocal diffractive intraocular lenses



To assess photopic and mesopic vision in patients implanted with 2 different trifocal intraocular lenses (IOLs).


Fifty patients with cataract in both eyes had surgery with bilateral implantation of a trifocal FineVision (FV, n = 25) or AT LISA tri 839MP (LisaTri, n = 25) IOL. Three months after surgery, high-contrast photopic uncorrected distance visual acuity and corrected distance visual acuity (CDVA) were determined using the Early Treatment Diabetic Retinopathy Study test. Intermediate (65 cm) and near (40 cm) visual acuity were also measured, both with best distance correction (DCIVA and DCNVA, respectively). The CSV1000 test chart was used for binocular and monocular contrast sensitivity. Defocus curves were constructed under photopic and mesopic conditions.


Mean patient age was 68.4 ± 5.5 years (FV) and 67.3 ± 5.6 years (LisaTri) (p = 0.540). No differences were found in terms of visual acuity between the groups. The CDVA, DCIVA, and DCNVA were 0.05 ± 0.06, 0.25 ± 0.10, and 0.13 ± 0.10 logMAR for FV and -0.04 ± 0.11, 0.32 ± 0.09, and 0.12 ± 0.11 logMAR for LisaTri, respectively (p = 0.09, p = 0.08, and p = 0.12). Photopic and mesopic defocus curves were comparable between the 2 IOL groups (p>0.05). Mesopic values were significantly worse than photopic in both groups for all the measured values (p<0.001). No differences in contrast sensitivity were observed between the 2 IOL groups (p>0.05).


Both trifocal diffractive IOLs provided good visual quality with a statistically significant decrease in mesopic conditions.

Eur J Ophthalmol 2017; 27(1): 26 - 30




Jose M. Martinez-de-la-Casa, Jesús Carballo-Alvarez, Javier Garcia-Bella, Jose M. Vazquez-Molini, Laura Morales, Juan C. Sanz-Fernandez, Vicente Polo, Julián García-Feijoo

Article History


Financial support: Supported by Instituto de Salud Carlos III, Red Temática de Investigación Cooperativa, Oftared, Enfermedades oculares: Prevención, detección precoz y tratamiento de la patología ocular prevalente degenerativa y crónica; Instituto de Salud Carlos III, Fondo de Investigaciones Sanitarias PI11/01027; and Grupo de Investigación de la Universidad Complutense de Madrid 920415-GR58/08.
Conflict of interest: None of the authors has conflict of interest with this submission.

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  • Department of Ophthalmology, Hospital Clínico San Carlos, Madrid - Spain
  • Department of Ophthalmology, Faculty of Medicine, Universidad Complutense de Madrid, Madrid - Spain
  • Health Research Institute of the Hospital Clínico San Carlos (IdISSC), Madrid - Spain
  • Faculty of Optics and Optometry, Universidad Complutense de Madrid, Madrid - Spain
  • Miguel Servet Hospital, Zaragoza - Spain

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