Long-term trifocal toric intraocular lens outcomes in Asian eyes after cataract surgery

Purpose: To determine the visual and refractive outcomes of trifocal toric intraocular lens (IOL) implantation in Asian eyes with cataract and astigmatism. Setting: Asian Eye Institute, Makati City, Philippines. Design: Prospective study. Methods: 187 eyes were implanted with the FineVision POD FT IOL and followed for 2 years. The measurements included subjective refraction, uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), uncorrected intermediate visual acuity (UIVA), distance-corrected intermediate visual acuity (DCIVA), uncorrected near visual acuity (UNVA), distance-corrected near visual acuity (DCNVA), defocus curve, photopic and mesopic contrast sensitivity, and rotational stability. Results: The mean spherical equivalent and cylinder values were, respectively, -0.07 +/- 0.34 diopters (D) and -0.48 +/- 0.31 D at the 2-year follow-up. At this same follow-up, 69.4% of patients had monocular CDVA and 79.3% had binocular UDVA <= 0.0 logMAR. For intermediate vision, monocular DCIVA reached 74.1%, while binocular UIVA was 86.2% <= 0.1 logMAR. Near vision showed 63% for monocular DCNVA and 70.7% for binocular UNVA <= 0.1 logMAR. The mean values at this follow-up were 0.02 +/- 0.08, 0.08 +/- 0.10, and 0.10 +/- 0.12 logMAR for CDVA, DCIVA, and DCNVA, respectively. At the visual acuity threshold of <= 0.20 logMAR, the binocular defocus curve extended up to -3.75 D. Stable contrast sensitivity values were obtained at the different follow-ups. The mean IOL rotation was <= 2 degrees. Conclusions: The FineVision POD FT IOL yielded good visual outcomes at far, near, and intermediate distances with accurate refractive outcomes and good rotational stability in Asian eyes.