Review Article

Comparison of Patient Outcomes following Implantation of Trifocal and Extended Depth of Focus Intraocular Lenses: A Systematic Review and Meta-Analysis

Table 1

Characteristics of the included studies (n = 13).

StudyLocationDesignEDOFTrifocalFollow-up duration (months)
IOL typesN (patients/eyes)Age (mean ± SD, years)IOL typesN (patients/eyes)Age (mean ± SD, years)

Monaco et al. 2017 [31]ItalyRCTTECNIS Symfony20/4067.0 ± 8.5AcrySof IQ PanOptix20/4066.0 ± 5.54
Ruiz-Mesa et al. 2017 [18]SpainNRCSTECNIS Symfony20/4059.5 ± 8.9FineVision Micro F20/4054.5 ± 7.212
Cochener et al. 2018 [30]FranceRCTTECNIS Symfony20/4069.2 ± 8.4AcrySof IQ PanOptix20/4062.5 ± 4.66
FineVision Micro F20/4062.5 ± 4.6
Mencucci et al. 2018 [34]ItalyNRCSTECNIS Symfony20/4068.9 ± 4.8AcrySof IQ PanOptix20/4070.1 ± 4.83
AT LISA tri 839MP20/4071.6 ± 4.4
Ruiz-Mesa et al. 2018 [35]SpainNRCSTECNIS Symfony14/2863.1 ± 10.0AcrySof IQ PanOptix20/4063.8 ± 8.19∼29
Escandon-Garcia et al. 2018 [36]PortugalNRCSTECNIS Symfony15/3063.5 ± 9.4AcrySof IQ PanOptix7/1462.3 ± 9.01∼3
FineVision Pod F23/4662.6 ± 8.0
de Medeiros et al. 2019 [37]BrazilNRCSTECNIS Symfony14/28NAAcrySof IQ PanOptix13/26NA6∼12
Singh et al. 2019 [38]IndiaNRCSTECNIS Symfony40/8069.1 ± 6.1FineVision Micro F40/8066.1 ± 5.16
Rodov et al. 2019 [39]IsraelNRCSTECNIS Symfony50/10067.21 ± 9.83FineVision Micro F50/10067.01 ± 6.731∼22
Böhm et al. [40]GermanyNRCSTECNIS Symfony26/5269.23 ± 8.17AT LISA tri 839MP27/5463.51 ± 7.943
Gil et al. 2020 [33]SpainRCTTECNIS Symfony20/2068.2 ± 6.2AT LISA tri 839MP19/1968.7 ± 10.36
Lin et al. 2019 [41]ChinaNRCSTECNIS Symfony26/26NAAT LISA tri 839MP24/24NA1
Webers et al. 2020 [32]NetherlandsRCTTECNIS Symfony14/2867.57 ± 12.21AT LISA tri 839MP13/2670.38 ± 6.083

IOL, intraocular lens; RCT, randomized controlled trial; NRCS, nonrandomized controlled study; EDOF, extended depth-of-focus