Evidence map›Paper›PMID 37464228›Full record

Trial reportInternational ophthalmology2023

Randomised placebo-controlled clinical trial evaluating the impact of a new visual rehabilitation program on neuroadaptation in patients implanted with trifocal intraocular lenses.

David P Piñero, Miguel J Maldonado-López, Ainhoa Molina-Martin, Noelia García-Sánchez, María L Ramón, José L Rincón, Alfredo Holgueras, Juan F Arenillas, Álvaro Planchuelo-Gómez, Luis Leal-Vega and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04985097 (Preliminary Evaluation of the Clinical Benefit of a Novel Visual Rehabilitation System in Patients Implanted With Trifocal Diffractive Intraocular Lenses), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04985097 nacompletednot on this map

Preliminary Evaluation of the Clinical Benefit of a Novel Visual Rehabilitation System in Patients Implanted With Trifocal Diffractive Intraocular Lenses: A Blinded Randomized Placebo-controlled Clinical Trial

TypeinterventionalSponsorIncrease-TechRan2018 to 2021Enrolled60ConditionsVisual Disturbances and Blindness, Visual Acuity Reduced TransientlyArmsImplantation of trifocal diffractive intraocular lenses
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

David P PiñeroGroup of Optics and Visual Perception, Department of Optics, Pharmacology and Anatomy, University of Alicante, Crta San Vicente del Raspeig S/N, 03016, San Vicente del Raspeig, Alicante, Spain. david.pinyero@ua.es.
Miguel J Maldonado-LópezGrupo de Cirugía Refractiva y Rehabilitación Visual, Instituto Universitario de Oftalmobiología Aplicada (IOBA), University of Valladolid, Valladolid, Spain.
Ainhoa Molina-MartinGroup of Optics and Visual Perception, Department of Optics, Pharmacology and Anatomy, University of Alicante, Crta San Vicente del Raspeig S/N, 03016, San Vicente del Raspeig, Alicante, Spain.
Noelia García-SánchezClínica Baviera, Valladolid, Spain.
María L RamónDepartment of Ophthalmology, Vithas Medimar International Hospital, Alicante, Spain.
José L RincónDepartment of Ophthalmology, Vithas Medimar International Hospital, Alicante, Spain.
Alfredo HolguerasGrupo de Cirugía Refractiva y Rehabilitación Visual, Instituto Universitario de Oftalmobiología Aplicada (IOBA), University of Valladolid, Valladolid, Spain.
Juan F ArenillasGroup of Applied Clinical Neurosciences and Advanced Data Analysis, Department of Medicine, Dermatology and Toxicology, University of Valladolid, Valladolid, Spain.
Álvaro Planchuelo-GómezImage Processing Laboratory, University of Valladolid, Valladolid, Spain.
Luis Leal-VegaGrupo de Cirugía Refractiva y Rehabilitación Visual, Instituto Universitario de Oftalmobiología Aplicada (IOBA), University of Valladolid, Valladolid, Spain.
María Begoña Coco-MartínGrupo de Cirugía Refractiva y Rehabilitación Visual, Instituto Universitario de Oftalmobiología Aplicada (IOBA), University of Valladolid, Valladolid, Spain.

Funding

Centro para el Desarrollo Tecnológico Industrial EXP 00106153/IDI-20180123European Commission NextGenerationEUMinisterio de Economía y Competitividad RYC-2016-20471
6 · The paper itself

Abstract

purposeTo evaluate the efficacy of a new visual training program for improving the visual function in patients implanted with trifocal intraocular lenses (IOLs).

methodsRandomised placebo-controlled clinical trial enrolling 60 subjects (age, 47-75 years) undergoing cataract surgery with implantation of trifocal diffractive IOL. Home-based active visual training was prescribed immediately after surgery to all of them (20 sessions, 30 min): 31 subjects using a serious game based on Gabor patches (study group) and 29 using a placebo software (placebo group). Visual acuity, contrast sensitivity (CS), and perception of visual disturbances (QoV questionnaire) were evaluated before and after training. Likewise, in a small subgroup, resting-state functional magnetic resonance imaging (rs-fMRI) analysis was performed.

resultsNo significant differences were found between groups in compliance time (p = 0.70). After training, only significant improvements in monocular uncorrected intermediate visual acuity were found in the study group (p ≤ 0.01), although differences between groups did not reach statistical significance (p ≥ 0.11). Likewise, significantly better binocular far CS values were found in the study group for the spatial frequencies of 6 (p = 0.01) and 12 cpd (p = 0.03). More visual symptoms of the QoV questionnaire experienced a significant change in the level of bothersomeness in the study group. Rs-fMRI revealed the presence significant changes reflecting higher functional connectivity after the training with the serious game.

conclusionsA 3-week visual training program based on the use of Gabor patches after bilateral implantation of trifocal diffractive IOLs may be beneficial for optimising the visual function, with neural changes associated suggesting an acceleration of neuroadaptation. Trial registration ClinicalTrials.gov, NCT04985097. Registered 02 August 2021, https://clinicaltrials.gov/(NCT04985097 ).

Indexed as

Cataract ExtractionLenses, IntraocularPhacoemulsificationAgedContrast SensitivityHumansMiddle AgedPatient SatisfactionProsthesis DesignRefraction, OcularVisual AcuityCataract surgeryContrast sensitivityMultifocal IOLNeuroadaptationTrifocal intraocular lensVisual training

Identifiers

PMID37464228
PMCPMC10520183

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.