Evidence map›Paper›PMID 42094806›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2026

Refractive Outcomes of a Low-Addition Refractive, Rotationally Asymmetric Bifocal IOL and Its Toric Version: A Comparative Cohort Study of 316 Eyes.

Arnaud Lognon, Benjamin Matagrin, Emilie Agard, Hussam El Chehab, Sarah Verrecchia, Antoine Levron, Roman Chudzinski, Jeremy Billant, Axel Goissaud-Mignard, Ines Fenniri and 1 more

Abstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

11 authors.

Arnaud LognonDepartment of Ophthalmology, Edouard Herriot Hospital, Lyon, France.
Benjamin MatagrinDepartment of Ophthalmology, Edouard Herriot Hospital, Lyon, France.
Emilie AgardDepartment of Ophthalmology, Desgenettes Military Hospital, Lyon, France.
Hussam El ChehabDepartment of Ophthalmology, Desgenettes Military Hospital, Lyon, France.
Sarah VerrecchiaDepartment of Ophthalmology, Edouard Herriot Hospital, Lyon, France.
Antoine LevronDepartment of Ophthalmology, Desgenettes Military Hospital, Lyon, France.
Roman ChudzinskiDepartment of Ophthalmology, Edouard Herriot Hospital, Lyon, France.
Jeremy BillantDepartment of Ophthalmology, Edouard Herriot Hospital, Lyon, France.
Axel Goissaud-MignardDepartment of Ophthalmology, Edouard Herriot Hospital, Lyon, France.
Ines FenniriDepartment of Ophthalmology, Edouard Herriot Hospital, Lyon, France.
Corinne DotDepartment of Ophthalmology, Edouard Herriot Hospital, Lyon, France.ORCID 0000-0003-4398-3978

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To analyze and compare functional and refractive postoperative outcomes of a low-addition refractive bifocal intraocular lenses (IOL) and its toric version at 1 month. Settings: Desgenettes Military Hospital, Lyon. Design: Single-center retrospective study. Methods: This study included 316 eyes of patients who underwent bilateral phacoemulsification with implantation of either the standard IOL, the Comfort LS-313 MF15 (n=245, group 1) or its toric version, the Comfort LS-313 MF15T (n=71, group 2). Patients were evaluated at 7 days and 1 month postoperatively to measure uncorrected and corrected distance (UDVA and CDVA), uncorrected intermediate (UIVA), and near (UNVA) visual acuity at 4 meters, 60 cm and 40 cm. Spectacle independence and photic phenomena were assessed using a modified McAlinden questionnaire. Results: At one month, both groups had similar mean UDVA (0.004 vs 0.02 logMAR; p=0.063). UIVA (0.12 vs 0.17 logMAR; p=0.783) and UNVA (0.34 vs 0.3 logMAR; p=0.292) were also comparable. CDVA was excellent (-0.009 vs -0.02 logMAR; p=0.348). The toric IOL significantly reduced residual astigmatism (p<0.01), with a mean of 0.23±0.34 D. Photic phenomena were minimal (score: 2.17), with no severe effects. Twenty-five patients responded to the questionnaire, 56% of them reported total or high spectacle independence. Conclusion: The low-addition refractive bifocal IOL and its toric version provide effective refractive correction, ensuring excellent UDVA and satisfactory UIVA. The toric model yields comparable outcomes to the non-toric version, with the added benefit of improved control of preoperative astigmatism. The refractive performance of the toric model remained consistent regardless of the axis of implantation and the position of the low addition segment. These findings demonstrate satisfactory functional outcomes, though validation in larger prospective studies with objective optical quality assessments is needed.

Indexed as

astigmatismintraocular lenseslow-addition refractive bifocalocularrefractionrefractive rotationally asymmetrictoric intraocular lensesvisual acuity

Identifiers

PMID42094806
PMCPMC13142261

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