Clinical performance of a segmented refractive multifocal IOL: visual outcomes, rotational stability, and the role of higher-order aberrations.

Cemre Salomon, Wladislaw Rusch, Michael Steirat, Thomas A Fuchsluger, Marcus Walckling, Tobias Brockmann

Abstract read

In one paragraph

Article in International ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing 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.

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

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

6 authors.

Cemre SalomonDepartment of Ophthalmology, University of Rostock, Universitätsmedizin Rostock, Doberaner Str. 140, 18057, Rostock, Germany. cemre.salomon@med.uni-rostock.de.ORCID http://orcid.org/0009-0005-4384-1066

Wladislaw RuschDepartment of Ophthalmology, University of Rostock, Universitätsmedizin Rostock, Doberaner Str. 140, 18057, Rostock, Germany.

Michael SteiratDepartment of Ophthalmology, University of Rostock, Universitätsmedizin Rostock, Doberaner Str. 140, 18057, Rostock, Germany.

Thomas A FuchslugerDepartment of Ophthalmology, University of Rostock, Universitätsmedizin Rostock, Doberaner Str. 140, 18057, Rostock, Germany.

Marcus WalcklingDepartment of Ophthalmology, University of Rostock, Universitätsmedizin Rostock, Doberaner Str. 140, 18057, Rostock, Germany.

Tobias BrockmannDepartment of Ophthalmology, University of Rostock, Universitätsmedizin Rostock, Doberaner Str. 140, 18057, Rostock, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the visual and refractive outcomes of the segmented refractive PRECIZON Presbyopic NVA and NVA Toric intraocular lenses (IOLs) following cataract surgery, with additional focus on rotational stability and the influence of preoperative higher-order aberrations (HOA).

methodsIn this prospective post-market clinical follow-up study, 25 patients (50 eyes) underwent cataract surgery with implantation of the PRECIZON Presbyopic NVA or NVA Toric IOL. Visual acuity, refractive outcomes, rotational stability, dysphotopsia, and patient satisfaction were evaluated over a 3 month follow-up period. Corneal and total ocular HOA were assessed using Scheimpflug tomography and wavefront aberrometry.

resultsThree months postoperatively, monocular uncorrected distance visual acuity (UDVA) improved significantly from 0.64 ± 0.34 logMAR preoperatively to 0.04 ± 0.09 logMAR (p < 0.0001). Binocular UDVA reached - 0.04 ± 0.08 logMAR. Postoperative refractive astigmatism was ≤ 0.50 D in approximately 80% of eyes. Mean IOL rotation was in toric eyes (n = 38) 2.5 ± 3.1°. No significant correlations were found between preoperative HOA and postoperative corrected distance visual acuity. Dysphotopsias were reported as infrequent, mild, and generally non-bothersome.

conclusionThe PRECIZON Presbyopic NVA and NVA Toric IOLs provided effective visual rehabilitation across multiple distances with good refractive predictability, rotational stability, and low dysphotopsia rates. No significant associations between preoperative HOAs and postoperative visual outcomes were observed within the studied cohort.

Indexed as

Corneal Wavefront AberrationLens Implantation, IntraocularMultifocal Intraocular LensesPhacoemulsificationPresbyopiaPseudophakiaRefraction, OcularVisual AcuityAberrometryAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesCataract surgeryHigher-order aberrationsMultifocal intraocular lensOphthalmologyPresbyopia correctionToric intraocular lens

Identifiers

PMID42501152

DOI10.1007/s10792-026-04182-9

What OpenQuestion holds

Textmetadata

Read underepoch 390

Registered trials

None linked

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.