Evidence map›Paper›PMID 42807401›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2026

Distance Visual Outcomes of Trifocal Intraocular Lenses in Highly Myopic Eyes Without Myopic Maculopathy.

Álvaro Fernández-Vega González, Irene Martínez-Alberquilla, María Isabel López-Gálvez, Nicolás Sánchez-Maluf, Luis Fernández-Vega-Cueto-Felgueroso, David Madrid-Costa, José F Alfonso

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.

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

7 authors.

Álvaro Fernández-Vega GonzálezFernández-Vega Ophthalmological Institute, Oviedo, Asturias, Spain.
Irene Martínez-AlberquillaOptometry and Vision Department, Faculty of Optics and Optometry, Universidad Complutense De Madrid, Madrid, Spain.
María Isabel López-GálvezFernández-Vega Ophthalmological Institute, Oviedo, Asturias, Spain.
Nicolás Sánchez-MalufFernández-Vega Ophthalmological Institute, Oviedo, Asturias, Spain.
Luis Fernández-Vega-Cueto-FelguerosoFernández-Vega Ophthalmological Institute, Oviedo, Asturias, Spain.ORCID 0000-0001-9197-5847
David Madrid-CostaOptometry and Vision Department, Faculty of Optics and Optometry, Universidad Complutense De Madrid, Madrid, Spain.
José F AlfonsoFernández-Vega Ophthalmological Institute, Oviedo, Asturias, Spain.ORCID 0000-0002-0373-8209

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To analyze the refractive and visual distance outcomes of trifocal intraocular lens (IOL) implantation in highly myopic patients and to investigate potential preoperative factors predictors of postoperative vision. Methods: This retrospective study included eyes with axial length (AL) between 26 mm and 31mm without signs of pathological myopia and a preoperative corrected distance visual acuity (CDVA) equal or better than 0.1 logMAR who underwent diffractive trifocal IOL implantation (AT LISA tri or FineVision). Visual and refractive measurements, as well as biometric values (AL, anterior chamber depth, keratometry, white-to-white) were recorded both preoperatively and postoperatively. Comparisons were performed between eyes achieving predefined CDVA (0.0 logMAR or better) and uncorrected distance visual acuity (UDVA) (0.2 logMAR or better) thresholds and those that did not. Multivariable logistic regression analysis was performed to identify preoperative factors associated with these thresholds. Results: The study included 361 eyes with a mean preoperative CDVA of 0.03±0.04 logMAR, which significantly improved to 0.01±0.03 logMAR postoperatively (p<0.001). The mean postoperative spherical equivalent was -0.26 ± 0.40 D, with 80.1% of the eyes within ± 0.50 D range. Overall, 19.9% and 18.9% of eyes did not achieve 0.0 logMAR CDVA and 0.2 logMAR UDVA, respectively, and 8% required postoperative corneal refractive enhancement. Besides subtle differences, no determinant preoperative biometric parameters were significantly associated with postoperative distance vision outcomes. Conclusions: Trifocal IOLs performed satisfactorily in terms of distance vision in highly myopic eyes without signs of pathological myopia; however nearly one-fifth of eyes did not achieve the expected visual acuity, highlighting the importance of careful patient selection and appropriate preoperative counselling.

Indexed as

distance visionhigh myopiapreoperative predictorstrifocal intraocular lens

Identifiers

PMID42807401
PMCPMC13616998

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.