PURPOSE To compare the clinical performance of a hydrophobic (AcrySof PanOptix) and a hydrophilic (AT LISA tri 839MP) diffractive trifocal intraocular lens (IOL). SETTING Kaskaloglu Eye Hospital, Izmir, Turkey. DESIGN Prospective case series. METHODS Patients had bilateral cataract surgery or refractive lens exchange with implantation of the hydrophobic diffractive IOL or hydrophilic diffractive IOL. The binocular corrected distance visual acuity (CDVA) at 4 m, corrected intermediate visual acuity (CIVA) at 80 cm and 60 cm, and corrected near visual acuity at 40 cm; low-contrast CDVA; spherical equivalent refraction; binocular corrected defocus curve; photic phenomena; and spectacle use were compared. RESULTS The study comprised 238 eyes (119 patients). The mean CIVA at 60 cm was better in the hydrophobic diffractive IOL group than in the hydrophilic diffractive IOL group (0.07 logarithm of the minimum angle of resolution [logMAR] ± 0.07 [SD] versus 0.22 ± 0.10 logMAR; P < .001). The mean CIVA at 80 cm was better in the hydrophilic IOL group (0.07 ± 0.08 logMAR versus 0.17 ± 0.09 logMAR; P < .001). Visual acuity at 1.00 diopter (D) to -2.50 D was significantly better in the hydrophobic diffractive group (P = .011 to <.001). The rate of severe and bothersome halos was higher in the hydrophilic diffractive group (P = .032 and P = .004, respectively). The percentage of patients reporting never using spectacles for intermediate vision was significantly higher in the hydrophobic group (P = .016). CONCLUSION Both IOLs gave similar and favorable visual and refractive outcomes. The hydrophobic diffractive IOL might be more suitable for patients who require good closer intermediate viewing.

中文翻译：

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白内障或屈光镜更换手术后的视力和屈光结局，眼镜独立性和视力障碍：2颗三焦点人工晶状体的比较。

目的比较疏水性（AcrySof PanOptix）和亲水性（AT LISA tri 839MP）衍射三焦点人工晶状体（IOL）的临床性能。地点土耳其伊兹密尔Kaskaloglu眼科医院。设计预期案例系列。方法患者接受双侧白内障手术或屈光性晶状体置换术并植入疏水性衍射IOL或亲水性衍射IOL。在4 m处的双眼矫正远视力（CDVA），在80 cm和60 cm处矫正的中度视力（CIVA）和在40 cm处矫正的近视力；低对比度CDVA；球当量折光率 双眼校正散焦曲线；光现象 和眼镜的使用进行了比较。结果该研究包括238只眼（119例患者）。疏水性衍射IOL组的60 cm处的平均CIVA优于亲水性衍射IOL组（最小分辨角[logMAR]±0.07 [SD]的0.07对数与0.22±0.10 logMAR的对数； P <.001）。在亲水性IOL组中，在80 cm处的平均CIVA更好（0.07±0.08 logMAR对0.17±0.09 logMAR； P <.001）。疏水性衍射组在1.00屈光度（D）至-2.50 D时的视敏度明显更好（P = .011至<.001）。在亲水性衍射组中，严重晕圈和晕圈的发生率更高（分别为P = .032和P = .004）。在疏水性组中，报告从未使用眼镜进行中间视觉的患者百分比显着更高（P = .016）。结论两种IOL均具有相似且有利的视觉和屈光结果。