{
  "abstract": "Purpose\n\nTo evaluate clinical and patient-reported outcomes of the Clareon PanOptix (CP) hydrophobic acrylic trifocal IOL in eyes with previous myopic laser refractive surgery (LRS).Methods\n\nThis single-center, ambispective study included 94 eyes of 47 patients with previous myopic LRS undergoing CP implantation. At 6 months, monocular visual acuity (VA), refraction, and refractive outcomes were assessed. Prediction accuracy was compared using Barrett True-K and Haigis-L with conventional keratometry (CK) or total keratometry (TK) on the IOLMaster 700 and Barrett True-K with CK or TK on the Argos; Argos TK incorporated Pentacam-measured posterior corneal astigmatism. Spectacle dependence, satisfaction, and visual disturbances were assessed. Correlations between preoperative corneal higher-order aberrations (HOAs) and postoperative outcomes were analyzed.Results\n\nMean uncorrected VAs were 0.028 ± 0.087 logMAR for distance, 0.177 ± 0.130 logMAR for intermediate, and 0.093 ± 0.137 logMAR for near. The mean postoperative spherical equivalent was -0.142 ± 0.375 D, with 81% of eyes within ±0.50 D of emmetropia. In a retrospective comparison of IOL power calculation methods, Barrett True-K with TK on the IOLMaster 700 yielded the highest observed proportion of eyes within ±0.50 D of the intended target (78.7%). After Holm-Bonferroni correction, preoperative corneal HOA RMS and nonspherical HOA RMS at a 3.0-mm diameter were associated with uncorrected distance VA, whereas corneal HOAs at larger analysis diameters (5.0-6.0 mm) were associated with postoperative visual disturbances. Patients reported high satisfaction (3.09 ± 0.62) and complete spectacle independence for distance and intermediate vision.Conclusions\n\nThe CP trifocal IOL is an effective option for presbyopia correction in post-myopic LRS eyes meeting predefined preoperative corneal aberration criteria. Refractive predictability depended on device-specific formula-keratometry combinations, with Barrett True-K yielding the highest observed ±0.50 D rates with TK (IOLMaster 700) and with CK (Argos). Corneal HOA analysis at specified measurement diameters may further guide patient selection and counseling.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Ophthalmology Samsung Medical Center Sungkyunkwan University School of Medicine 81 Irwon-ro, Gangnam-gu Seoul 06351 South Korea skku.edu.",
    "The New York University College of Arts and Science 70 Washington Square South New York 10012 New York USA.",
    "First Samsung Eye Clinic 22, Seocho-daero 78-gil, Seocho-gu Seoul South Korea.",
    "Samsung Advanced Institute for Health Sciences and Technology Sungkyunkwan University Seoul South Korea skku.edu."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Yong Hyu Goh",
      "orcid": "0009-0005-3293-5665"
    },
    {
      "affs": [
        1
      ],
      "name": "Yoon Seong Choi",
      "orcid": "0009-0001-4551-3323"
    },
    {
      "affs": [
        2
      ],
      "name": "Sungho Choi",
      "orcid": "0009-0008-8272-5828"
    },
    {
      "affs": [
        0,
        3
      ],
      "name": "Dong Hui Lim"
    },
    {
      "affs": [
        2
      ],
      "name": "Sung Jin Na"
    },
    {
      "affs": [
        2
      ],
      "name": "Deok Jo Nam"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/edya0bfr292hq.bib",
  "cited_by": 0,
  "doi": "10.1155/joph/7762608",
  "fulltext_url": "https://europepmc.org/articles/PMC13685514",
  "id": "edya0bfr292hq",
  "issns": [
    "2090-004X",
    "2090-0058"
  ],
  "landing_url": "https://europepmc.org/article/MED/42910159",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2731|Intraocular Surgery and Lenses"
    ]
  ],
  "openalex": "W7223130703",
  "pdf_url": "https://europepmc.org/articles/PMC13685514?pdf=render",
  "pmcid": "PMC13685514",
  "pmid": "42910159",
  "published": "2026-10-21",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/edya0bfr292hq.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:10Z",
      "native_id": "MED:42910159",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42910159"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2731|Intraocular Surgery and Lenses",
      "subfield": "general"
    }
  ],
  "title": "Hydrophobic Acrylic Trifocal IOL in Post-Laser Refractive Surgery Eyes: Visual Performance, Predictability, and Patient-Reported Outcomes.",
  "title_text": "Hydrophobic Acrylic Trifocal IOL in Post-Laser Refractive Surgery Eyes: Visual Performance, Predictability, and Patient-Reported Outcomes.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:10Z",
  "url": "https://research.draconitic.com/paper/edya0bfr292hq",
  "venue": "Journal of ophthalmology",
  "versions": []
}