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Cataract patients nowadays have very high expectations concerning their visual performance after IOL implantation. Wishing to maintain their active lifestyle into high age, they require a solution that enables them to perform most daily activities without visual aids. The AT LISA® tri family from ZEISS is the leading trifocal technology that allows you to offer your patients maximum spectacle independence.
Peer-reviewed publications repeatedly demonstrate that spectacle independence is higher than 90%1 with several studies reaching full spectacle independence.2
All peer-reviewed publications investigating patient reported outcomes with ZEISS AT LISA tri confirm high levels of patient satisfaction.
ZEISS AT LISA tri is the reference trifocal IOL which has proven its performance in over 170 peer-reviewed publications. In total, more than 60 first authors from over 20 countries have published their findings on the lens.
Author: Lenton, L.; Vision Eye Institute Clinic
A clinical investigation analyzing the performance of adults with ZEISS AT LISA tri in a realistic flight simulator found that AT LISA tri patients did not experience constraints from a vision perspective in terms of ability to perform tasks in a flight simulator such as simulated landing runs in both daytime and night-time conditions.
No of patients: 13
Follow up time: n/a
Reference: Lenton, L. (2018). Visual performance in a flight simulator: multifocal intraocular lenses in pilots. BMJ Open Ophthalmology.
Author: Yang, Y. et al.; Department of Ophthalmology, Peking University Third Hospital
At 3 months postoperatively, the cohort reported a spectacle independence rate of 100%.
No. of patients: 26
Follow Up: 1 week, 1M, 3M
Reference: Yang, Y. et al.(2018). Clinical outcomes following trifocal diffractive intraocular lens implantation for age-related cataract in China. Clinical Ophthalmology. Volume 2018:12 Pages 1317—1324.
Author: Mojzis, P. et al.; Premium Clinic Teplice
The study analyzed AT LISA tri’s performance in terms of contrast sensitivity and found that patient outcomes are in the normal range, both in photopic as well as mesopic conditions.
No. of Patients: 60
Reference: Mojzis, P. et al. (2015). Visual Outcomes of a new toric trifocal diffractive intraocular lens. JCRS, 41(12): 2695-2706
Authors: Kretz, F. et al.; Augenklinik Ahaus-Raesfeld-Rheine
All patients (100%) were satisfied in terms of their ability to read, their intermediate and distance vision, their quality of vision at all distances, and their independence of spectacles for performing their daily activities and for the use of computer.
No. of patients: 38
Follow Up: 3M
Reference: Kretz, F. et al. (2015). Clinical Outcomes after Binocular Implantation of a New Trifocal Diffractive Intraocular Lens. Journal of Refractive Surgery. 2015;31(8):504-510.
Authors: Ganesh, S. et al.; Nethradhama Superspeciality Eye Hospital
Even under mesopic conditions patients with ZEISS AT LISA tri benefit from continuously high levels of visual acuity better than 0.1logMAR over a defocus up to -3 D, equaling a viewing distance of 33 cm. Spectacle independence rate was at 100%.
Study
No. of patients: 25
Follow Up: 12M
Reference: Ganesh, S. et al. (2017). Long-term visual outcomes and patient satisfaction following bilateral implantation of trifocal intraocular lenses. Clinical Ophthalmology, II: 1453-1459
Authors: Farideh, D., et al.; Eye Research Center, Tehran University of Medical Sciences
Analyzing outcomes for AT LISA tri toric implantation in keratoconus patients, investigators found that the IOL provided appropriate distance, near and intermediate visual results. Prediction of the refractive results and optical performances were good.
No. of patients & Follow Up: 5
Reference: Farideh, D. et al. (2017). Clinical outcomes of new toric trifocal diffractive intraocular lens in patients with cataract and stable keratoconus: Six months follow-up. Medicine. Mar 2017; 96(12):e6340.
Authors: Mencucci, R. et al.; Department of Surgery and Translational Medicine, Eye Clinic, University of Florence
Analysis of patient satisfaction with AT LISA tri confirmed good feedback at all three distances.
No. of patients: 21
Follow Up: 3M
Reference: Mencucci, R. et al. (2017). Visual performance, reading ability and patient satisfaction after implantation of a diffractive trifocal intraocular lens. Clinical Ophthalmology. Volume 2017:11 Pages 1987—1993.
Authors: Velasco-Barona, C et al.; Anterior Segment Surgery Department, Asociación para Evitar la Ceguera
The study found “no associations between angle k distance and postoperative visual acuity regardless of the angle k magnitude”.
No. of patients & Follow Up: 20
Reference: Velasco-Barona, C. et al. (2019). Influence of Angle κ and Higher-Order Aberrations on Visual Quality Employing Two Diffractive Trifocal IOLs. Journal of Ophthalmology. Volume 2019.
Authors: Gundersen, K. and Potvin, R.; IFocus Øyeklinikk
Gundersen and Potvin highlight superiority of bilateral implantation of AT LISA tri vs mono-vision with competitor bifocal IOLs, in particular at intermediate distances where a statistically significant better VA outcome was found from 2m to 67cm.
No. of patients & Follow up time: 55 (25 patients trifocal cohort, 30 patients bifocal cohort)
Reference: Gundersen, K. and Potvin, R. (2016). Comparison of visual outcomes and subjective visual quality after bilateral implantation of a diffractive trifocal intraocular lens and blended implantation of apodized diffractive bifocal intraocular lenses. Clinical Ophthalmology; 2016 Mar 17;10:805-811.
Authors: Marques, E. and Ferreira, T.; Cruz Vermelha Hospital
100% of AT LISA tri patients in this study achieved spectacle independence.
No. of patients: 30
Follow up time: 3M
Reference: Marques, E. and Ferreira, T. (2015). Comparison of visual outcomes of 2 diffractive trifocal intraocular lenses. JCRS. Volume 41, Issue 2, February 2015, Pages 354-363.
Authors: Filip, M. et al.; AmaOptimex Eye Clinic
“In the overall estimation, 90,19% of the patients were happy, in 7,84% of cases, the result was satisfactory and 1,96% were unhappy due to miodesopsias.”
No. of patients: 102
Reference: Filip, M. et al. (2016). Refractive results with the use of AT.Lisa intraocular lens (2008-2015). Romanian Journal of Ophthalmology, Volume 60, Issue 1, January-March 2016. pp:18-20.
Authors: Almulhim, A. et al.; Department of Ophthalmology, Aljouf University
Patients achieved very high spectacle independence at all three distances, with distance reaching 95%, intermediate 98% and near 100%.
No. of patients: 41
Follow up: 3M
Reference: Almulhim, A. et al., (2018). Visual outcomes and patient satisfaction after bilateral implantation of a new trifocal diffractive intraocular lens. Saudi Journal of Ophthalmology. Volume 32, 310–317.
Authors: Song, J.E. et al.; Department of Ophthalmology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
Patients with combined implantation of AT LARA (EDoF IOL) and AT LISA tri (trifocal IOL) achieved better visual acuity results at intermediate and near distances without compromising far distance vision compared to the monocular outcomes of each IOL. The combined implantation of an EDoF and a trifocal IOL can be a viable option for patients with high demands for spectacle independence in their daily life with minimal optical phenomena.
No. of patients: 25
Follow-up: 6M
Reference: Song, J.E. et al. (2021): Clinical Outcomes of Combined Implantation of an Extended Depth of Focus IOL and a Trifocal IOL in a Korean Population, Journal of Ophthalmology.
Authors: Bilbao-Calabuig, R. et al.; Clinica Baviera Madrid, lnstituto Oftalmologico Europeo
In a comparative study with >4.000 patients per group, higher patient satisfaction was found with AT LISA tri than with FineVision.
No. of patients: 2141
Follow up time: 3M
Reference: Bilbao-Calabuig, R. et al. (2017) Visual Outcomes Following Bilateral Implantation of Two Diffractive Trifocal IOLs in 10 084 eyes. Ophthalmology 2017;179:55-66.
Authors: Law, E. et al.; BMI Southend Private Hospital
AT LISA tri provides excellent uncorrected distance, intermediate, and near visual outcomes. Even for small print activities such as reading labels, no patient experienced tasks as very difficult.
No. of patients: 30
Follow up time: 1M, 3M & 6M
Reference: Law, E. et al. (2013). Clinical outcomes with a new trifocal intraocular lens. European Journal of Ophthalmology. Volume: 24 issue: 4, page(s): 501-508
ZEISS provides a wide range of patient educational and promotional materials to support your communication with patients.
The patient tools for ZEISS AT LISA tri family help you to explain the trifocal technology and its benefits to your patients, facilitating the process of offering premium solutions for cataract treatment.
ZEISS patient communication materials include a range of print brochures, videos, digital tools and visualization models for use in patient education and consultation process.
ZEISS also provides you with the possibility to personalize the promotional patient material with your clinic's logo.
This interactive tool enables you to explain the different IOL categories by simulating the pre- and postsurgical visual experience. It helps you to guide your patients through the decision for the IOL type, providing the best individual fit. Start integrating the Vision Simulation Tool into your patient consultation now!
Mendicute et al., 2016. Evaluation of visual outcomes and patient satisfaction after implantation of a diffractive trifocal intraocular lens. J Cataract Refract Surg. 2016 Feb;42(2):203-10.
Aggarwal RK. Clinical outcomes of different multifocal IOLs. XXV Congress of the ESCRS 2007; Stockholm, Sweden.
The preloaded AT LISA tri toric 949MP is available in the diopter range: Spherical equivalent -5.0 to +32.0 D, cyl. +1.0 to + 4.0 D.
The non-preloaded AT LISA tri toric 949M is available in the diopter ranges: Spherical equivalent -5.0 to +32.0 D, cyl. +4.5 D to +12.0 D and spherical equivalent +32.5 to +35.0 D, cyl. +1.0 to +12.0 D.