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Title

Patient satisfaction and spectacle dependance following implantation of the Acriva Trinova® trifocal IOL

Purpose	The Acriva Trinova® (VSY Biotechnology B.V., Amsterdam, The Netherlands) is a single piece, foldable trifocal IOL. The design is aspheric, achromatic, and hydrophobic. In general, novel multifocal IOL’s provide good distance visual acuity and patients tend to have a better near vision and lower spectacle dependency, when compared to monofocal IOL’s. However, common problems with multifocal lenses are blurred vision and photopic phenomena (haloes and glare). Our purpose was to evaluate patient satisfaction and spectacle independence after implantation of the Acriva Trinova® trifocal IOL, by using a questionnaire.
Methods	To assess spectacle independence and patient satisfaction after implantation of the Acriva Trinova® trifocal IOL, we prepared a questionnaire consisting of 7 questions. The questionnaires were sent to patients from 2 weeks after cataract surgery on both eyes. A total of 26 eyes was included in this survey.
Results	Regarding overall visual satisfaction, the Acriva Trinova® provided a good vision for far and a good near vision. However, only 2 patients reported to have no complaints of haloes, nor glare. Yet, despite the presence of these photopic phenomena, we found high patient satisfaction. All patients reported to have a better vision after cataract surgery and only one patient reported to regret having the cataract surgery. When evaluating spectacle dependence, 2 patients still felt dependent of their glasses for near vision.
Conclusion	In global we can conclude that, despite still experiencing some amount of photopic phenomena, high patient satisfaction and low spectacle dependence can be achieved by implantation of the Acriva Trinova® trifocal IOL.
Conflict of interest	No

Authors 1

Last name	FAIZI
Initials	N
Department	UZ Leuven
City	Leuven

Authors 2

Last name	Blanckaert
Initials	J
Department	UZ Leuven
City	Leuven

Authors 3

Last name	Mulliez
Initials	E
Department	Jan Yperman
City	Ieper

Authors 4

Last name	Ghekiere
Initials	S
Department	Jan Yperman
City	Ieper