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J Cataract Refract Surg. 2011 May;37(5):859-65. doi: 10.1016/j.jcrs.2010.11.032. Epub 2011 Mar 11.

Dissatisfaction after implantation of multifocal intraocular lenses.

Author information

1
Department of Ophthalmology, Maastricht University Medical Center, Maastricht, The Netherlands.

Abstract

PURPOSE:

To analyze the symptoms, etiology, and treatment of patient dissatisfaction after multifocal intraocular lens (IOL) implantation.

SETTING:

Department of Ophthalmology, Maastricht University Medical Center, The Netherlands.

DESIGN:

Case series.

METHODS:

In this retrospective chart review, the main outcome measures were type of complaints, uncorrected and corrected distance visual acuities, uncorrected and distance-corrected near visual acuities, refractive state, pupil diameter and wavefront aberrometry measurements, and type of treatment.

RESULTS:

Seventy-six eyes of 49 patients were included. Blurred vision (with or without photic phenomenon) was reported in 72 eyes (94.7%) and photic phenomena (with or without blurred vision) in 29 eyes (38.2%). Both symptoms were present in 25 eyes (32.9%). Residual ametropia and astigmatism, posterior capsule opacification, and a large pupil were the 3 most significant etiologies. Sixty-four eyes (84.2%) were amenable to therapy, with refractive surgery, spectacles, and laser capsulotomy the most frequent treatment modalities. Intraocular lens exchange was performed in 3 cases (4.0%).

CONCLUSION:

The cause of dissatisfaction after implantation of a multifocal IOL can be identified and effective treatment measures taken in most cases.

PMID:
21397457
DOI:
10.1016/j.jcrs.2010.11.032
[Indexed for MEDLINE]

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