Format

Send to

Choose Destination
Surv Ophthalmol. 2017 Sep - Oct;62(5):611-634. doi: 10.1016/j.survophthal.2017.03.005. Epub 2017 Mar 31.

Multifocal intraocular lenses: An overview.

Author information

1
Research and Development Department, Vissum Instituto Oftalmologico de Alicante, Alicante, Spain; Division of Ophthalmology, Pathology and Surgery Department, Universidad Miguel Hernández, Alicante, Spain. Electronic address: jlalio@vissum.com.
2
Research and Development Department, Vissum Instituto Oftalmologico de Alicante, Alicante, Spain.
3
Department of Ophthalmology, Ziv Medical Center, Safed, Israel.
4
IOBA, Universidad de Valladolid, Valladolid, Spain.

Abstract

Multifocal intraocular lenses are increasingly used in the management of pseudophakic presbyopia. After multifocal intraocular lens implantation, most patients do not need spectacles or contact lenses and are pleased with the result. Complications, however, may affect the patient's quality of life and level of satisfaction. Common problems with multifocal lenses are blurred vision and photic phenomena associated with residual ametropia, posterior capsule opacification, large pupil size, wavefront anomalies, dry eye, and lens decentration. The main reasons for these are failure to neuroadapt, lens dislocation, residual refractive error, and lens opacification. To avoid patient dissatisfaction after multifocal intraocular lens implantation, it is important to consider preoperatively the patient's lifestyle; perform an exhaustive examination including biometry, topography, and pupil reactivity; and explain the visual expectations and possible postoperative complications.

KEYWORDS:

complications; indications; multifocal IOLs; patient dissatisfaction; visual outcomes

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center