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Dissatisfaction after implantation of multifocal intraocular lenses.
- Source :
-
Journal of cataract and refractive surgery [J Cataract Refract Surg] 2011 May; Vol. 37 (5), pp. 859-65. Date of Electronic Publication: 2011 Mar 11. - Publication Year :
- 2011
-
Abstract
- Purpose: To analyze the symptoms, etiology, and treatment of patient dissatisfaction after multifocal intraocular lens (IOL) implantation.<br />Setting: Department of Ophthalmology, Maastricht University Medical Center, The Netherlands.<br />Design: Case series.<br />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.<br />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%).<br />Conclusion: The cause of dissatisfaction after implantation of a multifocal IOL can be identified and effective treatment measures taken in most cases.<br /> (Copyright © 2011 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Aberrometry
Acrylic Resins
Axial Length, Eye
Depth Perception physiology
Female
Humans
Male
Middle Aged
Prosthesis Design
Pupil physiology
Refraction, Ocular physiology
Retrospective Studies
Vision Disorders diagnosis
Vision Disorders therapy
Visual Acuity physiology
Lens Implantation, Intraocular
Lenses, Intraocular
Patient Satisfaction statistics & numerical data
Pseudophakia physiopathology
Vision Disorders physiopathology
Subjects
Details
- Language :
- English
- ISSN :
- 1873-4502
- Volume :
- 37
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Journal of cataract and refractive surgery
- Publication Type :
- Academic Journal
- Accession number :
- 21397457
- Full Text :
- https://doi.org/10.1016/j.jcrs.2010.11.032