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2009 ; 35
(6
): 992-7
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Dissatisfaction after multifocal intraocular lens implantation
#MMPMID19465282
Woodward MA
; Randleman JB
; Stulting RD
J Cataract Refract Surg
2009[Jun]; 35
(6
): 992-7
PMID19465282
show ga
PURPOSE: To analyze the reasons for patient dissatisfaction after
phacoemulsification with multifocal intraocular lens (IOL) implantation and the
outcomes after intervention. SETTING: Emory Eye Center, Atlanta, Georgia, USA.
METHODS: This retrospective review comprised eyes of patients dissatisfied with
visual outcomes after multifocal IOL implantation. Outcomes analyzed included
type of visual complaint, treatment modality for each complaint, and degree of
clinical improvement after intervention. RESULTS: Thirty-two patients (43 eyes)
reported unwanted visual symptoms after multifocal IOL implantation, including in
28 eyes (65%) with an AcrySof ReSTOR IOL and 15 (35%) with a ReZoom IOL. Thirty
patients (41 eyes) reported blurred vision, 15 (18 eyes) reported photic
phenomena, and 13 (16 eyes) reported both. Causes of blurred vision included
ametropia (12 eyes, 29%), dry eye syndrome (6 eyes, 15%), posterior capsule
opacification (PCO) (22 eyes, 54%), and unexplained etiology (1 eye, 2%). Causes
of photic phenomena included IOL decentration (2 eyes, 12%), retained lens
fragment (1 eye, 6%), PCO (12 eyes, 66%), dry-eye syndrome (1 eye, 2%), and
unexplained etiology (2 eyes, 11%). Photic phenomena attributed to PCO also
caused blurred vision. Thirty-five eyes (81%) had improvement with conservative
treatment. Five eyes (12%) did not have improvement despite treatment
combinations. Three eyes (7%) required IOL exchange. CONCLUSIONS: Complaints of
blurred vision and photic phenomena after multifocal IOL implantation were
effectively managed with appropriate treatment. Few eyes (7%) required IOL
exchange. Neodymium:YAG capsulotomy should be delayed until it has been
determined that IOL exchange will not be necessary.
|*Lens Implantation, Intraocular
[MESH]
|*Phacoemulsification
[MESH]
|Aged
[MESH]
|Cataract/etiology
[MESH]
|Female
[MESH]
|Humans
[MESH]
|Lens Capsule, Crystalline/pathology
[MESH]
|Lenses, Intraocular/*adverse effects
[MESH]
|Male
[MESH]
|Middle Aged
[MESH]
|Patient Satisfaction/*statistics & numerical data
[MESH]