Abstract
Purpose: The purpose of this study was to assess the causes and possible solutions for patient dissatisfaction after the implantation of presbyopia-correcting intraocular lenses (IOLs). Methods: This study was a retrospective review of clinical records. All patients who were seen between January 2009 and December 2013 whose primary reason for consultation was dissatisfaction with visual performance after presbyopia-correcting IOL implantation were included in the study. A single treating physician, who determined the most probable cause of dissatisfaction, decided which interventions to pursue following the initial consultation. Results: Data from 74 eyes of 49 patients were analyzed. The most common cause for complaint was blurry or foggy vision both for distance and near (68%). Complaints were most frequently attributed to residual refractive error (57%) and dry eye (35%). The most common interventions pursued were treatment of refractive error with glasses or contact lenses (46%) and treatment for dry eye (24%). Corneal laser vision correction was done in 8% of eyes; 7% required an IOL exchange. After the interventions, 45% of patients had completed resolution of symptoms, 23% of patients were partially satisfied with the results, and 32% remained completely dissatisfied with the final results. Conclusion: The most identifiable causes of dissatisfaction after presbyopia-correcting IOL implantation are residual refractive error and dry eye. Most patients can be managed with conservative treatment, though a significant number of patients remained unsatisfied despite multiple measures.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1965-1970 |
| Number of pages | 6 |
| Journal | Clinical Ophthalmology |
| Volume | 10 |
| DOIs | |
| State | Published - Oct 11 2016 |
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Keywords
- Cataract
- Intraocular lens
- Multifocal intraocular lens
- Presbyopia
ASJC Scopus subject areas
- Ophthalmology
Cite this
Causes and correction of dissatisfaction after implantation of presbyopia-correcting intraocular lenses. / Gibbons, Allister; Ali, Tayyeba K.; Waren, Daniel P.; Donaldson, Kendall.
In: Clinical Ophthalmology, Vol. 10, 11.10.2016, p. 1965-1970.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Causes and correction of dissatisfaction after implantation of presbyopia-correcting intraocular lenses
AU - Gibbons, Allister
AU - Ali, Tayyeba K.
AU - Waren, Daniel P.
AU - Donaldson, Kendall
PY - 2016/10/11
Y1 - 2016/10/11
N2 - Purpose: The purpose of this study was to assess the causes and possible solutions for patient dissatisfaction after the implantation of presbyopia-correcting intraocular lenses (IOLs). Methods: This study was a retrospective review of clinical records. All patients who were seen between January 2009 and December 2013 whose primary reason for consultation was dissatisfaction with visual performance after presbyopia-correcting IOL implantation were included in the study. A single treating physician, who determined the most probable cause of dissatisfaction, decided which interventions to pursue following the initial consultation. Results: Data from 74 eyes of 49 patients were analyzed. The most common cause for complaint was blurry or foggy vision both for distance and near (68%). Complaints were most frequently attributed to residual refractive error (57%) and dry eye (35%). The most common interventions pursued were treatment of refractive error with glasses or contact lenses (46%) and treatment for dry eye (24%). Corneal laser vision correction was done in 8% of eyes; 7% required an IOL exchange. After the interventions, 45% of patients had completed resolution of symptoms, 23% of patients were partially satisfied with the results, and 32% remained completely dissatisfied with the final results. Conclusion: The most identifiable causes of dissatisfaction after presbyopia-correcting IOL implantation are residual refractive error and dry eye. Most patients can be managed with conservative treatment, though a significant number of patients remained unsatisfied despite multiple measures.
AB - Purpose: The purpose of this study was to assess the causes and possible solutions for patient dissatisfaction after the implantation of presbyopia-correcting intraocular lenses (IOLs). Methods: This study was a retrospective review of clinical records. All patients who were seen between January 2009 and December 2013 whose primary reason for consultation was dissatisfaction with visual performance after presbyopia-correcting IOL implantation were included in the study. A single treating physician, who determined the most probable cause of dissatisfaction, decided which interventions to pursue following the initial consultation. Results: Data from 74 eyes of 49 patients were analyzed. The most common cause for complaint was blurry or foggy vision both for distance and near (68%). Complaints were most frequently attributed to residual refractive error (57%) and dry eye (35%). The most common interventions pursued were treatment of refractive error with glasses or contact lenses (46%) and treatment for dry eye (24%). Corneal laser vision correction was done in 8% of eyes; 7% required an IOL exchange. After the interventions, 45% of patients had completed resolution of symptoms, 23% of patients were partially satisfied with the results, and 32% remained completely dissatisfied with the final results. Conclusion: The most identifiable causes of dissatisfaction after presbyopia-correcting IOL implantation are residual refractive error and dry eye. Most patients can be managed with conservative treatment, though a significant number of patients remained unsatisfied despite multiple measures.
KW - Cataract
KW - Intraocular lens
KW - Multifocal intraocular lens
KW - Presbyopia
UR - http://www.scopus.com/inward/record.url?scp=84992034541&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84992034541&partnerID=8YFLogxK
U2 - 10.2147/OPTH.S114890
DO - 10.2147/OPTH.S114890
M3 - Article
AN - SCOPUS:84992034541
VL - 10
SP - 1965
EP - 1970
JO - Clinical Ophthalmology
JF - Clinical Ophthalmology
SN - 1177-5467
ER -