Causes and correction of dissatisfaction after implantation of presbyopia-correcting intraocular lenses

Allister Gibbons, Tayyeba K. Ali, Daniel P. Waren, Kendall E. Donaldson

Research output: Contribution to journalArticlepeer-review

53 Scopus citations


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 languageEnglish (US)
Pages (from-to)1965-1970
Number of pages6
JournalClinical Ophthalmology
StatePublished - Oct 11 2016


  • Cataract
  • Intraocular lens
  • Multifocal intraocular lens
  • Presbyopia

ASJC Scopus subject areas

  • Ophthalmology


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