Dissatisfaction after implantation of multifocal intraocular lenses
Journal of Cataract & Refractive Surgery, 04/26/2011
de Vries NE et al. – The cause of dissatisfaction after implantation of a multifocal intraocular lens (IOL) can be identified and effective treatment measures taken in most cases. Blurred vision (with or without photic phenomenon) was reported in 72 eyes out of 76 eyes examined and photic phenomena (with or without blurred vision) in 29 eyes. Both symptoms were present in 25 eyes. Residual ametropia and astigmatism, posterior capsule opacification, and a large pupil were the 3 most significant etiologies. 64 eyes were amenable to therapy, with refractive surgery, spectacles, and laser capsulotomy the most frequent treatment modalities. Intraocular lens exchange was performed in 3 cases.