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. 2022 Mar 1;9(1):8.
doi: 10.1186/s40662-022-00280-8.

Patients' dissatisfaction with multifocal intraocular lenses managed by exchange with other multifocal lenses of different optical profiles

Olena Al-Shymali  1 , Colm McAlinden  2 , Jorge L Alio Del Barrio  3 , Mario Canto-Cerdan  1 , Jorge L Alio  4   5
Affiliations

Patients' dissatisfaction with multifocal intraocular lenses managed by exchange with other multifocal lenses of different optical profiles

Olena Al-Shymali et al. Eye Vis (Lond). .

Abstract

Background: The aim of the study was to evaluate the outcomes of dissatisfied patients reporting poor visual quality following implantation of multifocal intraocular lenses (MF-IOLs), managed by IOL exchange with another multifocal optical profile.

Methods: This is a retrospective series of cases. MF-IOL exchange was done in 15 dissatisfied patients (30 eyes) with the perception of poor visual quality for far distance affected by neuroadaptation failure. Patients underwent a bilateral exchange of a MF-IOL with another MF-IOL of a different optical profile. Visual outcomes and complications were analyzed. Questionnaires including Quality of Vision (QoV), Visual Function Index-14 (VF-14) and its Rasch-revised version (VF-8R) and a satisfaction questionnaire were also used for outcome evaluation.

Results: The mean elapsed time from implantation to explantation-reimplantation was 11.8 months. The QoV scores improved significantly across all the three subscales. Visual function improved with a change in VF-14 score from 60.41 ± 24.81 to 90.16 ± 10.91 (P < 0.001). The VF-8R score improved as well. The uncorrected distance visual acuity improved from 0.24 to 0.12 logMAR after exchange (P < 0.001) and corrected distance visual acuity improved from 0.15 to 0.04 logMAR (P < 0.001). Safety and efficacy indexes reached 1.46 and 1.16, respectively. Concerning patients' satisfaction following MF-IOL exchange, 80% of the patients reported they would have the MF-IOL reimplantation procedure again.

Conclusions: Patient dissatisfaction with neuroadaptation failure following MF-IOL implantation can be managed in 80% of our cases by MF-IOL exchange with a different MF-IOL optical profile.

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Conflict of interest statement

Jorge L. Alio: Akkolens (C,S); Carl Zeiss Meditec (S,C); CSO (S); Hanita Lenses (C,S); Ophthec (L); Tekia (O); Associate editor of Eye and Vision; C = Consultant/advisor; E = Employee; L = Lecture fees; O = Equity owner; P = Patents/royalty; S = Clinical research grant. Colm McAlinden: Consultancy: Alcon, ClarVista, Ophtec, Acufocus, STAAR Surgical, RxSight, Bausch and Lomb, Perfect lens, Power Vision, Zeiss, Sight Glass Vision, CORD LLC, Ora, targomed GmbH, LensGen, PhysIOL, Ocudyne, Schwind; Travel: Thea, Bayer, Allergan; Editorial board member of Eye and Vision. Jorge L. Alió del Barrio: None. Olena Al-Shymali: None. Mario Canto-Cerdan: None.

References

    1. Kinard K, Jarstad A, Olson RJ. Correlation of visual quality with satisfaction and function in a normal cohort of pseudophakic patients. J Cataract Refract Surg. 2013;39(4):590–597. doi: 10.1016/j.jcrs.2012.11.023. - DOI - PubMed
    1. McAlinden C, Khadka J, Pesudovs K, Skiadaresi E. Subjective quality of vision. J Refract Surg. 2012;28(5):313. doi: 10.3928/1081597X-20120501-06. - DOI - PubMed
    1. de Vries NE, Webers CA, Touwslaqer WR, Bauer NJ, de Brabander J, Berendschot TT, et al. Dissatisfaction after implantation of multifocal intraocular lenses. J Cataract Refract Surg. 2011;37(5):859–865. doi: 10.1016/j.jcrs.2010.11.032. - DOI - PubMed
    1. Woodward MA, Randleman JB, Stulting RD. Dissatisfaction after multifocal intraocular lens implantation. J Cataract Refract Surg. 2009;35(6):992–997. doi: 10.1016/j.jcrs.2009.01.031. - DOI - PMC - PubMed
    1. Rosa AM, Miranda ÂC, Patrício M, McAlinden C, Silva FL, Murta JN, et al. Functional magnetic resonance imaging to assess the neurobehavioral impact of dysphotopsia with multifocal intraocular lenses. Ophthalmology. 2017;124(9):1280–1289. doi: 10.1016/j.ophtha.2017.03.033. - DOI - PubMed

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