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Retrospective study of the long-term comparison of patient satisfaction after bilateral implantation of multifocal intraocular lenses of different generations: a 10 year follow-up

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Session Details

Session Title: Presented Poster Session: Multifocal IOLs

Venue: Poster Village: Pod 1

First Author: : A.Petzold GERMANY

Co Author(s): :                  

Abstract Details


During the last decade multifocal intraocular lenses were subject to continuous optimizations to enable patients to see without glasses to the highest possible extend. Modern designs of the lenses are supposed to reduce side effects like halos or glares. The following study shows whether patients subjectively perceive differences between old and new lens designs and whether it has a significant impact on their postoperative patient satisfaction.


A retrospective study examined the postoperative satisfaction of patients with an inter-generational background after bilateral implantation of non-toric multifocal intraocular lenses during a time span of ten years.


245 patients aged between 45 and 95 years were included in the study. Observed were all who underwent surgery between 2006 and 2016. The patient satisfaction was examined with the help of the standardized Heidelberg DATE questionnaire in regard of everyday tasks, general independence from optical correction and the perception of optical phenomena. Assessed were significant differences among all criteria of the questionnaire regarding the time of the surgery, the age of the patient, gender as well as the model of the implanted intraocular lens. The data was analyzed with the SPSS 23.0 statistics software.


At the time of the survey 95.9% of all patients could accomplish all common tasks without any problems. 71.0% of the patients didn’t need an additional optical correction. The older patients were, the more often they needed glasses (p < 0.01). Women wore glasses more frequently for driving during night than men. They also described glares as more disturbing (p < 0.03). Patients of younger ages perceived halos more drastically than older patients (p = 0.00). Patients with bifocal lens implants used glasses for intermediary distances far more often patients with trifocal implants (p < 0.01).


At the time of the survey the majority of the patients were independent from an additional optical correction. Optical phenomena are commonly reported which makes an extensive pre-surgery briefing inevitable. The need for further information seems to be especially high among younger, female patients. The Heidelberg DATE questionnaire suites good for surveying patient satisfaction after the implantation of multifocal intraocular lenses.

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