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Multifocal intraocular lenses: meta-analysis outcomes

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Session Details

Session Title: Presented Poster Session: Multifocal IOLs

Venue: Poster Village: Pod 1

First Author: : R.Ferreira-Oliveira SPAIN

Co Author(s): :    J. Alio   A. Plaza-Puche   R. Fernandez-Buenaga   P. Joseph   M. Maldonado  

Abstract Details

Purpose:

To review the visual outcomes, complications and patient satisfaction after multifocal IOL implantation.

Setting:

Vissum and Miguel Hernández University, Alicante, Spain

Methods:

A scientific literature search was performed in Medline from 2000 to January 1st 2016. The key search terms were “multifocal intraocular lens” and “visual outcomes”.A total of 102 were found and 74 abstracts and full papers were selected. The main outcomes extracted from the papers revised included the type of multifocal IOL implanted, number of patients and eyes, uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), uncorrected intermediate near visual acuity (UIVA), refractive outcomes, patient satisfaction, spectacle independence, frequency of photic and complications after surgery

Results:

Mean UDVA was better than 0.10 logMAR in 70.6%, mean UNVA was better than 0.30 LogMAR in 92.6%, UNVA was better than 0.10 logMAR in 38.3% and UIVA was better than 0.30 LogMAR in 95% of IOL groups evaluated. Overall patient satisfaction was found to be good with multifocal IOLs. The most common symptoms of dissatisfaction with multifocal lenses are: blurred vision, and photic phenomena. The principal findings associated with these symptoms are residual ammetropia, posterior capsule opacification (PCO), large pupil size, wavefront anomalies. Halos and glare at night were the most commonly reported visual symptoms.

Conclusions:

MfIOL implanation may be considered a good option for the correction of pseuphakic presbyopia, achieving spectacle independence in most of the cases. Patient’s satisfaction with the recent models is high and visual and refractive outcomes are good, according to the most recent reports. The complications related to its use may be avoided in most of the cases using adequate preoperative patient selection criteria. Complications can be managed with an adequate knowledge of the alternatives available. If in spite of all of this patient dissatisfaction finally happens, the last feasible option is intraocular lens exchange.

Financial Disclosure:

NONE

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