Patient-Reported And Visual Quality Outcomes, In Post-Lasik Premium Cataract Surgery: A Systematic Review
Published 2026 - 44th Congress of the ESCRS
Reference: POCAT530 | Type: Poster | DOI: 10.82333/jssd-ag29
Authors: Mr Nikolaos Iason Barpakis* 1 , Ms Danai Barpaki 1 , Mrs Dimitra Tzakri 2 , Prof. Ioannis Tsinopoulos 1 , Prof. Nikolaos Ziakas 1
1Ophthalmology,Papageorgiou General Hospital of Thessaloniki,Thessaloniki,Greece, 22nd Academic Ophthalmology Department,Aristotle University of Thessaloniki,Thessaloniki,Greece
Purpose
To assess both patient reported subjective outcomes and objective measures of visual quality following post-LASIK premium intraocular lens implantation during cataract surgery. Premium IOL implantation in patients with a history of LASIK necessitates careful consideration of visual symptoms and patient satisfaction, as LASIK-induced corneal alterations may influence visual perception and postoperative outcomes.
Setting
Systematic review conducted according to PRISMA guidelines using PubMed and Cochrane Library databases
Methods
A comprehensive search in PubMed (National Library of Medicine), the Cochrane Library and clinicaltrials.gov was conducted to pinpoint studies evaluating patient-reported and visual quality outcomes in individuals undergoing premium cataract surgery after LASIK. Included studies reported on subjective factors such as patient satisfaction, spectacle independence and visual symptoms, including glare, halos and contrast sensitivity.
Results
Eleven studies were selected, based on inclusion criteria, comprising 328 patients and 564 eyes.It is revealed that most patients reported high satisfaction with visual function post-surgery. On the other hand, some patients experienced visual discomforts, such as glare and halos. Spectacle independence rates were also notably high especially in the multifocal iol patients.
Conclusions
Overall,premium cataract surgery in post LASIK patients provides high levels of patient satisfaction.Despite study limitations,there are differences in certain visual quality outcomes between EDOF and multifocal IOLs. Further research is needed in order to extract more reliable findings,and make evidence-based decisions.