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Quality of life and vision in lens refractive surgery

Poster Details

First Author: A.Grzybowski POLAND

Co Author(s):    P. Kanclerz   M. Muzyka-Wozniak                 

Abstract Details


The aim of this study was to assess the quality of life (QoL) and vision in lens refractive surgery based on currently available literature.


Institute for Research in Ophthalmology, Poznan, Poland Department of Ophthalmology, Medical University of GdaƄsk, Poland


PubMed and Medline were the main resources for medical literature search. The following keywords were used in various combinations: quality of life, quality of vision, lens surgery, lens exchange, refractive lens exchange, cataract, cataract surgery, intraocular lens, IOL, multifocal and monovision


We collected and analyzed 53 articles dated from 1992 to 2017. Subjective measures should be employed in order to assess patient-reported outcomes in refractive lens surgery. Multifocal IOLs, as well as monofocal lenses and monovision, provide high levels of overall patients satisfaction. Patients with multifocal IOLs feature higher rates of spectacle independence compared to those with monofocal IOLs or monovision. Blurred or reduced intermediate vision might be experienced, while as a result of dysphotopsias loss of image quality might take place. Furthermore, patients receiving multifocal IOLs are more likely to undergo IOL exchange owing to dissatisfaction with image quality.


There is a need for one universally accepted and widely available tool for assessment of spectacle independence, perception of dysphotopsias and patients satisfaction after refractive lens surgery with implantation of multifocal IOL. We also believe that developing such a tool could be supported by one of international societies focused on refractive surgery, such as ESCRS, ASCRS, APCRS or ISRS.

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