Causes and correction of dissatisfaction after implantation of presbyopia-correcting intraocular lenses

Allister Gibbons, Tayyeba K Ali, Daniel P Waren, Kendall E Donaldson Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA Purpose: The purpose of this study was to assess the causes and possible solutions for patient dissa...

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Autores principales:	Gibbons A, Ali TK, Waren DP, Donaldson KE
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Intraocular lens Cataract Presbyopia Multifocal intraocular lens Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/3f50a8f835a948018068468acea0e0c3
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spelling	oai:doaj.org-article:3f50a8f835a948018068468acea0e0c32021-12-02T07:33:15ZCauses and correction of dissatisfaction after implantation of presbyopia-correcting intraocular lenses1177-5483https://doaj.org/article/3f50a8f835a948018068468acea0e0c32016-10-01T00:00:00Zhttps://www.dovepress.com/causes-and-correction-of-dissatisfaction-after-implantation-of-presbyo-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Allister Gibbons, Tayyeba K Ali, Daniel P Waren, Kendall E Donaldson Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA Purpose: The purpose of this study was to assess the causes and possible solutions for patient dissatisfaction after the implantation of presbyopia-correcting intraocular lenses (IOLs). Methods: This study was a retrospective review of clinical records. All patients who were seen between January 2009 and December 2013 whose primary reason for consultation was dissatisfaction with visual performance after presbyopia-correcting IOL implantation were included in the study. A single treating physician, who determined the most probable cause of dissatisfaction, decided which interventions to pursue following the initial consultation. Results: Data from 74 eyes of 49 patients were analyzed. The most common cause for complaint was blurry or foggy vision both for distance and near (68%). Complaints were most frequently attributed to residual refractive error (57%) and dry eye (35%). The most common interventions pursued were treatment of refractive error with glasses or contact lenses (46%) and treatment for dry eye (24%). Corneal laser vision correction was done in 8% of eyes; 7% required an IOL exchange. After the interventions, 45% of patients had completed resolution of symptoms, 23% of patients were partially satisfied with the results, and 32% remained completely dissatisfied with the final results. Conclusion: The most identifiable causes of dissatisfaction after presbyopia-correcting IOL implantation are residual refractive error and dry eye. Most patients can be managed with conservative treatment, though a significant number of patients remained unsatisfied despite multiple measures. Keywords: intraocular lens, cataract, presbyopia, multifocal intraocular lensGibbons AAli TKWaren DPDonaldson KEDove Medical PressarticleIntraocular lensCataractPresbyopiaMultifocal intraocular lensOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 10, Pp 1965-1970 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Intraocular lens Cataract Presbyopia Multifocal intraocular lens Ophthalmology RE1-994
spellingShingle	Intraocular lens Cataract Presbyopia Multifocal intraocular lens Ophthalmology RE1-994 Gibbons A Ali TK Waren DP Donaldson KE Causes and correction of dissatisfaction after implantation of presbyopia-correcting intraocular lenses
description	Allister Gibbons, Tayyeba K Ali, Daniel P Waren, Kendall E Donaldson Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA Purpose: The purpose of this study was to assess the causes and possible solutions for patient dissatisfaction after the implantation of presbyopia-correcting intraocular lenses (IOLs). Methods: This study was a retrospective review of clinical records. All patients who were seen between January 2009 and December 2013 whose primary reason for consultation was dissatisfaction with visual performance after presbyopia-correcting IOL implantation were included in the study. A single treating physician, who determined the most probable cause of dissatisfaction, decided which interventions to pursue following the initial consultation. Results: Data from 74 eyes of 49 patients were analyzed. The most common cause for complaint was blurry or foggy vision both for distance and near (68%). Complaints were most frequently attributed to residual refractive error (57%) and dry eye (35%). The most common interventions pursued were treatment of refractive error with glasses or contact lenses (46%) and treatment for dry eye (24%). Corneal laser vision correction was done in 8% of eyes; 7% required an IOL exchange. After the interventions, 45% of patients had completed resolution of symptoms, 23% of patients were partially satisfied with the results, and 32% remained completely dissatisfied with the final results. Conclusion: The most identifiable causes of dissatisfaction after presbyopia-correcting IOL implantation are residual refractive error and dry eye. Most patients can be managed with conservative treatment, though a significant number of patients remained unsatisfied despite multiple measures. Keywords: intraocular lens, cataract, presbyopia, multifocal intraocular lens
format	article
author	Gibbons A Ali TK Waren DP Donaldson KE
author_facet	Gibbons A Ali TK Waren DP Donaldson KE
author_sort	Gibbons A
title	Causes and correction of dissatisfaction after implantation of presbyopia-correcting intraocular lenses
title_short	Causes and correction of dissatisfaction after implantation of presbyopia-correcting intraocular lenses
title_full	Causes and correction of dissatisfaction after implantation of presbyopia-correcting intraocular lenses
title_fullStr	Causes and correction of dissatisfaction after implantation of presbyopia-correcting intraocular lenses
title_full_unstemmed	Causes and correction of dissatisfaction after implantation of presbyopia-correcting intraocular lenses
title_sort	causes and correction of dissatisfaction after implantation of presbyopia-correcting intraocular lenses
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/3f50a8f835a948018068468acea0e0c3
work_keys_str_mv	AT gibbonsa causesandcorrectionofdissatisfactionafterimplantationofpresbyopiacorrectingintraocularlenses AT alitk causesandcorrectionofdissatisfactionafterimplantationofpresbyopiacorrectingintraocularlenses AT warendp causesandcorrectionofdissatisfactionafterimplantationofpresbyopiacorrectingintraocularlenses AT donaldsonke causesandcorrectionofdissatisfactionafterimplantationofpresbyopiacorrectingintraocularlenses
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Causes and correction of dissatisfaction after implantation of presbyopia-correcting intraocular lenses

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