Patient Expectation, Satisfaction and Clinical Outcomes with a New Multifocal Intraocular Lens

Matthew Ison,1,2 Jane Scott,3 John Apel,3 Andrew Apel1,3 1Princess Alexandra Hospital, Woolloongabba, QLD, 4102, Australia; 2University of Queensland, St Lucia, QLD, 4072, Australia; 3The Eye Health Centre, Brisbane, QLD, 4000, AustraliaCorrespondence: Matthew IsonPrincess Alexandra Hospital, 199 Ip...

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Autores principales:	Ison M, Scott J, Apel J, Apel A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	multifocal intraocular lens cataract refractive lens exchange satisfaction Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/50d1882e45694289b44d66dfa251457d
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spelling	oai:doaj.org-article:50d1882e45694289b44d66dfa251457d2021-12-02T16:58:34ZPatient Expectation, Satisfaction and Clinical Outcomes with a New Multifocal Intraocular Lens1177-5483https://doaj.org/article/50d1882e45694289b44d66dfa251457d2021-10-01T00:00:00Zhttps://www.dovepress.com/patient-expectation-satisfaction-and-clinical-outcomes-with-a-new-mult-peer-reviewed-fulltext-article-OPTHhttps://doaj.org/toc/1177-5483Matthew Ison,1,2 Jane Scott,3 John Apel,3 Andrew Apel1,3 1Princess Alexandra Hospital, Woolloongabba, QLD, 4102, Australia; 2University of Queensland, St Lucia, QLD, 4072, Australia; 3The Eye Health Centre, Brisbane, QLD, 4000, AustraliaCorrespondence: Matthew IsonPrincess Alexandra Hospital, 199 Ipswich Road, Woolloongabba, QLD, 4102, AustraliaTel +61 434 946 264Email Matthew.Ison2@health.qld.gov.auPurpose: To report patient expectations, visual performance and satisfaction with AcrySof IQ PanOptix multifocal intraocular lens in a heterogeneous patient group. Additionally, determine if identifiable pre-operative characteristics can predict post-operative satisfaction.Methods: Data were prospectively collected for 67 consecutive patients (134 eyes) who underwent bilateral Panoptix implantation in a private ophthalmology clinic. A pre-operative questionnaire was completed regarding vision satisfaction, visual phenomena and expectations. Routine clinical parameters were collected 1 month and follow-up questionnaire administered 3 months post-operatively.Results: Post-operative unaided distance vision was 20/20 (0.01 ± 0.10) and binocular near vision 20/25-2 (N5; 0.14 ± 0.06). Patients satisfied with vision increased from 6% (n=4) unaided and 48% (n=32) aided pre-operatively to 94% (n=63) unaided post-operatively (p< 0.001). There was marked increase in frequency of halo from 14% (n=9) to 69% (n=46; p< 0.001) but no corresponding increase in how bothersome this symptom was (p=0.193) nor the frequency of other visual phenomena. Worse post-operative vision and fluctuating vision were associated with lower post-operative satisfaction. There was no difference in satisfaction or residual astigmatism in those implanted with toric lenses. A total of 96% (n=64) of patients were spectacle-free at 3-months and would recommend this procedure to others.Conclusion: This study supports the trend towards increased patient expectations of multifocal intraocular lenses, matched by excellent visual outcomes and satisfaction. Visual phenomena may be less troubling with new multifocal lenses than previously reported. A pre-operative questionnaire may be a useful education tool but could not isolate pre-operative characteristics that predict post-operative satisfaction.Keywords: multifocal, intraocular lens, cataract, refractive lens exchange, satisfactionIson MScott JApel JApel ADove Medical Pressarticlemultifocalintraocular lenscataractrefractive lens exchangesatisfactionOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 4131-4140 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	multifocal intraocular lens cataract refractive lens exchange satisfaction Ophthalmology RE1-994
spellingShingle	multifocal intraocular lens cataract refractive lens exchange satisfaction Ophthalmology RE1-994 Ison M Scott J Apel J Apel A Patient Expectation, Satisfaction and Clinical Outcomes with a New Multifocal Intraocular Lens
description	Matthew Ison,1,2 Jane Scott,3 John Apel,3 Andrew Apel1,3 1Princess Alexandra Hospital, Woolloongabba, QLD, 4102, Australia; 2University of Queensland, St Lucia, QLD, 4072, Australia; 3The Eye Health Centre, Brisbane, QLD, 4000, AustraliaCorrespondence: Matthew IsonPrincess Alexandra Hospital, 199 Ipswich Road, Woolloongabba, QLD, 4102, AustraliaTel +61 434 946 264Email Matthew.Ison2@health.qld.gov.auPurpose: To report patient expectations, visual performance and satisfaction with AcrySof IQ PanOptix multifocal intraocular lens in a heterogeneous patient group. Additionally, determine if identifiable pre-operative characteristics can predict post-operative satisfaction.Methods: Data were prospectively collected for 67 consecutive patients (134 eyes) who underwent bilateral Panoptix implantation in a private ophthalmology clinic. A pre-operative questionnaire was completed regarding vision satisfaction, visual phenomena and expectations. Routine clinical parameters were collected 1 month and follow-up questionnaire administered 3 months post-operatively.Results: Post-operative unaided distance vision was 20/20 (0.01 ± 0.10) and binocular near vision 20/25-2 (N5; 0.14 ± 0.06). Patients satisfied with vision increased from 6% (n=4) unaided and 48% (n=32) aided pre-operatively to 94% (n=63) unaided post-operatively (p< 0.001). There was marked increase in frequency of halo from 14% (n=9) to 69% (n=46; p< 0.001) but no corresponding increase in how bothersome this symptom was (p=0.193) nor the frequency of other visual phenomena. Worse post-operative vision and fluctuating vision were associated with lower post-operative satisfaction. There was no difference in satisfaction or residual astigmatism in those implanted with toric lenses. A total of 96% (n=64) of patients were spectacle-free at 3-months and would recommend this procedure to others.Conclusion: This study supports the trend towards increased patient expectations of multifocal intraocular lenses, matched by excellent visual outcomes and satisfaction. Visual phenomena may be less troubling with new multifocal lenses than previously reported. A pre-operative questionnaire may be a useful education tool but could not isolate pre-operative characteristics that predict post-operative satisfaction.Keywords: multifocal, intraocular lens, cataract, refractive lens exchange, satisfaction
format	article
author	Ison M Scott J Apel J Apel A
author_facet	Ison M Scott J Apel J Apel A
author_sort	Ison M
title	Patient Expectation, Satisfaction and Clinical Outcomes with a New Multifocal Intraocular Lens
title_short	Patient Expectation, Satisfaction and Clinical Outcomes with a New Multifocal Intraocular Lens
title_full	Patient Expectation, Satisfaction and Clinical Outcomes with a New Multifocal Intraocular Lens
title_fullStr	Patient Expectation, Satisfaction and Clinical Outcomes with a New Multifocal Intraocular Lens
title_full_unstemmed	Patient Expectation, Satisfaction and Clinical Outcomes with a New Multifocal Intraocular Lens
title_sort	patient expectation, satisfaction and clinical outcomes with a new multifocal intraocular lens
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/50d1882e45694289b44d66dfa251457d
work_keys_str_mv	AT isonm patientexpectationsatisfactionandclinicaloutcomeswithanewmultifocalintraocularlens AT scottj patientexpectationsatisfactionandclinicaloutcomeswithanewmultifocalintraocularlens AT apelj patientexpectationsatisfactionandclinicaloutcomeswithanewmultifocalintraocularlens AT apela patientexpectationsatisfactionandclinicaloutcomeswithanewmultifocalintraocularlens
_version_	1718382265292029952

Patient Expectation, Satisfaction and Clinical Outcomes with a New Multifocal Intraocular Lens

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