Patient-reported outcomes of multifocal and accommodating intraocular lenses: analysis of 117 patients 2–10 years after surgery

Patient-reported outcomes of multifocal and accommodating intraocular lenses: analysis of 117 patients 2–10 years after surgery

John A Hovanesian1,2 1Harvard Eye Associates, Laguna Hills, CA, USA; 2Clinical Faculty, UCLA Jules Stein Eye Institute, Los Angeles, CA, USA Purpose: The purpose of this study was to determine the satisfaction levels of patients at least 2 years after cataract surgery implantation with bi...

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Autor principal: Hovanesian JA
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2018
Materias:
multifocal IOL
accommodating IOL
crystalens
patient-reported outcomes
cataract surgery
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/58346b40bd1a4ecfb4c06f43fba6ddc2
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spelling oai:doaj.org-article:58346b40bd1a4ecfb4c06f43fba6ddc22021-12-02T00:29:22ZPatient-reported outcomes of multifocal and accommodating intraocular lenses: analysis of 117 patients 2–10 years after surgery1177-5483https://doaj.org/article/58346b40bd1a4ecfb4c06f43fba6ddc22018-11-01T00:00:00Zhttps://www.dovepress.com/patient-reported-outcomes-of-multifocal-and-accommodating-intraocular--peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483John A Hovanesian1,2 1Harvard Eye Associates, Laguna Hills, CA, USA; 2Clinical Faculty, UCLA Jules Stein Eye Institute, Los Angeles, CA, USA Purpose: The purpose of this study was to determine the satisfaction levels of patients at least 2 years after cataract surgery implantation with bilateral accommodating or bilateral multifocal intraocular lenses (IOLs) and to determine the relative rate of spectacle independence and adverse symptoms in that same time frame. Design: Patient questionnaire administered in a single-center private practice at least 2 years after cataract surgery with presbyopia-correcting IOL implantation. Methods: Patients who had undergone uncomplicated cataract surgery with an accommodating or multifocal IOL implant were eligible for inclusion. Patients with visually significant non-IOL-related postoperative morbidity were excluded. Patients with astigmatism or residual refractive error were not excluded. The main outcome measure was patient satisfaction at least 2 years after IOL implantation. Results: Sixty-eight patients who received accommodating lenses and 49 patients who received multifocal lenses completed the questionnaire. The mean age of all patients was 75.7 years at the time of survey; the mean number of years since cataract surgery was 5.4 years. Overall, there were no significant differences between the two groups or within each group between the different lenses used. About 90% of patients in each group were “very satisfied” or “somewhat satisfied” with their vision at least 2 years after the initial surgery. Conversely, only one in eleven patients found his vision to be worse than expected. Conclusions: The majority of patients who received either accommodating or multifocal IOLs remain satisfied with their lens of choice more than 5 years after the original surgery. Glare and halos remain more noticeable in patients who received multifocal lenses. Keywords: intraocular lenses, accommodating IOLs, multifocal IOLs, patient-reported satisfaction, presbyopia, crystalens, ReSTOR, Tecnis, satisfaction, glassesHovanesian JADove Medical Pressarticlemultifocal IOLaccommodating IOLcrystalenspatient-reported outcomescataract surgeryOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 2297-2304 (2018)
institution DOAJ
collection DOAJ
language EN
topic multifocal IOL
accommodating IOL
crystalens
patient-reported outcomes
cataract surgery
Ophthalmology
RE1-994
spellingShingle multifocal IOL
accommodating IOL
crystalens
patient-reported outcomes
cataract surgery
Ophthalmology
RE1-994
Hovanesian JA
Patient-reported outcomes of multifocal and accommodating intraocular lenses: analysis of 117 patients 2–10 years after surgery
description John A Hovanesian1,2 1Harvard Eye Associates, Laguna Hills, CA, USA; 2Clinical Faculty, UCLA Jules Stein Eye Institute, Los Angeles, CA, USA Purpose: The purpose of this study was to determine the satisfaction levels of patients at least 2 years after cataract surgery implantation with bilateral accommodating or bilateral multifocal intraocular lenses (IOLs) and to determine the relative rate of spectacle independence and adverse symptoms in that same time frame. Design: Patient questionnaire administered in a single-center private practice at least 2 years after cataract surgery with presbyopia-correcting IOL implantation. Methods: Patients who had undergone uncomplicated cataract surgery with an accommodating or multifocal IOL implant were eligible for inclusion. Patients with visually significant non-IOL-related postoperative morbidity were excluded. Patients with astigmatism or residual refractive error were not excluded. The main outcome measure was patient satisfaction at least 2 years after IOL implantation. Results: Sixty-eight patients who received accommodating lenses and 49 patients who received multifocal lenses completed the questionnaire. The mean age of all patients was 75.7 years at the time of survey; the mean number of years since cataract surgery was 5.4 years. Overall, there were no significant differences between the two groups or within each group between the different lenses used. About 90% of patients in each group were “very satisfied” or “somewhat satisfied” with their vision at least 2 years after the initial surgery. Conversely, only one in eleven patients found his vision to be worse than expected. Conclusions: The majority of patients who received either accommodating or multifocal IOLs remain satisfied with their lens of choice more than 5 years after the original surgery. Glare and halos remain more noticeable in patients who received multifocal lenses. Keywords: intraocular lenses, accommodating IOLs, multifocal IOLs, patient-reported satisfaction, presbyopia, crystalens, ReSTOR, Tecnis, satisfaction, glasses
format article
author Hovanesian JA
author_facet Hovanesian JA
author_sort Hovanesian JA
title Patient-reported outcomes of multifocal and accommodating intraocular lenses: analysis of 117 patients 2–10 years after surgery
title_short Patient-reported outcomes of multifocal and accommodating intraocular lenses: analysis of 117 patients 2–10 years after surgery
title_full Patient-reported outcomes of multifocal and accommodating intraocular lenses: analysis of 117 patients 2–10 years after surgery
title_fullStr Patient-reported outcomes of multifocal and accommodating intraocular lenses: analysis of 117 patients 2–10 years after surgery
title_full_unstemmed Patient-reported outcomes of multifocal and accommodating intraocular lenses: analysis of 117 patients 2–10 years after surgery
title_sort patient-reported outcomes of multifocal and accommodating intraocular lenses: analysis of 117 patients 2–10 years after surgery
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/58346b40bd1a4ecfb4c06f43fba6ddc2
work_keys_str_mv AT hovanesianja patientreportedoutcomesofmultifocalandaccommodatingintraocularlensesanalysisof117patients2ndash10yearsaftersurgery
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