Posters

Patient satisfaction with multifocal compared to monofocal intraocular lens implantation in refractive lens exchange procedures

Poster Details

First Author: F. Göransson SWEDEN

Co Author(s):    U. Schonbeck                    

Abstract Details

Purpose:

To report the outcomes of a patient-satisfaction survey of a large cohort of patients undergoing refractive lens exchange (RLE) with multifocal and monofocal intraocular lens implants (IOLs).

Setting:

Scandinavian –based private refractive surgery clinics.

Methods:

Patients attending the Memira clinics in Scandinavia between January 2012 and September 2015 were invited to complete an anonymous, online, patient satisfaction survey 3 and 12 months after their surgical procedure. Survey questions included the frequency with which spectacles were required, the frequency with which they noted halos or glare and whether the procedure had met their expectations. Across clinics, 3 different multifocal IOLs were used: the Lentis Mplus, FineVision and ReSTOR +3. The monofocal lens designs used was the Tecnis OnePieceacrylic IOLS. Multifocal IOLs were used in 95% of patients. Data for the 12 month post-operative period are reported.

Results:

RLE was performed in 20644 patients; the procedure was bilateral in 99.1% cases. The average age [standard deviation] of respondents was 56.5 [6.1] years. More respondents with multifocal IOL RLE reported complete spectacle independence (81%) compared with those with monofocal IOLs (44%). Fewer multifocal RLE respondents reported frequently needing reading or intermediate glasses (5% and 8%, respectively), compared with those with monofocals (37% and 29%, respectively). Multifocal respondents reported more frequency of noticing glare halos (64% versus 28%, multifocal v monofocal). Expectations were fulfilled equally in both groups (71% multifocal, 74% monofocal respondents).

Conclusions:

Refractive lens exchange with a multifocal IOL resulted in a higher proportion of patients achieving spectacle independence compared with those receiving a monofocal IOL. In spite of patients with multifocal IOLs reporting more light disturbances compared with their monofocal IOL counterparts, patient expectations were equally met in both groups.

Financial Disclosure:

NONE