Multifocal Intraocular Lens Exchange: Case Series
Narrative Responses:
Purpose
To evaluate outcomes of intraocular lens (IOL) exchange in dissatisfied multifocal IOL patients.
Methods
We performed a retrospective chart review of 32 patients (45 eyes) who underwent multifocal IOL exchange at the Baylor College of Medicine from July 2005 through July 2013. Preoperative, intraoperative, and postoperative findings and results of a patient survey were documented.
Results
Poor visual quality, glare, and halos were the most common reasons for patients to seek IOL exchange. Mean logMAR uncorrected distance visual acuity was 0.33 ± 0.18 preoperatively and 0.25 ± 0.27 postoperatively (P = 0.267). Best-corrected distance visual acuity (BCDVA) was 0.13 ± 0.14 preoperatively and 0.06 ± 0.08 postoperatively (P = 0.003). Best-corrected near visual acuity (BCNVA) was 0.11 ± 0.10 preoperatively and 0.05 ± 0.05 postoperatively (P = 0.028). Improvement in distance, intermediate, and near vision was reported in 73%, 60%, and 62% of patients, respectively; 77% reported improvement in glare and halos; 71.4% were satisfied with surgical results.
Conclusion
Patients demonstrated statistically significant improvement in best-corrected distance and near vision and visual symptoms with multifocal IOL exchange. IOL exchange is a valuable option for managing patient dissatisfaction with vision with multifocal IOLs.