Who is not a candidate for multifocal IOL?

If someone has an ocular comorbidity in either eye (eg, severe dry eye disease, irregular astigmatism, epiretinal membranes, macular degeneration), he or she is not eligible for a multifocal IOL. In my practice, this means that 50% of patients are ineligible. No. 2: Monofocal lens in the fellow eye.

What are the side effects of multifocal lens?

Complications specific to Multifocal lenses may include glare, blurred vision, and rings around lights. These side effects may make it more difficult to see while driving at night, but most people who do experience this find that it is only mildly annoying and tends to subside in time.

Who is not a candidate for IOL?

POOR CANDIDATES Preexisting lenticular opacity or early cataract are relative contraindications to the implantation of a phakic IOL. Although the rate of cataract formation requiring surgery in the ICL’s FDA trial was low (0.6%), the implantation of a phakic IOL could hasten the formation of a cataract.

Who is a good candidate for multifocal contact lenses?

Candidates for multifocal contact lens success include presbyopic patients who wear only glasses, those who wear contact lenses but wear reading glasses over them and those who are already wearing monovision contact lenses (particularly those with high computer use).

Can you have multifocal lens in one eye?

Q: Can I be implanted with a multifocal lens in one eye only? Yes you can, as long as your other eye has a clear natural lens or an early cataract. If your other eye already has a monofocal implant, you may not realize the full benefit of the multifocal lens implant.

Are Upgraded cataract lenses worth it?

Premium lenses not only treat cataracts but also address vision impairment problems like nearsightedness. Premium IOLs can even provide sharper vision at far distances. This means you can reduce your dependence on glasses and contact lenses.

Which is a relative contraindication to multifocal IOLs?

In general, any abnormality of the optic nerve that restricts potential visual acuity, contrast sensitivity, color perception, or field of vision49, 50 can be considered a relative contraindication to multifocal IOLs.

Can a monofocal IOL be used for cataract surgery?

Cataract surgery with an intraocular lens (IOL) has the potential to improve a patient’s acuity and refine the refractive error to a given target. By design, monofocal IOLs are limited in range, typically achieving distance, intermediate, or near, but rarely encompassing all distances.

What to know about multifocal intraocular lens implantation?

Relevant preoperative diagnostic evaluations, patient selection criteria, counseling, and managing expectations are reviewed, as well as how to approach patients with underlying ocular intricacies or challenges and best practices for intraoperative challenges during planned implantation of a multifocal IOL.

Who is the author of the unhappy multifocal IOL patient?

Managing the unhappy multifocal IOL patient if implantation has been performed is also addressed. Financial disclosure: No author has a financial or proprietary interest in any material or method mentioned. Copyright © 2014 ASCRS and ESCRS.