title: A serious refractive multifocal intraocular lens complication in Meniere's disease.
abstract: OBJECTIVE
  To report an unfortunate case of patient selection for multifocal intraocular lens (MIOL) implantation.
  
  
  METHODS
  Interventional case report.
  
  
  RESULTS
  A 69-year-old woman with bilateral corticonuclear cataract underwent uneventful phacoemulsification with diffractive MIOL implantation within 1 week. She reported no previous medical history. A few days later she had persisting dizziness and experienced extreme photic phenomena, which progressively deteriorated. After intensive conversation, we discovered that our patient had a medical history of Meniere's disease. Bilateral intraocular lens exchange surgery was performed. One week after monofocal intraocular lens implantation, the patient was satisfied with the final visual outcome and did not report any visual complaints.
  
  
  CONCLUSIONS
  Retinocortical processing of visual information is impaired in patients with peripheral vestibular disorders such as Meniere's disease. Therefore, these patients are probably not good candidates for MIOL implantation, which requires an intact sensory system with rigorous visuovestibular interaction.
authors.affiliation: Department of Ophthalmology, University of Saarland, Homburg/Saar, Germany. zisis.gatzioufas@uniklinikum-saarland.de
authors.forename: Zisis
authors.initials: Z
authors.lastname: Gatzioufas
authors.forename: Attila
authors.initials: A
authors.lastname: Osvald
authors.forename: Andreas C
authors.initials: AC
authors.lastname: Schroeder
authors.forename: Nikos
authors.initials: N
authors.lastname: Kozeis
authors.forename: Berthold
authors.initials: B
authors.lastname: Seitz
mesh_terms: D000368:Aged; D002386:Cataract / Q000150:complications*; D005260:Female; D006801:Humans; D008575:Meniere Disease / Q000150:complications*; D017060:Patient Satisfaction; D018918:Phacoemulsification; D016896:Treatment Outcome; D015348:Vision, Binocular; D014792:Visual Acuity