title: Multifocal intraocular lenses: An overview.
abstract: Multifocal intraocular lenses are increasingly used in the management of pseudophakic presbyopia. After multifocal intraocular lens implantation, most patients do not need spectacles or contact lenses and are pleased with the result. Complications, however, may affect the patient's quality of life and level of satisfaction. Common problems with multifocal lenses are blurred vision and photic phenomena associated with residual ametropia, posterior capsule opacification, large pupil size, wavefront anomalies, dry eye, and lens decentration. The main reasons for these are failure to neuroadapt, lens dislocation, residual refractive error, and lens opacification. To avoid patient dissatisfaction after multifocal intraocular lens implantation, it is important to consider preoperatively the patient's lifestyle; perform an exhaustive examination including biometry, topography, and pupil reactivity; and explain the visual expectations and possible postoperative complications.
authors.affiliation: Research and Development Department, Vissum Instituto Oftalmologico de Alicante, Alicante, Spain; Division of Ophthalmology, Pathology and Surgery Department, Universidad Miguel Hernández, Alicante, Spain. Electronic address: jlalio@vissum.com.
authors.forename: Jorge L
authors.initials: JL
authors.lastname: Alio
authors.affiliation: Research and Development Department, Vissum Instituto Oftalmologico de Alicante, Alicante, Spain.
authors.forename: Ana B
authors.initials: AB
authors.lastname: Plaza-Puche
authors.affiliation: Research and Development Department, Vissum Instituto Oftalmologico de Alicante, Alicante, Spain.
authors.forename: Roberto
authors.initials: R
authors.lastname: Férnandez-Buenaga
authors.affiliation: Department of Ophthalmology, Ziv Medical Center, Safed, Israel.
authors.forename: Joseph
authors.initials: J
authors.lastname: Pikkel
authors.affiliation: IOBA, Universidad de Valladolid, Valladolid, Spain.
authors.forename: Miguel
authors.initials: M
authors.lastname: Maldonado
mesh_terms: D006801:Humans; D007910:Lenses, Intraocular; D017060:Patient Satisfaction; D011305:Presbyopia / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D011474:Prosthesis Design; D019591:Pseudophakia / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D011788:Quality of Life; D012029:Refraction, Ocular
keywords: complications; indications; multifocal IOLs; patient dissatisfaction; visual outcomes