Patient-reported outcomes of multifocal and accommodating intraocular lenses: analysis of 117 patients 2–10 years after surgery

Abstract

Purpose

The purpose of this study was to determine the satisfaction levels of patients at least 2 years after cataract surgery implantation with bilateral accommodating or bilateral multifocal intraocular lenses (IOLs) and to determine the relative rate of spectacle independence and adverse symptoms in that same time frame.

Design

Patient questionnaire administered in a single-center private practice at least 2 years after cataract surgery with presbyopia-correcting IOL implantation.

Methods

Patients who had undergone uncomplicated cataract surgery with an accommodating or multifocal IOL implant were eligible for inclusion. Patients with visually significant non-IOL-related postoperative morbidity were excluded. Patients with astigmatism or residual refractive error were not excluded. The main outcome measure was patient satisfaction at least 2 years after IOL implantation.

Results

Sixty-eight patients who received accommodating lenses and 49 patients who received multifocal lenses completed the questionnaire. The mean age of all patients was 75.7 years at the time of survey; the mean number of years since cataract surgery was 5.4 years. Overall, there were no significant differences between the two groups or within each group between the different lenses used. About 90% of patients in each group were “very satisfied” or “somewhat satisfied” with their vision at least 2 years after the initial surgery. Conversely, only one in eleven patients found his vision to be worse than expected.

Conclusions

The majority of patients who received either accommodating or multifocal IOLs remain satisfied with their lens of choice more than 5 years after the original surgery. Glare and halos remain more noticeable in patients who received multifocal lenses.

Keywords:

• intraocular lenses
• accommodating IOLs
• multifocal IOLs
• patient-reported satisfaction
• presbyopia
• crystalens
• ReSTOR
• Tecnis
• satisfaction
• glasses

Supplementary material

Figure S1 Two-year postsurgery satisfaction and function questionnaire.

Acknowledgments

This study was supported by Bausch + Lomb. Partial results have been presented at the Royal Hawaiian Eye Meeting, 2016. Portions of this study were presented at the American Society of Cataract & Refractive Surgeons meeting in 2015.

Disclosure

Dr Hovanesian is a consultant to Alcon, Bausch + Lomb, and Johnson & Johnson Vision. The author reports no other conflicts of interest in this work.