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Screening for multifocal intraocular lens implantation in cataract patients in a public hospital

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Abstract

Purpose

To identify the rate and characteristics of cataract surgery candidates suitable for multifocal intraocular lens implantation among patients undergoing preoperative evaluation in a public hospital.

Materials and methods

Screening was performed based on the patient’s medical records, comprehensive ophthalmic examination, optical biometry (Zeiss, IOL Master 700) and optical coherence tomography (OCT) (Heidelberg, OCT Spectralis) in accordance with the relevant indications and contraindications mentioned in the pertinent literature. Patients were included in the present study if they were eligible for bilateral cataract surgery. The exclusion criteria were the presence of central nervous system or motility issues, prior refractive surgery, the presence of astigmatism greater than 1 dioptre and/or the presence of important ocular comorbidities in either eye.

Results

The study evaluated 1200 consecutive patients. Four hundred thirty-two patients (36%) were not eligible for bilateral surgery and were excluded from the study. Of the 768 patients included in the present study, 346 (45.1%) were considered suitable candidates. Four hundred twenty-two patients (54.9%) were excluded for one or both eyes. Among them, 121 (28.7%) were excluded because of retinal disease, 120 (28.4%) because of regular astigmatism (> 1.0 D of corneal astigmatism), 32 (7.5%) because of pseudoexfoliation or zonular instability, and 30 (7.1%) because of glaucoma or ocular hypertension; in addition, 90 (21.3%) patients were excluded for multiple reasons. Suitable candidates were significantly younger (70 and 75 years, respectively) (p < 0.001). After being informed about the potential risks and benefits of MOIL implantation, 212 of 346 (83.8%) eligible patients provided consent.

Conclusion

Close to half of cataract patients in a public hospital were eligible for MOIL implantation, and the majority of patients would proceed to surgery. The most prevalent contraindication was macular disease.

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Funding

The authors declare that no funds, grants, or other forms of support were received during the preparation of this manuscript.

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Authors and Affiliations

  1. Ophthalmiatrion Athinon, Athens Eye Hospital, Sarantaporou 7 Agios Stephanos, 145 65, Athens, Greece

    Ioannis Halkiadakis, Thomas Ntravalias, Elpida Kollia & Eleni Patsea

  2. First Department of Ophthalmology, National and Kapodistrian University of Athens, General Hospital “G. Gennimatas”, Athens, Greece

    Klio Chatzistefanou & Stylianos A. Kandarakis

Authors
  1. Ioannis Halkiadakis
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  6. Eleni Patsea
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Contributions

All the authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by IH, TN and EK and EP. The first draft of the manuscript was written by IH, SK and KC, and all the authors commented on previous versions of the manuscript. All the authors read and approved the final manuscript.

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Correspondence to Ioannis Halkiadakis.

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Conflict of interest

The authors have no relevant financial or nonfinancial interests to disclose.

Ethical approval

This was an observational study. The Ophthalmaria Eye Hospital Ethics Committee confirmed that no ethical approval was needed.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Presented in part in the ESCRS, 2022 Milan 16–20 September 2022.

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Halkiadakis, I., Ntravalias, T., Kollia, E. et al. Screening for multifocal intraocular lens implantation in cataract patients in a public hospital. Int Ophthalmol 44, 151 (2024). https://doi.org/10.1007/s10792-024-03088-8

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