Abstract
Purpose of Review
Dealing with an unhappy patient is always an uncomfortable challenge and likely one of the most difficult aspects of our job as a surgeon because it stands in contrast to what our primary intentions are as physicians.
Recent Findings
The most common reasons for patient dissatisfaction include residual refractive error and incompletely treated ocular surface disease. Other common patient concerns include issues with quality or range of vision and shortcomings related to perceived expectations. Recent data show that personality profiling may assist us in determining candidacy for specific lens technology.
Summary
Here, we will review the most common reasons and remedies for patient dissatisfaction after cataract surgery.
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References
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Radhika Rampat 1, Damien Gatinel. Multifocal and extended depth-of-focus intraocular lenses in 2020. Ophthalmology, 2020 Sep 25;S0161–6420(20). This study provides an excellent overview of all of the currently available lens options.
Barsam, Allon MD; Voldman, Alex BA; Donnenfeld, Eric MD. Advanced technology IOLs in cataract surgery. Management of the unhappy patient. International Ophthalmology Clinics: Spring 2012 - Volume 52 - Issue 2 - p 95–102.
Trattler WB, Majmudar PA, Donnenfeld ED, McDonald MB, Stonecipher KG, Goldberg DF. The prospective health assessment of cataract patients’ ocular surface (PHACO) study: the effect of dry eye. Clin Ophthalmol. 2017;11: 1423–1430. This study was one of the first studies to emphasize how common ocular surface disease (OSD) is in our patients presenting for cataract surgery. It was a turning point for increasing awareness of screening for OSD before surgery.
Gupta PK, Drinkwater OJ, VanDusen KW, Brissette AR, Starr CE. Prevalence of ocular surface dysfunction in patients presenting for cataract surgery evaluation. JCRS 2018 J Cataract Refract Surg. 2018;44(9):1090–1096.
Epitropoulos AT, Matossian C, Berdy GJ, Malhotra RP, Potvin R. Effect of tear osmolarity on repeatability of keratometry for cataract surgery planning. J Cataract Refract Surg. 2015;41(8):1672–7.
Starr CE, Gupta PK, Farid M, Beckman KA, Chan CC, Yeu E, Gomes JAP, Ayers BD, Berdahl JP, Holland EJ, Kim T, Mah FS, the ASCRS Cornea Clinical Committee. An algorithm for the preoperative diagnosis and treatment of ocular surface disorders. J Cataract Refract Surg. 2019;45(5):669–684.
Hovanesian J, Epitropoulos A, Donnenfeld ED, Holladay JT. The effect of lifitegrast on refractive accuracy and symptoms in dry eye patients undergoing cataract surgery. Clin Ophthalmol. 2020;14:2709–16.
Jeremy Z Kieval 1, Saba Al-Hashimi, Richard S Davidson, D Rex Hamilton, Mitchell A Jackson, Scott LaBorwit, Larry E Patterson, Karl G Stonecipher, Kendall Donaldson, ASCRS refractive cataract surgery subcommittee. Prevention and management of refractive prediction errors following cataract surgery. Journal of Cataract Refract Surg. 2020 Aug;46(8):1189–1197.
Gibbons, A, Ali, TK, Waren, D, Donaldson, KE. Causes and correction of dissatisfaction after implantation of presbyopia correcting intraocular lenses. J Clinical Ophthalmol, 2016; Oct 11;10:1965–1970. This study provides an overview of the reasons patients are dissatisfied after premium lens surgery. By identifying at-risk patients, we can better avoid complications and increase patient satisfaction.
Samuel Masket, Nicole R Fram.. Pseudophakic dysphotopsia: review of incidence, cause, and treatment of positive and negative dysphotopsia. Ophthalmology, 2020 Aug 12;S0161–6420(20).
Raquel Goldhardt , Bradley Simon Rosen. Optical coherence tomography: critical tool to manage expectations after cataract extraction. Curr Ophthalmol Rep, 2020 Sep;8(3):129–135.
Paulius Rudalevicius , Rosita Lekaviciene , Gerd U Auffarth , Rasa Liutkeviciene, Vytautas Jasinskas . Relations between patient personality and patients’ dissatisfaction after multifocal intraocular lens implantation: clinical study based on the five factor inventory personality evaluation. Eye (London)2020 Apr;34(4):717–724. This study provides new information by examining the impact of personality on our surgical outcomes. Their recommendations can help us better guide patients toward the most appropriate lens option for their specific desires and needs.
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This article is part of the Topical Collection on Cataract and Refractive Surgery
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Donaldson, K.E. Tips for Dealing with Unhappy Refractive Cataract Surgery Patient. Curr Ophthalmol Rep 10, 1–4 (2022). https://doi.org/10.1007/s40135-022-00282-8
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DOI: https://doi.org/10.1007/s40135-022-00282-8