Multifocal Intraocular Lenses: Solutions for the Unhappy Patient

Abstract

Whilst the use of multifocal IOLs has increased very greatly in the past decade as more and varied designs come onto the market and increasing patient awareness and surgeon enthusiasm have driven demand, not every patient is happy with the result. This may, for example, be because of a suboptimal visual acuity result for either near or distance or due to the effects of the IOL design causing intolerable dysphotopsias. Very often these problems will be due to inadequate understanding by the patient of what is actually possible. This chapter will review the major causes of patient unhappiness and suggest solutions.