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Victoria Pelak, Erik Anderson, Emily Hager, Barbetta Halliday, Michael Taravella; Adaptation to Multifocal Intraocular Lens: Factors Contributing to Satisfaction. Invest. Ophthalmol. Vis. Sci. 2011;52(14):5676.
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To identify factors that contribute to patient satisfaction and adaptation to cataract extraction (CE) with multifocal intraocular lens (MFIOL) implants.
We assessed visual satisfaction of 84 patients who underwent uncomplicated CE with MFIOL implantation. Logistic regression was used to identify variables associated with visual satisfaction. Variables assessed included: age, gender, pre-operative best eye visual acuity, post-operative cylinder, post-operative spherical equivalent, eyes implanted (one or two), weeks out from surgery, and model type.
6.7% of patients were dissatisfied with their visual function after CE with MFIOL. None of the variables evaluated were significantly associated with satisfaction.
Factors other than basic demographics, time after surgery, pre-operative visual acuity, post-operative refractive error, eyes implanted, and model type likely contribute to adaptation and visual satisfaction with MFIOL. Further research to identify factors potentially prohibiting adequate neuroadaptation and visual satisfaction, such as higher cortical visual function, is important for the prevention of poor outcomes after MFIOL.
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