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Optimizing outcomes of multifocal intraocular lenses

Liu, Jeffrey W.a; Haw, Weldon W.b

Current Opinion in Ophthalmology: January 2014 - Volume 25 - Issue 1 - p 44–48
doi: 10.1097/ICU.0000000000000012

Purpose of review To update the readers on recent research for further optimizing outcomes and improving the patient satisfaction with multifocal intraocular lenses (IOLs).

Recent findings Recent studies provide few novel approaches on surgical interventions to improve the postoperative outcomes. The use of capsular tension rings can improve preoperative predictability, whereas femtosecond laser cataract surgery was not shown to provide significant benefit to postoperative visual acuity. Other studies broaden and reinforce the previously reported results, such as patient education with blurred vision and dysphotopsia, utilizing an add power of +3.00 to improve intermediate visual acuity, and minimizing the lens decentration and tilt.

Summary Multifocal IOLs are currently a popular lens choice for motivated patients who would like to achieve spectacle independence. However, recent research has not provided significant improvements in optimizing outcomes. Newer lens technologies may be required to resolve the current problems of blurred vision and dysphotopsias.

aGavin Herbert Eye Institute, University of California, Irvine, California

bShiley Eye Center, University of California, San Diego School of Medicine, La Jolla, California, USA

Correspondence to Weldon W. Haw, MD, Shiley Eye Center, University of California, San Diego School of Medicine, 9415 Campus Point Drive, La Jolla, CA 92093, USA. Tel: +1 858 534 6290; e-mail:

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