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Published on: June 6, 2017
Refractive lens exchange with a multifocal intraocular lens
Richard S Hoffman1, I Howard Fine, Mark Packer
1Drs. Fine, Hoffman and Packer, LLC, Eugene, Oregon 97401, USA. rshoffman@finemd.com
Current Opinion in Ophthalmology
|January 25, 2003
Summary
Refractive lens exchange using multifocal intraocular lenses is a growing option for presbyopic patients. Careful patient selection and surgical technique are key to successful outcomes and patient satisfaction with this refractive surgery.
Area of Science:
- Ophthalmology
- Refractive Surgery
Background:
- Refractive lens exchange (RLE) with multifocal intraocular lenses (IOLs) is increasingly utilized for presbyopic patients.
- Limitations of keratorefractive surgery have driven a resurgence in RLE for a broader range of refractive errors and presbyopia correction.
Purpose of the Study:
- To evaluate the efficacy and patient outcomes of refractive lens exchange with multifocal intraocular lenses.
- To define and assess the side effects of multifocal IOL technology on functional vision and patient satisfaction.
Main Methods:
- Review of current literature and clinical practices regarding multifocal IOLs in refractive lens exchange.
- Analysis of patient selection criteria, surgical techniques, and postoperative management strategies.
Main Results:
- Multifocal IOLs offer a solution for emmetropia and presbyopia correction, expanding options beyond corneal refractive surgery.
- Potential side effects include photic phenomena and reduced contrast sensitivity, necessitating careful evaluation.
Conclusions:
- Meticulous attention to patient selection, preoperative measurements, surgical technique, and postoperative care is crucial for optimal outcomes.
- Proper management enhances patient acceptance and satisfaction with refractive lens exchange using multifocal IOLs.

