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Updated: Dec 30, 2025
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Multifocal Electroretinograms
Published on: December 4, 2011
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Multifocal intraocular lenses and retinal diseases
Andrzej Grzybowski1,2, Piotr Kanclerz3, Raimo Tuuminen4,5
1Department of Ophthalmology, University of Warmia and Mazury, Olsztyn, Poland. ae.grzybowski@gmail.com.
Summary
Multifocal intraocular lenses (MIOLs) may be suitable for patients with retinal diseases, as they do not significantly impair contrast sensitivity (CS). Some studies even show improved visual outcomes and patient satisfaction with MIOLs in these populations.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Intraocular Lens Technology
Background:
- Multifocal intraocular lenses (MIOLs) are typically contraindicated in patients with retinal disorders due to concerns about reduced contrast sensitivity (CS).
- Existing concerns also involve visual field defects, fixation instability, or eccentric preferred retinal locations.
- The impact of MIOLs on visual quality in patients with retinal conditions requires thorough investigation.
Purpose of the Study:
- To review the influence of MIOLs on the quality of vision in patients diagnosed with retinal diseases.
- To synthesize current evidence regarding MIOL performance in the context of retinal pathologies.
Main Methods:
- A systematic literature search was conducted using PubMed and Web of Science databases.
- Keywords included: multifocal intraocular lens, cataract surgery, diabetic retinopathy, age-related macular degeneration, and contrast sensitivity.
- Relevant studies evaluating visual outcomes and CS were identified and analyzed.
Main Results:
- Studies on CS with MIOLs show mixed results, with some indicating no significant difference and others reporting decreased performance under specific low-light or high-frequency conditions compared to monofocal IOLs.
- Despite variations, MIOLs generally maintained CS within the normal age-matched range.
- Two studies reported significant improvements in visual-related outcomes for patients with retinal diseases receiving MIOLs, with some preferring a mix of monofocal and multifocal IOLs for enhanced subjective satisfaction.
Conclusions:
- Current evidence does not support advising against MIOLs for patients with retinal diseases.
- Further research is necessary to fully understand and optimize MIOL use in eyes affected by retinal conditions.
- Addressing specific concerns related to contrast sensitivity and visual field integrity remains a priority for future studies.
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