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Factors Affecting Postoperative Satisfaction After Presbyopia-Correcting Intraocular Lens.

Choul Yong Park1

  • 1Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Republic of Korea.

Journal of Clinical Medicine
|January 10, 2026
PubMed
Summary
This summary is machine-generated.

Presbyopia-correcting intraocular lenses (IOLs) offer spectacle independence but can cause visual discomfort. Optimizing patient satisfaction involves careful screening, personalized selection, and managing expectations for these advanced cataract surgery lenses.

Keywords:
EDOFcataractintraocular lensmultifocalpresbyopiasatisfaction

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Area of Science:

  • Ophthalmology and Biomedical Engineering
  • Advanced optical technologies for vision correction

Background:

  • Presbyopia-correcting intraocular lenses (IOLs) have advanced cataract surgery, providing functional vision at multiple distances.
  • Current IOL designs include multifocal, extended depth-of-focus (EDOF), and hybrid technologies, aiming to overcome monofocal limitations.
  • Despite advancements, patient satisfaction with these IOLs is variable, with some experiencing visual disturbances.

Purpose of the Study:

  • To provide a comprehensive review of presbyopia-correcting IOL technologies, including optical principles and design evolution.
  • To analyze the multifactorial causes of postoperative dissatisfaction associated with these IOLs.
  • To explore evidence-based strategies for enhancing patient satisfaction and optimizing outcomes.

Main Methods:

  • Review of existing literature on presbyopia-correcting IOLs, their optical designs, and clinical performance.
  • Analysis of factors contributing to patient dissatisfaction, encompassing optical phenomena, ocular comorbidities, surgical variables, and non-physiological elements.
  • Examination of strategies for improving patient outcomes, including preoperative screening, personalized lens selection, and patient counseling.

Main Results:

  • Postoperative dissatisfaction is linked to optical side effects (glare, halos), ocular conditions (dry eye, astigmatism), surgical precision (IOL centration, biometry), and patient-specific factors (expectations, lifestyle).
  • Rigorous preoperative assessment, tailored IOL choice, and clear communication are crucial for managing patient expectations and improving satisfaction.
  • Emerging IOL designs combining multifocal and EDOF characteristics show promise in reducing visual disturbances while maintaining functional vision.

Conclusions:

  • Improving patient satisfaction with presbyopia-correcting IOLs requires a multifaceted approach addressing optical, ocular, surgical, and psychological factors.
  • Individualized patient care, integrating advanced optical technology with meticulous clinical practice, is key to optimizing real-world outcomes.
  • Continued innovation in IOL design and personalized management strategies are essential for maximizing the benefits of presbyopia-correcting surgery.