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Patient Satisfaction and Visual Performance After Bilateral Implantation of Multifocal IOLs: Prospective Study. USAMA MOURIS BEBAWY, MB MBCh CLINICAL FELLOW, MCMASTER UNIV No Financial Disclosure GEORGE H.H. BEIKO, B.M.,B.Ch.,FRCSC ST. CATHARINES, CANADA ASSIST PROF, MCMASTER UNIV
USAMA MOURIS BEBAWY, MB MBCh
CLINICAL FELLOW, MCMASTER UNIV
No Financial Disclosure
GEORGE H.H. BEIKO, B.M.,B.Ch.,FRCSC
ST. CATHARINES, CANADA
ASSIST PROF, MCMASTER UNIV
LECTURER, UNIV OF TORONTO
Consultant to AMO
Male and female adult patients with presbyopia for which bilateral cataract surgery or clear lensectomy and posterior chamber IOL implantation is indicated.
Good candidate for multifocal vision, i.e. motivated, desires spectacle independence and understands the trade-off of improved near vision to possible unwanted visual sensations.
Visual potential of 20/25 or better in each eye after cataract extraction and IOL implantation.
Patient dissatisfaction with their uncorrected or best corrected vision such that they desire surgery.
Naturally dilated pupil size (in dim light) > 3.5 mm (with no dilation medications) for both eyes.
IOL power available for both eyes being treated
Patients with history of prior refractive surgery.
Patient has ocular or systemic disease, or ocular trauma that may confound the outcome; (e.g. uncontrolled diabetes mellitus, prior ocular surgery, recurrent inflammatory conditions, or macular degeneration).
Capsule or zonular abnormalities that may affect postoperative centration or tilt of the lens (e.g. severe pseudoexfoliation syndrome, Marfan’s syndrome).
Pupil abnormalities that prevent pupil from dilating at least 3.5 mm under mesopic/scotopic conditions.
Patients with forme fruste keratoconus or keratoconus.
Patients with visually significant macula or retina disease
G Beiko BM, BCh, FRCS(C)M Boileau MD, FRCS(C) C Ferremi MD, FRCS(C) M M Gagnon, MD, FRCS(C) L Lalonde MD, FRCS(C) C Menard, MD, FRCS(C) T Nagy, MD, FRCS(C)C Perreault MD, FRCS(C) S Shaver MD, FRCS(C) S Somai MD, FRCS(C)R Swieca MD, FRCS(C) Z Tadrous, MD, FRCS(C) E Tam MD, FRCS(C)B Teboul MD, FRCS(C) D Yan MD, FRCS(C)
Hyperopic patients tend to have better uncorrected and distance corrected VA for distance, intermediate and near
Hyperopic patients have more comfortable reading vision and greater spectacle independence
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