Presbyopic Intraocular Lenses – Managing Unhappy Patients

Abstract

We describe a system for improving patient satisfaction with presbyopic intraocular lenses (IOLs). Pre-operative education to set realistic expectations for the pros and cons of various IOL options are described. Each presbyopic IOL in widespread use in the US is then described in turn. Finally we lay out the seven Cs for improved patient satisfaction with presbyopic IOL surgery. The seven Cs are: consecutive treatment, cylinder and residual refractive error, capsular opacification, cystoid macular oedema, cornea and ocular surface disease, centration and circumference of the pupil relative to the IOL.