With the expanded selection of presbyopia correcting IOLs, it is crucial to educate patients about potential risks and help manage their expectations.
Some patients may still need to wear spectacles post operatively for certain conditions, such as reading fine print or night driving.
Patients who receive the premium lenses should expect time for neuroadaptation and optimization of their ocular surface and be educated on the potential need for a YAG capsulotomy or a laser fine tune for residual refractive error such as astigmatism.
Some IOLs can have risk of halo and glare, but typically once vision is optimized, neuroadaptation is possible for most patients.
Presbyopia-Correcting IOL Outcomes
If using a presbyopia correcting IOL in a patient with pre-existing pathology, such as early macular pucker, early macular degeneration, or other pathologies, the patient should be counseled about their final visual outcome; particularly, the risk of reduced image quality especially if their comorbidity worsens. The patient should also be made aware that having cataract surgery does not treat those comorbidities, and they may need to undergo further treatment or surgery for those conditions should they progress. The clinician should consult with the patient’s retina specialist to confirm the IOL will not interfere with follow up retina care.