Ein wichtiger Faktor, um eine hohe Patientenzufriedenheit mit multifokalen Intraokularlinsen
(mIOL) zu erreichen, ist die sorgfältige Patientenauswahl. Das gleiche Linsenimplantat
kann bei verschiedenen Patienten zu komplett unterschiedlichen Ergebnissen führen.
Obwohl das postoperative Ergebnis nicht immer vorhersagbar ist, gibt es einige Hinweise,
wie sich die objektiven und subjektiven Ergebnisse durch eine sorgfältige Patientenselektion
verbessern lassen.
Abstract
Patient selection is the key to patient satisfaction with multifocal intraocular lenses
(mIOLs). While multifocality provides spectacle independence, it is associated with
potentially bothersome side effects inherent in multifocal optics. Photic phenomena
such as halos and glare, as well as loss of contrast in low light environments, can
be potentially problematic in visually demanding occupations and leisure activities.
The use of mIOLs may also be disadvantageous in patients with certain comorbidities
that affect vision or increase the risk of complications. In addition, unilateral
mIOL implantation, preoperative myopia, postoperative ametropia, unrealistic patient
expectations and certain personality traits may lead to lower patient satisfaction
with mIOLs. Healthy, hyperopic patients with presbyopia or cataracts, a desire for
spectacle independence and a willingness to compromise tend to achieve the highest
satisfaction with mIOLs.
Schlüsselwörter
Intraokularlinsen - multifokale IOL - Patientenselektion
Keywords
Intraocular lenses - multifocal IOL - patient selection
