A survey of intraocular lens preferences of UK refractive surgeons for cataract surgery and refractive lens exchange

To explore intraocular lens (IOL) preferences of United Kingdom-based (UK) refractive surgeons in cataract and refractive lens exchange (RLE) surgery. An online survey on IOL preferences (and reasons for their choice) in cataract and RLE surgery was distributed. It also enquired about implementing m...

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Bibliographic Details
Published in:BMC ophthalmology 2024-09, Vol.24 (1), p.397-10, Article 397
Main Authors: Kabbani, Jamil, Price, Liam, Patel, Radhika, Din, Nizar, Bizrah, Mukhtar
Format: Article
Language:English
Subjects:
Astigmatism
Cataract
Cataract Extraction
Cataract surgery
Cataracts
Contact lenses
Cornea
Eye surgery
Female
Humans
Intraocular lenses
Lens Implantation, Intraocular
Lenses, Intraocular
Male
Middle Aged
Optics
Patients
Preferences
Refractive surgery
Surgeons
Surgery
Surveys
Surveys and Questionnaires
United Kingdom
Visual Acuity - physiology
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Summary:To explore intraocular lens (IOL) preferences of United Kingdom-based (UK) refractive surgeons in cataract and refractive lens exchange (RLE) surgery. An online survey on IOL preferences (and reasons for their choice) in cataract and RLE surgery was distributed. It also enquired about implementing mini-monovision with extended depth of field (EDoF) IOLs, about utilising IOL mix-and-match (different IOL types in each eye), and at what level of corneal astigmatism they prefer toric lenses. Following an 81.6% response rate, thirty responses were analysed; median years of refractive surgery experience was 12.5. The most popular IOL choices for cataract surgery were EDoF lenses (30%), monofocals (20%), and trifocals (20%). The most cited reason for each was better overall visual outcomes (88.9%), fewer unwanted symptoms (66.7%) and best spectacle independence (66.7%), respectively. For RLE, EDoF remained most popular (36.7%), followed by trifocals (30%), and multifocals (16.7%) with the same reasons for choice cited above. Mini-monovision with EDoF lenses was well-regarded (83% recommend for most/select patients), unlike utilising IOL mix-and-match (60% did not recommend). 40% prefer toric IOLs for astigmatism of 1 dioptre (D) or higher, whilst 30% opt for them at
ISSN:1471-2415
1471-2415
DOI:10.1186/s12886-024-03639-8