Multifocal intraocular lenses: An overview

Jorge L. Alio, Ana B. Plaza-Puche, Roberto Férnandez-Buenaga, Joseph Pikkel, Miguel Maldonado

Research output: Contribution to journalReview articlepeer-review

148 Scopus citations


Multifocal intraocular lenses are increasingly used in the management of pseudophakic presbyopia. After multifocal intraocular lens implantation, most patients do not need spectacles or contact lenses and are pleased with the result. Complications, however, may affect the patient's quality of life and level of satisfaction. Common problems with multifocal lenses are blurred vision and photic phenomena associated with residual ametropia, posterior capsule opacification, large pupil size, wavefront anomalies, dry eye, and lens decentration. The main reasons for these are failure to neuroadapt, lens dislocation, residual refractive error, and lens opacification. To avoid patient dissatisfaction after multifocal intraocular lens implantation, it is important to consider preoperatively the patient's lifestyle; perform an exhaustive examination including biometry, topography, and pupil reactivity; and explain the visual expectations and possible postoperative complications.

Original languageEnglish
Pages (from-to)611-634
Number of pages24
JournalSurvey of Ophthalmology
Issue number5
StatePublished - 1 Sep 2017
Externally publishedYes


  • complications
  • indications
  • multifocal IOLs
  • patient dissatisfaction
  • visual outcomes

ASJC Scopus subject areas

  • Ophthalmology


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