Subjective complaints after cataract surgery: common causes and management strategies
- PMID: 25333754
- DOI: 10.1097/ICU.0000000000000112
Subjective complaints after cataract surgery: common causes and management strategies
Abstract
Purpose of review: To describe the common causes of, and management strategies for, nonrefractive subjective visual complaints after cataract surgery.
Recent findings: Over the past decade, clinical observations and ray-tracing models have greatly increased our understanding of positive and negative dysphotopsias after cataract surgery. The primary factor behind positive dysphotopsias is the use of high refractive index square-edge intraocular lenses (IOLs). Primary and secondary factors that underlie negative dysphotopsias are now better characterized, which has led to successful interventions including IOL exchange and Nd:YAG laser anterior capsulotomy.
Summary: Positive and negative dysphotopsias occur after implantation of monofocal IOLs, and can rarely be disabling to patients. Visual complaints after multifocal IOL implantation are more common than after monofocal IOL implantation, but still rarely require significant intervention. A better understanding of the risk factors and optical causes of dysphotopsias will allow for IOL design and patient selection that maximize satisfaction after cataract surgery.
Similar articles
-
One-year outcomes with new-generation multifocal intraocular lenses.Ophthalmology. 2008 Sep;115(9):1508-16. doi: 10.1016/j.ophtha.2008.04.017. Epub 2008 Jun 5. Ophthalmology. 2008. PMID: 18538402 Clinical Trial.
-
Effectiveness of multifocal intraocular lenses to correct presbyopia after cataract surgery: a randomized controlled trial.Ophthalmology. 2004 Oct;111(10):1832-9. doi: 10.1016/j.ophtha.2004.05.023. Ophthalmology. 2004. PMID: 15465543 Clinical Trial.
-
Visual function and complications after cataract surgery with bilateral multifocal intraocular lens implantation.Klin Oczna. 2007;109(7-9):261-6. Klin Oczna. 2007. PMID: 18260275
-
Patient-centered and visual quality outcomes of premium cataract surgery: a systematic review.Eur J Ophthalmol. 2017 Jun 26;27(4):387-401. doi: 10.5301/ejo.5000978. Epub 2017 Apr 24. Eur J Ophthalmol. 2017. PMID: 28574135 Review.
-
Multifocal versus monofocal intraocular lenses in cataract surgery: a systematic review.Ophthalmology. 2003 Sep;110(9):1789-98. doi: 10.1016/S0161-6420(03)00722-X. Ophthalmology. 2003. PMID: 13129879 Review.
Cited by
-
Modified "C" Haptic Intraocular Lens Orientation and Negative Dysphotopsia.Diagnostics (Basel). 2024 Jun 18;14(12):1288. doi: 10.3390/diagnostics14121288. Diagnostics (Basel). 2024. PMID: 38928703 Free PMC article.
-
Glare prediction and mechanism of adaptation following implantation of hydrophilic and hydrophobic intraocular lenses.Front Ophthalmol (Lausanne). 2024 Apr 25;4:1310468. doi: 10.3389/fopht.2024.1310468. eCollection 2024. Front Ophthalmol (Lausanne). 2024. PMID: 38984113 Free PMC article.
-
Dysphotopsias or Unwanted Visual Phenomena after Cataract Surgery.Life (Basel). 2022 Dec 24;13(1):53. doi: 10.3390/life13010053. Life (Basel). 2022. PMID: 36676002 Free PMC article. Review.
-
Impact of 0.1% sodium hyaluronate and 0.2% sodium hyaluronate artificial tears on postoperative discomfort following cataract extraction surgery: a comparative study.Eye Vis (Lond). 2019 Feb 11;6:6. doi: 10.1186/s40662-019-0131-8. eCollection 2019. Eye Vis (Lond). 2019. PMID: 30805405 Free PMC article.
-
Impact of polyethylene glycol 400/propylene glycol/hydroxypropyl-guar and 0.1% sodium hyaluronate on postoperative discomfort following cataract extraction surgery: a comparative study.Eye Vis (Lond). 2017 May 10;4:13. doi: 10.1186/s40662-017-0079-5. eCollection 2017. Eye Vis (Lond). 2017. PMID: 28497070 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Research Materials
Miscellaneous