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Subspecialties Refractive, Cataract

Lessons Learned

At a Glance

  • Early multifocal IOLs were something of a mixed bag – variations in vision caused by pupil diameter and problems achieving good intermediate vision made true spectacle-independence a challenge
  • The long-term data on mixing refractive and diffractive IOLs produced good results and revealed important lessons to apply to newer mIOLs
  • Refractive accuracy, achieving good near and intermediate vision, and careful patient selection are crucial factors to take into account 
  • Surgeons who have achieved good results (despite the limitations of past mIOLs) should see even greater successes in the future

When multifocal IOLs (mIOLs) were first introduced, the idea of giving my patients good vision without glasses really excited me. But as I soon discovered, first and even the second generations of presbyopia-correcting IOLs weren’t without their limitations.

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About the Author

Matteo Piovella

Matteo Piovella is Medical Director of CMA (Centro Microchirurgia Ambulatoriale) in Monza, Italy, and serves as President of the Italian Ophthalmological Society.

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