Dissatisfaction rates with presbyopia-correcting IOLs tied to specific risk factors

Dissatisfaction with presbyopia-correcting intraocular lenses (IOLs) varies based on lens type and patient-specific factors, according to a study. Preoperative myopia is the main risk factor for near-vision discomfort, while thinner corneas and greater corneal astigmatism contribute to photic disturbances.

Researchers analyzed data from 340 eyes of 211 patients implanted with bifocal (ReSTOR), trifocal (PanOptix), or extended depth-of-focus (EDOF; Symfony) IOLs.

The overall dissatisfaction rate was 18.5%, with Symfony lenses showing the highest near-vision dissatisfaction. PanOptix lenses had comparable rates of photic disturbances and near-vision discomfort. The primary risk factor for dissatisfaction across all IOL types was preoperative myopia, which correlated with near-vision discomfort. Meanwhile, thinner corneal thickness and greater corneal astigmatism were linked to photic disturbances, particularly in PanOptix eyes.

Reference
Jeon W, Yoon CH, Oh JY, et al. Risk factors in self-reported dissatisfied patients implanted with various presbyopia-correcting intraocular lenses after cataract surgery. BMC Ophthalmol. 2025;25(1):82. doi: 10.1186/s12886-025-03912-4. PMID: 39972278; PMCID: PMC11837369.