What are the psychological needs of patients implanted with multifocal IOLs?

All patients expecting to have a multifocal IOL implanted are informed preoperatively that they may experience some discomfort, particularly glare and halos. Before the first formal conversation, it is important to make sure that the patient has some knowledge of the multifocal IOL. Because an important factor in ensuring the success of a patient’s surgery is an objective understanding of the patient’s expectations after implantation of a multifocal IOL, patients should be given enough time to understand their expectations. For those who do not wish to wear glasses, especially at intermediate distances, adequate and appropriate explanations and clarifications should be provided, as satisfaction with intermediate vision is relatively low compared to near and distance vision. Although there are still some mild visual problems associated with multifocal IOLs, they will go a long way in helping patients reduce their dependence on glasses. The ophthalmologist should educate the patient about complications such as distorted vision, as well as the advantages of bifocal implantation, and emphasize that the majority of patients with this IOL have improved vision over time. The patient should also be aware of the benefits and costs of this IOL in addition to the cost of the surgery. This IOL for presbyopia is not covered by Medicare, and patients’ expectations will rise after spending more money. Therefore, the doctor focuses on emphasizing to the patient that with the implantation of these IOLs in both eyes, the patient will get used to the IOLs over time and will have better vision. With this objective understanding patients seem to have a higher success rate.