Eyeworld

EW CATARACT 38 be made aware of the possible side effects and contraindications of the multifocal IOL," Dr. Braga-Mele said. "If you're all on the same page, then a happy patient will be produced." However, if a patient is wary about a multifocal IOL, he or she should be counseled on other po- tential options. It is also important to remember that there are some unhappy multifocal IOL patients, Dr. Braga-Mele said. Surgeons need to know the steps for counseling them or offering other options. Dr. Hoffman said that by using good surgical technique and per- forming surgery on properly selected patients, most patients can be made happy with multifocal IOLs. "Proper patient selection and managing expectations, in my view, are the most important criteria for a successful outcome," he said. "Mul- tifocal IOLs are not for every patient, but each patient should be made aware of their existence and properly counseled as to whether or not they would be a good candidate for the technology." Dr. Henderson agreed the im- portance of preoperative counseling was one key message of the paper. Patients should know that vision can fluctuate in the early postoper- ative period and that these lenses do not deliver perfect uncorrected vision at all distances under all light illumination. "Making sure that they are aware that there are limitations will yield happier patients and prevent surprises," she said. EW Editors' note: Dr. Henderson has financial interests with Alcon (Fort Worth, Texas), Bausch + Lomb (Bridgewater, N.J.), and Abbott Medical Optics (AMO, Santa Ana, Calif.). Dr. Hoffman has no financial interests related to this article. Dr. Braga-Mele has financial interests with Alcon, Allergan (Irvine, Calif.), and AMO. Contact information Braga-Mele: rbragamele@rogers.com Henderson: bahenderson@eyeboston.com Hoffman: rshoffman@finemd.com sonal experience, such as my section on patient selection and managing preoperative and postoperative expectations." The paper covered preopera- tive management of expectations, patient screening, operative consid- erations, managing complications, and managing the unhappy surgical patient, Dr. Hoffman said. Key messages and conclusions There were a number of important points and conclusions discussed within the paper. "The key message is multifocal IOLs are a good option for most patients, but they're not for everyone so you need to under- stand your patient's needs, you need to understand your patient's ocular anatomy, and the patient needs to search. Dr. Braga-Mele also served as the editor for the paper, putting it together and writing an introduc- tion and conclusion. Each contributor was assigned a particular section of the manuscript and performed a literature review pertinent to their assignment, Dr. Hoffman said. "Some of the manu- script may have been based on per- Multifocal IOL continued from page 36 September 2014

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