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EW CATARACT 36 uncomfortable with these lenses for a variety of reasons," she said. Some may be reluctant because they are simply unaware of the pros and cons associated with multifocal lenses, or they may be unfamiliar with the intricacies of the lenses. Study authors thought that a review paper that discussed the indi- cations and contraindications of the multifocal lenses would be helpful, especially for those who have no experience or limited experience with the lenses, Dr. Henderson said. Dr. Hoffman said the Commit- tee selected this topic because of a hesitancy of many ophthalmologists to use multifocal IOLs due to their high demands. "By mapping out the approach- es for utilizing these lenses, includ- ing the preoperative management and selection of patients, who is a good versus bad candidate, and the surgical demands in regard to angle kappa, pre-existing astigmatism, and complication management, the Committee was hoping that more surgeons would feel comfortable by Ellen Stodola EyeWorld Staff Writer It was published in the Journal of Cataract & Refractive Surgery (JCRS). Richard Hoffman, MD, clinical as- sociate professor of ophthalmology, Casey Eye Institute, Oregon Health & Science University, Eugene, Ore.; Bonnie Henderson, MD, clinical professor of ophthalmology, Tufts University School of Medi- cine, Boston; and Rosa Braga-Mele, MD, professor of ophthalmology, University of Toronto, and director of cataract surgery, Kensington Eye Institute, Toronto, commented on the topic and putting together the white paper. Selecting the topic A number of surgeons still have many questions regarding the use of multifocal lenses. Dr. Henderson said the topic was suggested to address some of these questions and concerns. "Although multifocal IOLs have been available for years and have been widely accepted by many surgeons, there's still a signifi cant percentage of surgeons in the U.S. and worldwide who feel somewhat White paper addresses pros and cons of multifocal IOLs, as well as other key information surgeons should be aware of T he ASCRS Cataract Clinical Committee tackled the topic of multifocal IOLs and indications and contraindications for these lenses in a recent white paper titled "Multifocal intraocular lenses: Relative indications and contraindications for implantation." Multifocal IOL indications, contraindications Bonnie An Henderson, MD Rosa Braga-Mele, MD Richard Hoffman, MD utilizing this technology in more of their patients," he said. "There is such a large selection of intraocular lenses and options in presbyopia-correcting lenses for patients," Dr. Braga-Mele said. This was thought to be a good topic to cover because there are very happy multifocal IOL patients as well as some very unhappy multifocal IOL patients. "It's best that the ophthalmol- ogist have an armamentarium of options and make the correct choice for the patient," she said. This white paper aims to broaden the knowl- edge base and serve as a reference article for which patients should be receiving multifocal IOLs and which should not. How was the review conducted and what topic areas are covered? A comprehensive search on the peer-reviewed literature on the topic was conducted. Each member of the Clinical Committee took on a subject heading to do a literature September 2014 ReSTOR multifocal IOL Source: Bonnie An Henderson, MD continued on page 38

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