Iberoamerican Ophthalmologists IOL Selection for Use on Themselves: Survey Results

Abstract

Purpose To determine the preferred type of intraocular lens (IOL) that ophthalmologists would choose for themselves in case of cataract surgery. Design Prospective convenience questionnaire study. Materials and Methods We developed an electronic survey with seven (7) questions, combining multiple and open options. The following categories were established: monofocal (MonoIOL) without monovision (MonoIOL-SM) and with monovision (MonoIOL-CM) and multifocal (MultiIOL) that could be either a bifocal (MultiIOL-B), trifocal (MultiIOL-T) or extended focus (MultiIOL-E). The link for the survey was sent to ophthalmologists from Latin America and Spain through different ways. The 1209 responses were analyzed statistically. Results We received 1209 responses from 14 countries. The average age was 47.977 years (SD 11.711 years). Gender distribution was 839 males (72.8%) and 313 females (27.2%). Overall preference was MonoIOL-SM 23.90% (289), MonoIOL-CM 12.16% (147), MultiIOL-B 4.63% (56), MultiIOL-T 34.99% (423), MultiIOL-E 15.22% (110), and unsure 9.10% (110). Ophthalmologists that implant IOLs showed a greater preference for MultiIOL (64%) than those who did not implant IOLs (32.3%). Although all ophthalmologists preferred MultiIOL, anterior segment specialists chose them more frequently (59.1%) than posterior segment specialists (41%). Conclusion Ophthalmologists would prefer to receive a multifocal IOL implantation despite the lower frequency of multifocal IOL implantation observed in the general population. The frequency was greater among ophthalmologists who implant IOLs compared to those who do not implant them. It was also greater among those who identified themselves as anterior segment specialists compared to posterior segment specialists.

Clinical efficacy of femtosecond laser-assisted phacoemulsification in diabetic cataract patients

“…To achieve the purpose of precise tissue separation, femtosecond laser-assisted surgery can be employed. This technique reduces intraoperative ultrasound energy, lowers the risk of postoperative corneal edema, and promotes early recovery of corneal transparency and refractive stability[ 16 ]. However, miosis, which is the constriction of the pupil, is a common complication of femtosecond laser anterior lens capsulotomy.…”