{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T22:23:21Z","timestamp":1785450201447,"version":"3.56.0"},"reference-count":28,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T00:00:00Z","timestamp":1716422400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To manage patient dissatisfaction following multifocal intraocular lens (MF\u2010IOL) implantation by IOL exchange with either a monofocal or an alternative MF\u2010IOL, and to compare outcomes in these two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>MF\u2010IOL exchange was performed in 32 patients (64 eyes) with neuroadaptation failure. The MF\u2010to\u2010MF group involved patients who had a MF\u2010IOL exchanged with another MF\u2010IOL of a different optical profile and the MF\u2010to\u2010MO group involved patients who had a MF\u2010IOL exchanged to a monofocal IOL. Visual outcomes and complications were analysed. The Quality of Vision (QoV) questionnaire, Visual Function Index (VF\u201014) and its Rasch\u2010revised version (VF\u20108R) were also used to assess outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no significant differences (<jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05) in the QoV scores between the two groups, both preoperatively and postoperatively. Preoperatively, there were no significant differences in VF\u201014 scores between both groups (<jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05). Postoperatively, there were statistically significant differences in VF\u201014 (total score, intermediate vision and near vision) in favour of the MF\u2010to\u2010MF group (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). The postoperative VF\u20108R score in the MF\u2010to\u2010MF group was significantly better than the MF\u2010to\u2010MO group (<jats:italic>p<\/jats:italic>\u2009\u2264\u20090.001). Uncorrected and corrected near as well as corrected distance visual acuities were significantly better (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05) in the MF\u2010to\u2010MF group compared to the MF\u2010to\u2010MO group at 3\u2009months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patient dissatisfaction and neuroadaptation failure following MF\u2010IOL implantation can be managed by an IOL exchange with an alternative optical design of MF\u2010IOL or a monofocal IOL. Although, in the current study, the MF\u2010to\u2010MF group showed some better postoperative results, both options are feasible solutions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.16720","type":"journal-article","created":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T12:04:50Z","timestamp":1716465890000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Managing dissatisfaction after multifocal intraocular lens implantation through lens exchange using monofocal or alternative multifocal <scp>IOLs<\/scp>"],"prefix":"10.1111","volume":"102","author":[{"given":"Olena","family":"Al\u2010Shymali","sequence":"first","affiliation":[{"name":"Cornea, Cataract and Refractive Surgery Unit, Vissum (Miranza Group)  Alicante Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Cant\u00f3\u2010Cerd\u00e1n","sequence":"additional","affiliation":[{"name":"Cornea, Cataract and Refractive 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