{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T10:47:22Z","timestamp":1782730042501,"version":"3.54.5"},"reference-count":26,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2022,3,26]],"date-time":"2022-03-26T00:00:00Z","timestamp":1648252800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"publisher","award":["NRF-2017R1D1A1B03031577"],"award-info":[{"award-number":["NRF-2017R1D1A1B03031577"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Multifocal intraocular lenses (MF-IOLs) are increasingly implanted as the need for good near- and intermediate-distance vision increases. Although retinal disease is known to be a relative contraindication for MF-IOL implantation, there are no detailed guidelines for MF-IOL implantation with respect to the type and severity of retinal diseases\/statuses. In this study, because retinal diseases can affect the performance of MF-IOLs, we analyzed the opinions of 111 retinal specialists, who were members of the Korean Retina Society, on the implantation of diffractive MF-IOLs in eyes with 15 retinal diseases\/statuses using a web-based survey. For each underlying condition, retinal specialists were asked to rate their approval regarding implantation of MF-IOLs on a scale from 1 (completely disapprove) to 7 (completely approve), under the assumption that there were no known contraindications except for a given retinal disease\/status. As a result, retinal specialists disapproved MF-IOL implantation (median value of Likert score &lt; 4) in the eyes with wet age-related macular degeneration, dry age-related macular degeneration with geographic atrophy, proliferative diabetic retinopathy, nonproliferative diabetic retinopathy with macular edema, previous macula-off retinal detachment, previous retinal vein occlusion, and epiretinal membrane, but the scores varied by disease\/status. The factors that affected the specialists\u2019 opinions were the type of practice and the frequency of MF-IOL implantation (p = 0.013 and p = 0.021, respectively; one-way ANOVA).<\/jats:p>","DOI":"10.3390\/jcm11071836","type":"journal-article","created":{"date-parts":[[2022,3,27]],"date-time":"2022-03-27T21:27:51Z","timestamp":1648416471000},"page":"1836","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Analysis of Korean Retinal Specialists\u2019 Opinions on Implanting Diffractive Multifocal Intraocular Lenses in Eyes with Underlying Retinal Diseases"],"prefix":"10.3390","volume":"11","author":[{"given":"Jung-Hwa","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, HanGil Eye Hospital, 35 Bupyeong-daero, Bupyeong-gu, Incheon 21388, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingui","family":"Kong","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, HanGil Eye Hospital, 35 Bupyeong-daero, Bupyeong-gu, Incheon 21388, Korea"},{"name":"Department of Ophthalmology, Catholic Kwandong University College of Medicine, 24 Beomil-ro 579 beon-gil, Gangneung-si 25601, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joon-Hong","family":"Sohn","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, HanGil Eye Hospital, 35 Bupyeong-daero, Bupyeong-gu, Incheon 21388, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beom-Jin","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, HanGil Eye Hospital, 35 Bupyeong-daero, Bupyeong-gu, Incheon 21388, Korea"},{"name":"Department of Ophthalmology, Catholic Kwandong University College of Medicine, 24 Beomil-ro 579 beon-gil, Gangneung-si 25601, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kee-Yong","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, HanGil Eye Hospital, 35 Bupyeong-daero, Bupyeong-gu, Incheon 21388, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9018-8216","authenticated-orcid":false,"given":"Sang-Mok","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, HanGil Eye Hospital, 35 Bupyeong-daero, Bupyeong-gu, Incheon 21388, Korea"},{"name":"Department of Ophthalmology, Catholic Kwandong University College of Medicine, 24 Beomil-ro 579 beon-gil, Gangneung-si 25601, Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,3,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"3439","DOI":"10.2147\/OPTH.S269597","article-title":"Patient and Economic Burden of Presbyopia: A Systematic Literature Review","volume":"14","author":"Berdahl","year":"2020","journal-title":"Clin. Ophthalmol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1046","DOI":"10.1097\/IAE.0000000000000237","article-title":"Presbyopia-correcting intraocular lenses and corneal refractive procedures: A review for retinal surgeons","volume":"34","author":"Ahmad","year":"2014","journal-title":"Retina"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1016\/j.jcrs.2016.01.036","article-title":"Preoperative macular spectral-domain optical coherence tomography in patients considering advanced-technology intraocular lenses for cataract surgery","volume":"42","author":"Klein","year":"2016","journal-title":"J. Cataract Refract. Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"451","DOI":"10.3341\/kjo.2019.0064","article-title":"Cataract Surgery Practices in the Republic of Korea: A Survey of the Korean Society of Cataract and Refractive Surgery 2018","volume":"33","author":"Chung","year":"2019","journal-title":"Korean J. Ophthalmol."},{"key":"ref_5","unstructured":"(2022, March 22). Health Insurance Review & Assessment Service. Available online: https:\/\/www.hira.or.kr\/bbsDummy.do?pgmid=HIRAA020004000000&brdScnBltNo=4&brdBltNo=11292&pageIndex=1."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1016\/j.jcrs.2012.12.002","article-title":"Multifocal intraocular lenses in cataract surgery: Literature review of benefits and side effects","volume":"39","author":"Nuijts","year":"2013","journal-title":"J. Cataract Refract. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1007\/s00417-020-04603-0","article-title":"Multifocal intraocular lenses and retinal diseases","volume":"258","author":"Grzybowski","year":"2020","journal-title":"Graefes Arch. Clin. Exp. Ophthalmol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1530","DOI":"10.1136\/bjophthalmol-2015-307135","article-title":"Objective and subjective visual quality after implantation of all optic zone diffractive multifocal intraocular lenses: A prospective, case-control observational study","volume":"100","author":"Chen","year":"2016","journal-title":"Br. J. Ophthalmol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1111\/j.1442-9071.2004.00842.x","article-title":"Systemic and ocular comorbidity of cataract surgical patients in a western Sydney public hospital","volume":"32","author":"Pham","year":"2004","journal-title":"Clin. Exp. Ophthalmol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1136\/bjo.86.2.185","article-title":"The Auckland cataract study: Co-morbidity, surgical techniques, and clinical outcomes in a public hospital service","volume":"86","author":"Riley","year":"2002","journal-title":"Br. J. Ophthalmol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/S0161-6420(03)00862-5","article-title":"Visual performance with multifocal intraocular lenses: Mesopic contrast sensitivity under distance and near conditions","volume":"111","author":"Espana","year":"2004","journal-title":"Ophthalmology"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"15490","DOI":"10.1038\/s41598-020-72473-x","article-title":"Comparison of visual performance between monofocal and multifocal intraocular lenses of the same material and basic design","volume":"10","author":"Tanabe","year":"2020","journal-title":"Sci. Rep."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"2020","DOI":"10.1016\/j.ophtha.2006.05.047","article-title":"Cataract surgery and the 10-year incidence of age-related maculopathy: The Blue Mountains Eye Study","volume":"113","author":"Cugati","year":"2006","journal-title":"Ophthalmology"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.jcrs.2013.12.011","article-title":"Multifocal intraocular lenses: Relative indications and contraindications for implantation","volume":"40","author":"Chang","year":"2014","journal-title":"J. Cataract Refract. Surg."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"ORSF5","DOI":"10.1167\/iovs.13-12789","article-title":"The prevalence of age-related eye diseases and visual impairment in aging: Current estimates","volume":"54","author":"Klein","year":"2013","journal-title":"Investig. Ophthalmol. Vis. Sci."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1016\/j.survophthal.2017.03.005","article-title":"Multifocal intraocular lenses: An overview","volume":"62","author":"Alio","year":"2017","journal-title":"Surv. Ophthalmol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1048","DOI":"10.1016\/j.jcrs.2008.01.031","article-title":"Intraoperative findings during vitreous surgery after implantation of diffractive multifocal intraocular lens","volume":"34","author":"Kawamura","year":"2008","journal-title":"J. Cataract Refract. Surg."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1239","DOI":"10.1016\/j.jcrs.2009.04.016","article-title":"Wavy horizontal artifacts on optical coherence tomography line-scanning images caused by diffractive multifocal intraocular lenses","volume":"35","author":"Inoue","year":"2009","journal-title":"J. Cataract Refract. Surg."},{"key":"ref_19","first-page":"467","article-title":"Diffractive multifocal intraocular lens interferes with intraoperative view","volume":"4","author":"Yoshino","year":"2010","journal-title":"Clin. Ophthalmol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1007\/s10792-014-0016-8","article-title":"The impact of multifocal intraocular lens in retinal imaging with optical coherence tomography","volume":"35","author":"Costa","year":"2015","journal-title":"Int. Ophthalmol."},{"key":"ref_21","first-page":"1008","article-title":"Retinal detachment repair through multifocal intraocular lens- overcoming visualization challenge of the peripheral retina","volume":"10","author":"Hadayer","year":"2017","journal-title":"Int. J. Ophthalmol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"3279","DOI":"10.2147\/OPTH.S272341","article-title":"Suitability of Different Observational Lenses for Viewing the Macular Area Through Multifocal Intraocular Lenses in a Model of the Human Eye","volume":"14","author":"Watanabe","year":"2020","journal-title":"Clin. Ophthalmol."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Lee, J.Y., Joo, K., Park, S.J., Woo, S.J., and Park, K.H. (2021). Epiretinal membrane surgery in patients with multifocal versus monofocal intraocular lenses. Retina.","DOI":"10.1097\/IAE.0000000000003255"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1097\/IJG.0000000000001743","article-title":"Impact of Trifocal and Trifocal Toric Intraocular Lenses on Spectral-domain OCT Retinal Measurements","volume":"30","author":"Contreras","year":"2021","journal-title":"J. Glaucoma"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1016\/j.ajo.2014.04.017","article-title":"Reduction in mean deviation values in automated perimetry in eyes with multifocal compared to monofocal intraocular lens implants","volume":"158","author":"Farid","year":"2014","journal-title":"Am. J. Ophthalmol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1635","DOI":"10.1038\/s41433-019-0460-9","article-title":"Which intraocular lens would ophthalmologists choose for themselves?","volume":"33","author":"Logothetis","year":"2019","journal-title":"Eye"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/11\/7\/1836\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:43:47Z","timestamp":1760136227000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/11\/7\/1836"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3,26]]},"references-count":26,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2022,4]]}},"alternative-id":["jcm11071836"],"URL":"https:\/\/doi.org\/10.3390\/jcm11071836","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3,26]]}}}