Learn How to Choose the Right Patients — and What to Do When Things Go Wrong
Multifocal intraocular lenses (MF IOLs) promise freedom from glasses — but they demand something in return: neuroadaptation. For most patients, the brain quickly learns to process the new layered visual input. But for a few, the journey is anything but smooth. Visual disturbances, dissatisfaction, and even regret can follow a seemingly perfect surgery. What went wrong?
The truth is, success with MF IOLs isn’t just about the eye — it’s about the brain. And choosing the right patient is everything.
DO look beyond the biometry. Personality, expectations, lifestyle, and even subtle anxiety traits can make or break adaptation. A motivated, easy-going patient with realistic goals is more likely to thrive than a perfectionist chasing crisp edges at every distance.
DON’T ignore red flags. Hyper-critical individuals, those with obsessive traits, or anyone intolerant to minor visual fluctuations may struggle. If they fixate on tiny imperfections pre-op, they’ll magnify them post-op.
DO communicate clearly. Set expectations about halos, contrast sensitivity, and the time it takes to adapt. Explain neuroadaptation up front — patients who understand it are more patient with it.
DON’T wait too long to intervene. If a patient isn’t adapting, take their complaints seriously. Sometimes reassurance and time are enough. But in rare cases, explantation may be the only solution — and delaying that decision can cost trust.
In this session, we’ll guide you through the science and psychology of MF IOL success. Learn how to identify the best candidates, manage the gray zone of neuroadaptation, and handle those rare but challenging non-adapters with confidence and empathy.
Because in the world of multifocal lenses, seeing is believing — but adapting is everything.