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Preop chair time, neural-processing training vital for multifocal IOL patients
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BERLIN — Neural-processing training could improve visual acuity and contrast sensitivity function for unhappy patients after implantation of multifocal IOLs, according to a surgeon here.
"The neuroplasticity of the brain is highly involved in the process of adapting to this new way of using vision," Jorge L. Alió, MD, PhD, said during a symposium on multifocal IOLs at the European Society of Cataract and Refractive Surgeons meeting here.
Questions that remain open are how stable the results of neuro-vision training are, how long it should be carried out and if it also can work in single implanted eyes, Dr. Alió said.
This method could prevent explantation in quite a number of initially unhappy patients, he noted.
Residual refractive error is also an easily-managed problem that can be corrected with laser techniques, he said.
Ultimately, explantation might be needed in some cases, but waiting time, chair time with the patient, and helping the neuroadaptation process with appropriate exercises can increase the number of eventually successful procedures, he said.