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This review synthesizes presbyopia-correcting IOL technologies, explaining optical principles, design evolution, and clinical performance, while analyzing multifactorial dissatisfaction drivers. Key causes include optical phenomena (glare, halos, reduced contrast), ocular comorbidities (dry eye, corneal irregular astigmatism, glaucoma, macular pathology), surgical variables (IOL centration, pupil size, biometry accuracy), and patient-related factors (expectations, lifestyle, psychological disposition). Evidence-based strategies emphasize preoperative screening, personalized selection, and counseling to align expectations. Emerging multifocal-EDOF approaches may reduce visual disturbances while preserving vision range, supporting better real-world outcomes.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/factors-affecting-postoperative-satisfaction-after-presbyopia-correcting-intraocular-lens-review/461517/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/factors-affecting-postoperative-satisfaction-after-presbyopia-correcting-intraocular-lens-review/461517.png","ImageObject",300,407,{"name":92,"@type":93},"Mafia Boss","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-08","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why does postoperative satisfaction after presbyopia-correcting IOL surgery vary?","Question",{"text":112,"@type":113},"Satisfaction varies due to multifactorial optical, ocular, surgical, and psychosocial influences. Optical trade-offs such as glare, halos, and reduced contrast sensitivity, combined with patient factors, can affect perceived outcomes.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What optical problems commonly contribute to postoperative dissatisfaction?",{"text":117,"@type":113},"Optical issues include glare, halos, and decreased contrast sensitivity. These photic phenomena can be especially problematic under low-light conditions.",{"name":119,"@type":110,"acceptedAnswer":120},"How can clinicians improve postoperative satisfaction?",{"text":121,"@type":113},"Improvement strategies include rigorous preoperative screening for ocular surface disease and optical aberrations, personalized lens selection based on anatomical and functional criteria, and thorough patient counseling to align expectations with achievable results.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},461517,1791048369,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},962090760730,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Review  \nFactors Affecting Postoperative Satisfaction After PresbyopiaCorrecting Intraocular Lens  \nChoul Yong Park  \nAcademic Editor: Yoshihiro Takamura  \nReceived: 20 November 2025  \nRevised: 18 December 2025  \nAccepted: 23 December 2025  \nPublished: 2 January 2026  \nCopyright: © 2026 by the author. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.  \nDepartment of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Republic of Korea; [oph0112@gmail.com](oph0112@gmail.com)  \nAbstract  \nPresbyopia-correcting IOLs have revolutionized cataract surgery by enabling functional vision across multiple focal distances, thereby reducing dependence on spectacles. These lenses—ranging from multifocal to extended depth-of-focus (EDOF) and hybrid designs—incorporate advanced optical technologies to address the limitations of traditional monofocal IOLs. Despite their clinical promise, patient satisfaction remains variable, with a substantial subset experiencing postoperative visual discomfort. This review provides a comprehensive overview of presbyopia-correcting IOL technologies, detailing their optical principles, design evolution, and clinical performance. It further analyzes the multifactorial causes of postoperative dissatisfaction, which include optical phenomena such as glare, halos, and reduced contrast sensitivity; ocular comorbidities like dry eye disease, corneal irregular astigmatism, glaucoma, and macular pathology; and surgical variables including IOL centration, pupil size, and biometry accuracy. Additionally, nonphysiological factors—such as patient expectations, lifestyle demands, and psychological disposition—play a critical role in perceived outcomes. To address these challenges, thereview explores evidence-based strategies for improving satisfaction. These include rigorous preoperative screening for ocular surface disease and aberrations, personalized lens selection based on anatomical and functional criteria, and thorough patient counseling to align expectations with achievable results. Emerging IOL designs that blend multifocal and EDOF features offer promising avenues for minimizing visual disturbances while preserving range of vision. By integrating optical innovation with individualized clinical care, ophthalmologists can enhance postoperative outcomes and optimize real-world satisfaction with presbyopia-correcting IOLs.  \nKeywords: presbyopia; intraocular lens; cataract; multifocal; satisfaction; EDOF  \n1. Introduction  \nThe global population is aging, and demand for presbyopia-correcting intraocular lenses (IOL) has grown accordingly [1] . Traditional monofocal intraocular lenses (IOLs) restore distance vision, whereas modern presbyopia-correcting IOLs aim to provide functional vision for near, intermediate, and distance tasks [2,3] . Advances in optical design, materials, and manufacturing have driven a transition from simple bifocal concepts to multifocal, extended depth-of-focus (EDOF), hybrid, and accommodating designs, meeting patients’ needs for spectacle independence in everyday activities such as reading, computer work, and smartphone use [2–5] .  \nPresbyopia correction began with focal-splitting designs that created discrete distance and near foci [4] . Later generations added apodization, refined diffractive profiles, aspheric  \nand chromatic aberration compensation, and toric options for astigmatism [4,5] . Recent innovations emphasize continuous or broadened focal ranges via wavefront engineering [6] and free-form diffractive surfaces, [7] and hybrid lenses that merge multifocality with EDOF features have emerged to balance near acuity with intermediate performance [8–10] . Improvements in biocompatible acrylics, edge design, and surface treatments have enhanced optical quality and mitigated some adverse effects [9] .  \nDespite their capacit","cbCaialDzEL6ipIc","https://ap.wps.com/l/cbCaialDzEL6ipIc","pdf",1179812,25,"English","# Introduction\n## Background and lens evolution\n## Satisfaction variability and key determinants\n# Presbyopia-Correcting IOLs","[{\"question\":\"Why does postoperative satisfaction after presbyopia-correcting IOL surgery vary?\",\"answer\":\"Satisfaction varies due to multifactorial optical, ocular, surgical, and psychosocial influences. Optical trade-offs such as glare, halos, and reduced contrast sensitivity, combined with patient factors, can affect perceived outcomes.\"},{\"question\":\"What optical problems commonly contribute to postoperative dissatisfaction?\",\"answer\":\"Optical issues include glare, halos, and decreased contrast sensitivity. These photic phenomena can be especially problematic under low-light conditions.\"},{\"question\":\"How can clinicians improve postoperative satisfaction?\",\"answer\":\"Improvement strategies include rigorous preoperative screening for ocular surface disease and optical aberrations, personalized lens selection based on anatomical and functional criteria, and thorough patient counseling to align expectations with achievable results.\"}]","Factors Affecting Postoperative Satisfaction After Presbyopia-Correcting Intraocular Lens - Review | PDF",1790761773,63]