Implantation of multifocal (non-accommodative) intraocular lenses during cataract surgery

The evidence on the implantation of multifocal (non-accommodative) intraocular lenses (IOLs) during cataract surgery raises no major safety concerns. Current evidence on the procedure's efficacy shows that it can provide good near and distance vision without the need for spectacles, but this is at the risk of a variety of potential visual disturbances. Clinicians wishing to use multifocal (non-accommodative) IOL implants during cataract surgery should therefore do so with normal arrangements for clinical governance and audit, but with special arrangements for consent.

Clinicians wishing to undertake implantation of multifocal (non-accommodative) IOLs during cataract surgery should ensure that patients understand the risks of experiencing halos and glare, and the probability of reduced contrast sensitivity. Patients should also be made aware that lenses may be difficult to remove or replace. Patients should be provided with clear written information. In addition, the use of NICE's information for the public is recommended.

Patient selection should take into account factors that may prevent patients from wearing spectacles, such as disabilities that interfere with spectacle use, because these may be additional indications for the use of multifocal lenses.