Relations between patient personality and patients‘ dissatisfaction after multifocal intraocular lens implantation: clinical study based on the five factor inventory personality evaluation

Abstract

To assess the level of visual function and the influence of personality traits on patients' (pts) satisfaction with the visual function following the four different MIOL implantation. Methods We evaluated the visual outcomes over a 6 months follow-up period after cataract surgery with bilateral implantation of four different multifocal IOLs. The spectacle independence, photic phenomena, the influence of personality traits on patients' satisfaction with the visual function were assessed. Results A total of 170 eyes of 85 pts were included. There was no statistically significant difference in UDVA (F = 1.6 p = 0.177) and CNVA (F = 1.2 p = 0.30) between the groups 6 months after the surgery. The ReSTOR group had a worse CDVA than the M-flex (p = 0.019) and TECNIS (p = 0.005) groups. The ReSTOR and AT.LISAtri groups had a statistically significantly better UNVA than the M-flex (p = 0.020 and p = 0.013) and TECNIS groups (p = 0.001 both). The independence on spectacles for near distance was from 71.8% (in M-flex group) to 100% (in ReSTOR). The answers of the pts with the prevailing neurotic personality type contradicted the answers given by the pts with other prevailing personality types (p < 0.01). Conclusions MIOL implantation helped ensure better postoperative visual acuity, but some pts were unhappy with the postoperative outcomes. It was established that the subjective satisfaction or dissatisfaction of patients after MIOL implantation is related to certain personality traits: pts with neuroticism as the dominant personality trait were least happy with the postoperative outcomes; pts with conscientiousness and agreeableness as dominant personality traits demonstrated the highest satisfaction with the postoperative outcomes.

Diffractive optic intraocular lens exchange: indications and outcomes

“…However, there is also evidence that not all patients fare well with lenses of this type because of the basic physics of diffractive optics, ocular comorbidities, lifestyle vision requirements, and personality type. [4][5][6][7][8] As IOLs with diffractive optics split light energy, there is an inherent reduction in contrast sensitivity that could reduce vision quality, particularly in eyes with corneal or macular comorbidities. In fact, a 2014 report from the Japanese Society of Cataract and Refractive Surgery revealed a marked increase in contrast sensitivity across all frequencies when mIOLs were exchanged for monofocal lenses.…”

Personality characteristics associated with satisfaction with healthcare and the wish to complain

“…In a study in patients with localized prostate cancer, Block et al found a negative correlation between openness scores and satisfaction and a positive correlation between conscientiousness scores and satisfaction [ 15 ]. Furthermore, in a newer study of patients' satisfaction with the visual function following cataract surgery, Rudalevicius et al found patients with neuroticism as their dominant personality trait were least happy with postoperative outcomes while those whose dominant personality traits were high conscientiousness and agreeableness demonstrated the highest satisfaction [ 30 ].…”

Pseudophakic Presbyopic Corrections

“…• Personality: Surgeons should be cautious about selecting patients with a type A personality. Specifically, patients with neurotic personality traits are less likely to be satisfied with the postoperative outcome in comparison with patients whose dominant personality trait is conscientiousness and agreeableness [73]. Additionally, the personality characteristics of compulsive checking, orderliness, competence, and dutifulness have found to be related to subjective disturbance by glare and halos [74].…”