*3.2.2 Preoperative counseling, preoperative examination and patient selection*

Preoperative counseling and patient selection play a pivotal role in the success of pseudophakic presbyopic correction with implantation of mIOLs. It is well known that patients wishing to undergo presbyopic correction have high expectations for their visual and refractive outcome. Thus, it is common that some patients with a visual acuity of 0.0 logMAR are not fully satisfied usually due to photic phenomena at scotopic or mesopic light conditions (e.g. during nighttime driving) and difficulty in reading of very small letters or small letters under lower lighting levels. Some possible reasons of dissatisfaction are potential optical aberrations, residual astigmatism, large pupil and slow or no neuroadaptation [13]. For this reason, a good counseling and a thorough preoperative examination should be an integral part of the preoperative patient management for the best possible patient selection and determination of patient's expectations.
