Advanced Technology IOL Cataract Surgery Optimized for Pre-existing Corneal Disease
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Purpose of Review
Discuss the management of ocular surface disease for favorable outcomes with advanced technology IOLs.
Ocular surface disease poses a challenge for favorable outcomes with advanced technology IOLs, especially given current patient expectations that glasses-free outcomes are guaranteed. Long-established and recent techniques for optimizing the ocular surface prior to cataract surgery, combined with education and careful selection of IOLs can help meet patient expectations.
Careful measurement, planning, and treatment of ocular surface disorders can enable more patients to benefit from advanced technology IOLs.
KeywordsAdvanced technology IOL Presbyopia correcting Cataract Corneal disease Corneal aberration Ocular surface Dry eye
Compliance with Ethical Standards
Conflict of Interest
John D. Sheppard reports personal fees and other from Alcon/Novartis, personal fees and other from Allergan, personal fees and other from Bausch + Lomb, personal fees and other from KALA Pharmaceuticals, personal fees from Omeros, and personal fees from Johnson & Johnson/TearScience, outside the submitted work. Sina Vahedi declares that he has no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
- 1.• Patino CM, McKean-Cowdin R, Azen SP, Allison JC, Choudhury F, Varma R, et al. Central and peripheral visual impairment and the risk of falls and falls with injury. Ophthalmology. 2010;117(2):199–206.e1 Patients with presbyopia-correcting IOLs may benefit from both cosmetic and functional improvements with increased safety compared to bifocals, which create peripheral visual distortion, thereby increasing the risk of falls. CrossRefPubMedGoogle Scholar
- 5.•• Gibbons A, Ali TK, Waren DP, Donaldson KE. Causes and correction of dissatisfaction after implantation of presbyopia-correcting intraocular lenses. Clin Ophthalmol (Auckland, NZ). 2016;10:1965 Clinical retrospective analysis of 74 eyes in 49 patients documents that residual refractive error and dry eye, both a reflection of irregular astigmatism and biometric inaccuracies, are the main sources of patient dissatisfaction with multifocal IOL surgery. CrossRefGoogle Scholar
- 6.de Silva SR, Evans JR, Kirthi V, Ziaei M, Leyland M. Multifocal versus monofocal intraocular lenses after cataract extraction. Cochrane Database Syst Rev 2016;12:CD003169.Google Scholar