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Personalized Medicine pp 231–240Cite as

Implantation of Toric Intraocular Lenses: Personalized Surgery on the Lens

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Part of the book series: Europeanization and Globalization ((EAG,volume 2))

Abstract

One of the most widely performed surgical procedures nowadays is cataract surgery combined with monofocal intraocular lens implantation (IOL). Monofocal IOLs are able to compensate for the spherical refractive error but not astigmatism. Thus, patients with astigmatism are unable to see well after surgery without spectacles. New generation of IOLs, called toric IOLs, improve uncorrected visual acuity in eyes with high astigmatism due to a specific lens design. The amount and the axis of astigmatism in each particular eye is specific; thus, toric IOL has to be produced individually, making cataract surgery in patients with astigmatism a personalized one. Additional problem with monofocal IOLs in all cataract cases (including those with astigmatism) is presbyopia. With monofocal lenses, only the distance vision is fully corrected and every patient has to wear spectacles for near vision. Optical design of IOLs with more foci, so-called multifocal IOLs, enables patients to see well both at a distance and near. When first models of toric bifocal and trifocal IOLs were invented, combined refractive errors (myopia, hyperopia, or presbyopia with astigmatism) could also be successfully corrected. Toric multifocal IOLs are again produced as personalized lens since the amount and angle of astigmatism is different in each eye. A truly exciting new era has started in the field of ophthalmology, enabling the surgeon to provide patients with specific needs with an intraocular lens produced specifically for them and thus to fully correct patient vision at all distances.

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Notes

  1. 1.

    Agresta et al. (2012).

  2. 2.

    Ueno et al. (2014).

  3. 3.

    Visser et al. (2013).

  4. 4.

    Pérez-Vives et al. (2014a).

  5. 5.

    Carones et al. (2014).

  6. 6.

    Sheppard et al. (2013).

  7. 7.

    Vojniković et al. (2013).

  8. 8.

    Lyall et al. (2014).

  9. 9.

    Parikakis et al. (2013).

  10. 10.

    Zvornicanin et al. (2014).

  11. 11.

    Wade et al. (2014).

  12. 12.

    Pérez-Vives et al. (2014b).

  13. 13.

    Brandlhuber et al. (2014).

  14. 14.

    Barišić et al. (2008).

  15. 15.

    Belluci et al. (2013).

  16. 16.

    Alfonso et al. (2014).

  17. 17.

    Visser et al. (2011).

  18. 18.

    Liekfeld et al. (2010).

  19. 19.

    Barišić et al. (2010).

  20. 20.

    Mozayan and Lee (2014).

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Authors and Affiliations

  1. Specialty Eye Hospital ‘Svjetlost’, Zagreb, Croatia

    Iva Dekaris M.D., Ph.D., Nikica Gabrić M.D., Ph.D., Ante Barišić M.D. & Alma Biščević M.D.

  2. Department of Ophthalmology, University of Rijeka, Rijeka, Croatia

    Iva Dekaris M.D., Ph.D. & Nikica Gabrić M.D., Ph.D.

Authors
  1. Iva Dekaris M.D., Ph.D.
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  2. Nikica Gabrić M.D., Ph.D.
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  3. Ante Barišić M.D.
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  4. Alma Biščević M.D.
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Correspondence to Iva Dekaris M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. Jean Monnet Department of European Public Law, University of Rijeka, Rijeka, Croatia

    Nada Bodiroga-Vukobrat

  2. Croatian Academy of Sciences and Arts, Rijeka, Croatia

    Daniel Rukavina

  3. Department of Biotechnology, University of Rijeka , Rijeka, Croatia

    Krešimir Pavelić

  4. University of Applied Sciences, Hochschule für öffentliche Verwaltung und Finanzen Ludwigsburg, Ludwigsburg, Germany

    Gerald G. Sander

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Dekaris, I., Gabrić, N., Barišić, A., Biščević, A. (2016). Implantation of Toric Intraocular Lenses: Personalized Surgery on the Lens. In: Bodiroga-Vukobrat, N., Rukavina, D., Pavelić, K., Sander, G. (eds) Personalized Medicine. Europeanization and Globalization, vol 2. Springer, Cham. https://doi.org/10.1007/978-3-319-39349-0_11

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  • DOI: https://doi.org/10.1007/978-3-319-39349-0_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-39347-6

  • Online ISBN: 978-3-319-39349-0

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