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Intraocular lens correction of presbyopia

The continued development of intraocular lens (IOL) technology has led to a dramatic improvement in refractive outcomes. New and innovative ways of achieving the desired postoperative refractive goals continue to be developed. This article aims to review the currently available IOL modalities for co...

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Autores principales: Sieburth, Rebecca, Chen, Ming
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6432854/
https://www.ncbi.nlm.nih.gov/pubmed/30993062
http://dx.doi.org/10.4103/tjo.tjo_136_18
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author Sieburth, Rebecca
Chen, Ming
author_facet Sieburth, Rebecca
Chen, Ming
author_sort Sieburth, Rebecca
collection PubMed
description The continued development of intraocular lens (IOL) technology has led to a dramatic improvement in refractive outcomes. New and innovative ways of achieving the desired postoperative refractive goals continue to be developed. This article aims to review the currently available IOL modalities for correction of presbyopia at the time of cataract surgery, including reference to high-quality comparative studies, where available, and discussion of strengths as well as limitations of the currently available IOL technologies. It has been shown that multifocal compared to monofocal IOL was associated with higher rates of spectacle independence, but higher rates and severity of symptomatic glare as well as reduced contrast sensitivity. Within multifocal IOLs, diffractive compared to refractive IOLs tended to have better near vision and a lower rate of symptomatic glare. Extended depth-of-focus IOLs compared to diffractive multifocal IOL demonstrated equal or superior intermediate visual acuity, with less than or equal rates of glare. Accommodative IOLs represent a broad range of technologies that continue to develop, and new technologies offering opportunities for postoperative adjustment of refractive outcome are emerging.
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spelling pubmed-64328542019-04-16 Intraocular lens correction of presbyopia Sieburth, Rebecca Chen, Ming Taiwan J Ophthalmol Review Article The continued development of intraocular lens (IOL) technology has led to a dramatic improvement in refractive outcomes. New and innovative ways of achieving the desired postoperative refractive goals continue to be developed. This article aims to review the currently available IOL modalities for correction of presbyopia at the time of cataract surgery, including reference to high-quality comparative studies, where available, and discussion of strengths as well as limitations of the currently available IOL technologies. It has been shown that multifocal compared to monofocal IOL was associated with higher rates of spectacle independence, but higher rates and severity of symptomatic glare as well as reduced contrast sensitivity. Within multifocal IOLs, diffractive compared to refractive IOLs tended to have better near vision and a lower rate of symptomatic glare. Extended depth-of-focus IOLs compared to diffractive multifocal IOL demonstrated equal or superior intermediate visual acuity, with less than or equal rates of glare. Accommodative IOLs represent a broad range of technologies that continue to develop, and new technologies offering opportunities for postoperative adjustment of refractive outcome are emerging. Wolters Kluwer - Medknow 2019 /pmc/articles/PMC6432854/ /pubmed/30993062 http://dx.doi.org/10.4103/tjo.tjo_136_18 Text en Copyright: © 2019 Taiwan J Ophthalmol http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Review Article
Sieburth, Rebecca
Chen, Ming
Intraocular lens correction of presbyopia
title Intraocular lens correction of presbyopia
title_full Intraocular lens correction of presbyopia
title_fullStr Intraocular lens correction of presbyopia
title_full_unstemmed Intraocular lens correction of presbyopia
title_short Intraocular lens correction of presbyopia
title_sort intraocular lens correction of presbyopia
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6432854/
https://www.ncbi.nlm.nih.gov/pubmed/30993062
http://dx.doi.org/10.4103/tjo.tjo_136_18
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