Presbyopia-correcting intraocular lenses and corneal refractive procedures: a review for retinal surgeons. Retina 2014 Jun;34(6):1046-54
Date
05/23/2014Pubmed ID
24849701DOI
10.1097/IAE.0000000000000237Scopus ID
2-s2.0-84901425143 (requires institutional sign-in at Scopus site) 6 CitationsAbstract
PURPOSE: To review the specific challenges and pitfalls that vitreoretinal surgeons may face when operating on eyes with presbyopia-correcting intraocular lenses or previous corneal refractive surgery. In addition, this review aims to familiarize vitreoretinal surgeons with specifications of currently available Food and Drug Administration-approved presbyopia-correcting intraocular lenses.
METHODS: Review of current literature performed with PubMed for search terms "presbyopia," "correction," "IOL," "vitreoretinal," "challenges," and "surgical" both singly and in combination as well as closely related terms.
RESULTS AND CONCLUSION: Specific intraoperative issues with presbyopia-correcting intraocular lenses that may be encountered include peripheral visualization, condensation, lens material issues particularly with silicone oil, decentration, Z-syndrome, and foveal image displacement. Every patient undergoing retinal surgery should also be asked about previous laser-assisted in situ keratomileusis/photorefractive keratectomy because those eyes require special attention to surface hydration and care to avoid epithelial removal if possible. Intracorneal ring segments and corneal inlays can cause effects similar to those of a small pupil. However, these can be managed with thorough preoperative evaluation and various intraoperative maneuvers. In addition, retinal physicians should be aware that macular disorders, such as age-related macular degeneration, may be exacerbated by potential loss of contrast sensitivity.
Author List
Ahmad BU, Shah GK, Hardten DRAuthor
Baseer Ahmad MD Associate Professor in the Ophthalmology and Visual Sciences department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
HumansLens Implantation, Intraocular
Lenses, Intraocular
Presbyopia
Vitreoretinal Surgery