Microsurgical instruments have revolutionized how ophthalmologists perform procedures. One procedure that has gained particular benefit from the evolution of ophthalmic tools is IOL explantation.
I have long been an advocate of giving patients the best possible uncorrected distance vision with toric IOLs.
Findings from a pilot study show that a novel accommodative intraocular lens (AIOL, Lumina, Akkolens) provides a true accommodative response that is maintained for at least 2 years and preserved following Nd:YAG laser capsulotomy.
In a well-matched sample group, patients with higher levels of postoperative astigmatism reported a greater improvement in quality of life and a greater rate of willingness to have the procedure again if they received an Extended Depth of Focus IOL compared to patients receiving a low-add, multifocal IOL, despite similar postoperative clinical and patient reported performance.
Surgeons work hard to get happy patients, and satisfied patients spread the word and refer their friends. They don't need extra post-op visits, and can return yearly to see their referring doctor. Selecting the best presbyopia-correcting IOL for a patient is critical and depends on methodical, preoperative decision-making.
Findings of a study determining the prediction error in the magnitude of residual astigmatism after cataract surgery with a toric intraocular lens (IOL) suggest that use of intraoperative wavefront aberrometry for toric power selection could enhance the refractive outcome in a large subset of eyes.
Steven Vold, MD, reports that toric IOLs provide an accurate, safe, and convenient way to correct astigmatism and uncorrected distance vision for glaucoma patients, while patients wanting presbyopic correction have IOL options to fit a range of visual needs.
Surgeons must carefully consider the etiology of any irregular astigmatism when deciding on treatments, according to Thomas Kohnen, MD.