Adjustable IOL is one step closer to ideal lens implant

May 15, 2003
Mark Packer, MD,FACS

Dr. Packer, is co-editor of Cataract Corner. He is assistant clinical professor of ophthalmology at Oregon Health & Science University and in private practice in Eugene.

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I. Howard Fine, MD

Dr. Fine is clinical professor of ophthalmology at Casey Eye Institute, Oredon Health & Science University and founding member of his practice, Oregon Eye Associates, Eugene.

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Richard S. Hoffman, MD

Dr. Hoffman is co-editor of Cataract Corner. He is a clinical associate professor of ophthalmology at Oregon Health & Science University and is in private practice in Eugene.

Columbus, OH-Age-adjusted approaches are needed for the evaluation and management of suspected orbital fracture in pediatric patients because children are different from adults, according to JDespite the introduction of more accurate IOL formulas and biometry instrumentation, cataract and refractive lens surgery have yet to achieve the ophthalmologist's ideal of perfect emmetropia in all cases.1-5 This limitation stems from occasional inaccuracies in keratometry and axial length measurements, an inability to assess the final position of the pseudophakic implant accurately in a fibrosing capsular bag, and the difficulty of completely eliminating pre-existing astigmatism despite the use of limbal relaxing incisions and toric IOLs.6,7 A new lens technology offers the hope of taking ophthalmologists one step closer to achieving emmetropia in all cases and also perhaps further improving the final result by addressing higher-order optical aberrations.