Criteria for premium intraocular lens patient selection.

IF 3 2区医学 Q1 OPHTHALMOLOGY Current Opinion in Ophthalmology Pub Date : 2024-09-01 Epub Date: 2024-06-13 DOI:10.1097/ICU.0000000000001067

Jacqueline L Chen, Zaina N Al-Mohtaseb, Allison J Chen

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Abstract

Purpose of review: To discuss available premium intraocular lenses (IOLs), patient selection, and important considerations for each premium IOL.

Recent findings: We review important topics and considerations for premium IOL selection: specifically, toric, extended depth of focus (EDOF), multifocal/trifocal, light adjustable lenses (LALs), and small aperture IOLs. Toric lenses are an excellent option for patients with astigmatism. However, to achieve optimal patient satisfaction, it is critical to account for the ATR astigmatism contribution from the posterior cornea and high angle alphas. Additionally, examining the ocular surface prior to placement of EDOF/multifocal IOLs is important, yet the significance of HOAs on outcomes after implantation still must be elucidated more. Finally, recent studies reveal that the small aperture lens is a good alternative for those with corneal irregularities, and second generation LALs are a great option to achieve target refractions in those with less predictable refractive outcomes, such as in Fuchs' dystrophy or in eyes with previous refractive surgery.

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选择优质眼内透镜患者的标准。

综述目的：讨论现有的优质眼内人工晶体（IOL）、患者选择以及每种优质人工晶体的重要注意事项：我们回顾了选择优质人工晶体的重要主题和注意事项：特别是散光、延长焦距深度 (EDOF)、多焦点/三焦点、光调节镜片 (LAL) 和小孔径人工晶体。散光镜片是散光患者的最佳选择。然而，要达到最佳的患者满意度，关键是要考虑到后角膜和高角alphas造成的ATR散光。此外，在植入 EDOF/多焦 IOL 之前检查眼表也很重要，但仍需进一步阐明 HOAs 对植入后疗效的影响。最后，最近的研究表明，对于角膜不规则的患者来说，小孔径人工晶体是一个很好的选择，而对于那些屈光结果不那么容易预测的患者，例如福氏角膜营养不良症患者或曾经接受过屈光手术的患者来说，第二代 LALs 是实现目标屈光度的一个很好的选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Ophthalmology 医学-眼科学

CiteScore

6.80

自引率

5.40%

发文量

120

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Ophthalmology is an indispensable resource featuring key up-to-date and important advances in the field from around the world. With renowned guest editors for each section, every bimonthly issue of Current Opinion in Ophthalmology delivers a fresh insight into topics such as glaucoma, refractive surgery and corneal and external disorders. With ten sections in total, the journal provides a convenient and thorough review of the field and will be of interest to researchers, clinicians and other healthcare professionals alike.

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