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Presbyopia-correcting intraocular lenses

Buznego, Carlos; Trattler, William B

Current Opinion in Ophthalmology: January 2009 - Volume 20 - Issue 1 - p 13–18
doi: 10.1097/ICU.0b013e32831c4cf5
Cataract surgery and lens implantation: Edited by Mark Packer

Purpose of review Multifocal and accommodating intraocular lenses (IOLs) were introduced 2 decades ago and have gone through several iterations. This technology has allowed ophthalmologists to provide their cataract surgery patients with a broader range of visual function. The purpose of this article is to discuss the currently available presbyopia-correcting IOLs, the role of patient selection, and future technologies.

Recent findings Newer versions of both the multifocal and accommodating IOLs offer better vision at distance, intermediate, and near than their predecessors. The procedure remains attractive for patients with cataracts or those who are too hyperopic for corneal surgery. However, following successful implantation of the latest generation of lenses, some patients are still not completely satisfied with their visual results. Additional procedures, such as yttrium aluminum garnet (YAG) capsulotomies or reduction of astigmatism and refractive error or both, may be required to increase patient satisfaction.

Summary Experience has shown us that the majority of patients who present with cataracts are potential candidates for multifocal or accommodating IOLs. Familiarity with accommodative and multifocal lenses, in conjunction with careful patient selection, maximizes surgical success in this challenging group of surgical patients.

Center for Excellence in Eyecare, Miami, Florida, USA

Correspondence to Carlos Buznego, MD, President, Center for Excellence in Eye Care, 8940 North Kendall Drive, Suite 400E, Miami, FL 33176, USA Tel: +1 305 598 2020; fax: +1 305 274 0426; e-mail:

© 2009 Lippincott Williams & Wilkins, Inc.