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Multifocal intraocular lenses in the setting of glaucoma

Kumar, B Vineetha; Phillips, Russell Pb; Prasad, Somduttc

Current Opinion in Ophthalmology: February 2007 - Volume 18 - Issue 1 - p 62–66
doi: 10.1097/ICU.0b013e328011d108
Cataract surgery and lens implantation

Purpose of review The purpose of this review is to collate evidence and make recommendations regarding the use of multifocal intraocular lenses in patients with glaucoma.

Recent findings Multifocal intraocular implants have been in use since the 1980s. Several studies have been done comparing their advantages and disadvantages compared with conventional monofocal intraocular implants. Most of these studies have looked at patients with cataract and no ocular comorbities. Reports of their use in eyes with concurrent disease are scarce. We review the available evidence and the potential benefits and pitfalls of using multifocal intraocular lenses in glaucomatous eyes. A recently published Cochrane review identified eight trials which had stringent criteria to recruit patients. These studies excluded all patients with concurrent eye diseases. No recent publications are available specifically evaluating the use of multifocal intraocular lenses in patients with glaucoma.

Summary Firm recommendations cannot be made on the use of multifocal intraocular lenses in patients with glaucoma as large studies have not been done to evaluate their benefit. Currently, the decision of whether to use multifocal intraocular lenses in patients with glaucoma has to be made on an individual basis.

aRoyal Hallamshire Hospital, Sheffield, UK

bDepartment of Ophthalmology, Flinders Medical Centre, Adelaide, South Australia, Australia

cThe Eye Department, Wirral Hospital NHS Trust, Wirral, UK

Correspondence to Somdutt Prasad MS, FRCSEd, FRCOphth, Consultant Ophthalmologist, Wirral Hospital NHS Trust, Arrowe Park Road, Wirral CH49 5PE, UK Tel: +44 151 604 7193; fax: +44 151 604 7152; e-mail:

© 2007 Lippincott Williams & Wilkins, Inc.