[Overview of intraocular lenses with optics for correcting presbyopia].

Übersicht über Intraokularlinsen mit Presbyopie-korrigierenden Optiken.

Clinical studies Extended depth of field intraocular lenses Monofocal-plus lenses Patient-relevant outcome Trifocal lenses

Journal

Die Ophthalmologie

ISSN: 2731-7218

Titre abrégé: Ophthalmologie

Pays: Germany

ID NLM: 9918402288106676

Informations de publication

Date de publication:
09 Jul 2024

Historique:

received: 09 05 2024

accepted: 11 06 2024

revised: 10 06 2024

medline: 9 7 2024

pubmed: 9 7 2024

entrez: 9 7 2024

Statut: aheadofprint

Résumé

In recent years intraocular lenses (IOLs) for correcting presbyopia have been significantly improved and diversified. There are currently many different IOL models based on a wide variety of optical designs. The wide variety of available IOL solutions to correct presbyopia can be challenging for surgeons and patients. In everyday practice, the question is which IOL is best for which patient. This overview describes and categorizes the currently available implants. The respective optical properties are analyzed and clinical study results are discussed, in particular those evaluating visual performance and the occurrence of photic phenomena. Monofocal-plus IOLs provide improved intermediate visual acuity with optimal distant visual acuity and minimal photic phenomena. Extended depth of field (EDoF) IOLs extend the depth of field through different optical principles and provide good distant and intermediate visual acuity. Trifocal lenses enable the greatest independence from spectacles at the price of a higher probability of dysphotopsia. The selection of the most suitable IOL for correction of presbyopia requires a balance between the patient's visual needs and possible side effects. An adequate knowledge of the currently available implants allows a patient-oriented selection of IOLs. HINTERGRUND: Presbyopie-korrigierende Intraokularlinsen (IOL) habe in den letzten Jahren deutliche Fortschritte gemacht und sich diversifiziert. Heute existiert eine Vielzahl verschiedener IOL-Modelle, die auf unterschiedlichsten optischen Prinzipien basieren. Die Vielfalt der verfügbaren IOL-Lösungen zur Korrektur der Presbyopie kann für Chirurgen und Patienten herausfordernd sein. Im Alltag stellt sich die Frage, welche IOL für welchen Patienten am besten geeignet ist. Die Übersicht beleuchtet und kategorisiert die heute verfügbaren Implantate. Es werden ihre jeweiligen optischen Eigenschaften analysiert sowie klinische Studienergebnisse betrachtet, die insbesondere die Visusergebnisse und das Auftreten von photischen Phänomenen bewerten. Monofokal-Plus-Linsen bieten eine verbesserte Intermediärsehschärfe bei optimalem Fernvisus und minimalen photischen Phänomenen. Intraokularlinsen mit erweiterter Schärfentiefe (EDoF-IOL) erweitern die Schärfentiefe durch verschiedene optische Prinzipien und bieten eine gute Fern- und Intermediärsehschärfe. Die Trifokallinsen ermöglichen die größte Brillenunabhängigkeit zum Preis einer höheren Auftretenswahrscheinlichkeit von Dysphotopsien. Die Auswahl der geeignetsten IOL zur Presbyopiekorrektur erfordert die Abwägung zwischen den Sehbedürfnissen der Patienten und möglichen Nebenwirkungen. Die Vielzahl der heute verfügbaren IOL-Modelle ermöglicht bei angemessenen Kenntnissen über die Implantate eine patientenorientierte IOL-Versorgung.

Sections du résumé

BACKGROUND BACKGROUND

OBJECTIVE OBJECTIVE

The wide variety of available IOL solutions to correct presbyopia can be challenging for surgeons and patients. In everyday practice, the question is which IOL is best for which patient.

MATERIAL AND METHODS METHODS

This overview describes and categorizes the currently available implants. The respective optical properties are analyzed and clinical study results are discussed, in particular those evaluating visual performance and the occurrence of photic phenomena.

RESULTS RESULTS

Monofocal-plus IOLs provide improved intermediate visual acuity with optimal distant visual acuity and minimal photic phenomena. Extended depth of field (EDoF) IOLs extend the depth of field through different optical principles and provide good distant and intermediate visual acuity. Trifocal lenses enable the greatest independence from spectacles at the price of a higher probability of dysphotopsia.

CONCLUSION CONCLUSIONS

The selection of the most suitable IOL for correction of presbyopia requires a balance between the patient's visual needs and possible side effects. An adequate knowledge of the currently available implants allows a patient-oriented selection of IOLs.

ZUSAMMENFASSUNG UNASSIGNED

HINTERGRUND: Presbyopie-korrigierende Intraokularlinsen (IOL) habe in den letzten Jahren deutliche Fortschritte gemacht und sich diversifiziert. Heute existiert eine Vielzahl verschiedener IOL-Modelle, die auf unterschiedlichsten optischen Prinzipien basieren.

FRAGESTELLUNG UNASSIGNED

Die Vielfalt der verfügbaren IOL-Lösungen zur Korrektur der Presbyopie kann für Chirurgen und Patienten herausfordernd sein. Im Alltag stellt sich die Frage, welche IOL für welchen Patienten am besten geeignet ist.

MATERIAL UND METHODEN METHODS

Die Übersicht beleuchtet und kategorisiert die heute verfügbaren Implantate. Es werden ihre jeweiligen optischen Eigenschaften analysiert sowie klinische Studienergebnisse betrachtet, die insbesondere die Visusergebnisse und das Auftreten von photischen Phänomenen bewerten.

ERGEBNISSE UNASSIGNED

Monofokal-Plus-Linsen bieten eine verbesserte Intermediärsehschärfe bei optimalem Fernvisus und minimalen photischen Phänomenen. Intraokularlinsen mit erweiterter Schärfentiefe (EDoF-IOL) erweitern die Schärfentiefe durch verschiedene optische Prinzipien und bieten eine gute Fern- und Intermediärsehschärfe. Die Trifokallinsen ermöglichen die größte Brillenunabhängigkeit zum Preis einer höheren Auftretenswahrscheinlichkeit von Dysphotopsien.

DISKUSSION CONCLUSIONS

Die Auswahl der geeignetsten IOL zur Presbyopiekorrektur erfordert die Abwägung zwischen den Sehbedürfnissen der Patienten und möglichen Nebenwirkungen. Die Vielzahl der heute verfügbaren IOL-Modelle ermöglicht bei angemessenen Kenntnissen über die Implantate eine patientenorientierte IOL-Versorgung.

Autres résumés

Type: Publisher (ger)

Identifiants

DOI: 10.1007/s00347-024-02071-z PMID: 38980387

pubmed: 38980387

doi: 10.1007/s00347-024-02071-z

pii: 10.1007/s00347-024-02071-z

doi:

Types de publication

English Abstract Journal Article Review

Langues

ger

Sous-ensembles de citation

Informations de copyright

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[Overview of intraocular lenses with optics for correcting presbyopia].

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Auteurs

Gerd U Auffarth (GU)

Grzegorz Łabuz (G)

Ramin Khoramnia (R)

Timur M Yildirim (TM)

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