Multifocal Intraocular Lenses Implantation in Presbyopia Correction. Literature Review

Author:

Pershin K. B.1ORCID,Pashinova N. F.1ORCID,Konovalova M. M.2ORCID,Tsygankov A. Yu.1ORCID,Konovalov M. E.2ORCID

Affiliation:

1. Ophthalmologic Clinic “Excimer”

2. OOO Konovalov Ophthalmologic Center

Abstract

Reduced dependence on glasses is an increasingly common expectation among those who want to take advantage of new surgical opportunities, especially for patients who lead an active lifestyle. Currently, due to the increase in the duration of active life in people over 40, there is a need for effective correction of presbyopia. Multifocal intraocular lenses are increasingly used in the treatment of presbyopia. After implantation of multifocal intraocular lenses most patients have no need for spectacle or contact vision. However, complications can affect the patient’s quality of life and level of satisfaction. The most common complications of multifocal correction are blurred vision and the presence of optical phenomena (“halo” and “glare”), associated with residual ametropia, clouding of the posterior capsule, large pupil size, anomalies of the wave front, dry eye and lens decentration. The main reasons for this are the failure to attempt to neuroadapt a patient, the dislocation of the lens, the residual refractive error and the clouding of the lens. The review presents the main features of various models of multifocal intraocular lenses, their implantation techniques, associated complications and methods for their correction. The development of multifocal correction of presbyopia and ametropia seems to be a promising direction in ophthalmic surgery.

Publisher

FSPSI SCFHHRP

Reference80 articles.

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3. Rosen E, Alio JL, Dick HB, Dell S, Slade S. Effi y and safety of multifocal intraocular lenses following cataract and refractive lens exchange: Metaanalysis of peer-reviewed publications. J Cataract Refract Surg. 2016; 42(2): 310-328. doi: 10.1016/j. jcrs.2016.01.014

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5. Pershin KB, Pashinova NF, Tsygankov AYu, Miyovich OP. The outcomes of the implantation of bifocal and trifocal IOLs for presbyopia. Kataraktalnaya i refraktsionnaya khirurgiya. 2016; 16(2): 23-29. (In Russ.).

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