Intraocular lens choices for patients with glaucoma

Teichman, Joshua C.; Ahmed, Iqbal Ike K.

doi:10.1097/icu.0b013e3283365154

Cited by 32 publications

(22 citation statements)

References 159 publications

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“…Patients with glaucomatous optic neuropathy considering implantation of a multifocal intraocular lens should be informed of the risk of reduced contrast sensitivity. 576 (III, good quality, strong recommendation) It is important to establish preoperative and baseline documentation of ONH status and visual field to facilitate subsequent glaucoma management.…”

Section: Counseling and Referralmentioning

confidence: 99%

Primary Open-Angle Glaucoma Preferred Practice Pattern® Guidelines

et al. 2016

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Section: Counseling and Referralmentioning

confidence: 99%

Primary Open-Angle Glaucoma Preferred Practice Pattern® Guidelines

et al. 2016

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“…Furthermore, the lack of evidence of outcomes with any ocular comorbidity should make surgeons cautious when choosing advanced technology IOLs. 19 , 20 Another 8% of patients had intraoperative complications that, even though managed appropriately, should have made the surgeon consider the possibility of implanting a monofocal IOL. In the literature, sulcus placement of multifocal IOLs results in a 27% rate of glare and haloes.…”

Section: Discussionmentioning

confidence: 99%

Causes and correction of dissatisfaction after implantation of presbyopia-correcting intraocular lenses

Gibbons¹,

Ali²,

Waren³

et al. 2016

OPTH

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PurposeThe purpose of this study was to assess the causes and possible solutions for patient dissatisfaction after the implantation of presbyopia-correcting intraocular lenses (IOLs).MethodsThis study was a retrospective review of clinical records. All patients who were seen between January 2009 and December 2013 whose primary reason for consultation was dissatisfaction with visual performance after presbyopia-correcting IOL implantation were included in the study. A single treating physician, who determined the most probable cause of dissatisfaction, decided which interventions to pursue following the initial consultation.ResultsData from 74 eyes of 49 patients were analyzed. The most common cause for complaint was blurry or foggy vision both for distance and near (68%). Complaints were most frequently attributed to residual refractive error (57%) and dry eye (35%). The most common interventions pursued were treatment of refractive error with glasses or contact lenses (46%) and treatment for dry eye (24%). Corneal laser vision correction was done in 8% of eyes; 7% required an IOL exchange. After the interventions, 45% of patients had completed resolution of symptoms, 23% of patients were partially satisfied with the results, and 32% remained completely dissatisfied with the final results.ConclusionThe most identifiable causes of dissatisfaction after presbyopia-correcting IOL implantation are residual refractive error and dry eye. Most patients can be managed with conservative treatment, though a significant number of patients remained unsatisfied despite multiple measures.

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“…Thus, if an IOL can correct for the corneal spherical aberration, which is similar to the role of the crystalline lens in a young eye, contrast sensitivity would increase. 50 Aspheric IOLs may not correct for the reduced contrast sensitivity from glaucoma but may have less wavefront aberration compared to nonaspheric IOLs.…”

Section: Choice Of Iol For Glaucoma Patientsmentioning

confidence: 98%

Management of Cataracts in Patients With Glaucoma

Law¹,

Riddle²

2011

International Ophthalmology Clinics

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The management of the glaucoma patient who has visually significant cataracts is a practical but complex topic. As glaucoma is a chronic, potentially progressive disease that can lead to irreversible blindness, ophthalmologists should develop a treatment approach with emphasis based on the severity of glaucoma rather than on cataract alone. Trabeculectomy remains an effective surgical choice, especially in glaucoma patients with advanced disease who require a low and steady IOP. In planning for cataract surgery, surgeons should be mindful of the alterations of astigmatism in terms of power and axis, axial length fluctuation as a result of trabeculectomy, and the relative position of the IOL after surgery. As glaucoma is a potentially progressive disease, surgeons who treat patients with coexistent glaucoma and cataracts must consider that future glaucoma surgery may be necessary when planning for the cataract surgery. A complete discussion of alternatives would go beyond the limited scope of this study. Regardless of the procedures used, the surgeon should consider the secondary effects of both glaucoma surgery and cataract surgery and their impact on each other when developing an individualized treatment plan.

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Intraocular lens choices for patients with glaucoma

Abstract: Although there are challenges in performing cataract surgery in patients with glaucoma, excellent outcomes may be obtained with proper preoperative planning, meticulous intraoperative technique, and appropriate selection of IOL design.

Cited by 32 publications

References 159 publications

Primary Open-Angle Glaucoma Preferred Practice Pattern® Guidelines

Primary Open-Angle Glaucoma Preferred Practice Pattern® Guidelines

Causes and correction of dissatisfaction after implantation of presbyopia-correcting intraocular lenses

Management of Cataracts in Patients With Glaucoma

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