Cataract Surgery

New IOL category offers more natural range of visionThere are a number of ways to improve near vision for presbyopes, including multifocal intraocular lenses (IOLs)–traditional or low add–and pseudoaccommodative IOLs. It has been well documented that a small pupil and higher order aberrations, such as spherical aberration (SA) or coma, can increase depth of focus.
12-month results with small-aperture IOL providing patients with an extended range of visionThe IC-8 IOL (AcuFocus) is one of the new class of extended-depth-of-focus (EDOF) IOLs that is definitively altering the landscape of cataract surgery in Europe and around the world. Whereas monofocal and multifocal lenses have one or two distinct focal points, an EDOF-IOL creates one elongated focal point, though each lens does so in a different way.
Does FLACS cost, benefit outweigh manual? Yes!Though further study is needed to determine conclusively whether or not femtosecond laser-assisted cataract surgery (FLACS) is associated with better refractive outcomes compared with conventional manual surgery, FLACS offers many other benefits that justify its use, according to Robert J. Cionni, MD.
Does FLACS cost, benefit outweigh manual? No!Femtosecond laser-assisted cataract surgery (FLACS) offers some advantages compared with a conventional manual procedure, particularly for certain patients. Currently, however, FLACS does not result in superior outcomes and it has drawbacks that outweigh its benefits, according to Rosa Braga-Mele, MD.
Study: Visual acuity outcomes similar, but FLACS has some advantagesFemtosecond laser-assisted cataract surgery (FLACS) facilitated a precise capsulotomy and reduced phaco energy in a recent ongoing study with about 100 consecutive eyes, said Jeffrey Whitman, MD, Key-Whitman Eye Center, Dallas.
Redesigned pupil expansion device reduces cataract surgery risksPre-treatment with the femtosecond laser in eyes undergoing cataract surgery can induce miosis. The use of a pupil expansion device, however, offers an effective method for managing small pupils in femtosecond laser-assisted cases whether the problem pre-exists or is caused by the laser, said Boris Malyugin, MD, PhD.
How pattern, flicker ERG can impact cataract treatment decisionsRetinal issues can impact cataract surgery outcomes, especially for those with multifocal or other premium lenses. While multifocal lenses may allow the patient to see more clearly across a range of distances, they may also decrease the amount of light that reaches the retina, exacerbating any issues that may already be present.
Laser update aids cataract outcomesA third system upgrade for a femtosecond laser system for refractive cataract surgery (Streamline III, LENSAR) will enhance the efficiency of the procedure, according to Jonathan Solomon, MD.
Formula for achieving successful multifocal IOL outcomesAchieving satisfaction for patients interested in a multifocal IOL begins with comprehensive preoperative screening and evaluation.
What role does chromatic aberration play in IOLs?White light is comprised of different wavelengths of visible light, ranging from red (700 nm) to violet (400 nm). As white light passes through an optical system, each of its component wavelengths bends independently.