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Updated: Jun 17, 2026
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Synthesis of Soft Polysiloxane-urea Elastomers for Intraocular Lens Application
Published on: March 8, 2019
Intraocular lens choices for patients with glaucoma
Joshua C Teichman1, Iqbal Ike K Ahmed
1Division of Ophthalmology, McMaster University, Hamilton, Canada.
Current Opinion in Ophthalmology
|December 31, 2009
Summary
Cataract surgery in glaucoma patients requires careful planning due to unique ocular changes. Selecting the right intraocular lens (IOL) and using precise surgical techniques can lead to excellent outcomes.
Area of Science:
- Ophthalmology
- Glaucoma Research
- Intraocular Lens Technology
Background:
- Glaucoma presents unique functional and structural challenges impacting cataract surgery.
- Consideration of decreased contrast sensitivity and anatomical changes is crucial.
Purpose of the Study:
- To review functional and structural changes in glaucoma.
- To discuss the impact of these changes on intraocular lens (IOL) selection during cataract surgery.
Main Methods:
- Review of current literature on glaucoma and cataract/IOL surgery.
- Analysis of IOL properties and surgical considerations in glaucomatous eyes.
Main Results:
- Aspheric IOLs may improve contrast sensitivity in glaucoma patients.
- Small pupils, weakened zonules, and anterior capsular contraction increase surgical risks.
- IOL material and design influence posterior capsular opacification.
- Trabeculectomy can alter anterior chamber depth and axial length, requiring preoperative assessment.
- Multifocal IOL data in concurrent glaucoma is limited.
Conclusions:
- Cataract surgery in glaucoma patients is feasible with excellent outcomes.
- Proper preoperative planning, meticulous surgical technique, and appropriate IOL selection are key.
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