Premium Intraocular Lenses in Glaucoma-A Systematic Review
Ashley Shuen Ying Hong1, Bryan Chin Hou Ang2,3, Emily Dorairaj4
1Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore.
Bioengineering (Basel, Switzerland)
|September 28, 2023
Summary
Premium intraocular lenses (IOLs) show promise for cataract patients with glaucoma, offering good visual outcomes and patient satisfaction. Careful patient selection is crucial for successful implantation in glaucomatous eyes.
Area of Science:
- Ophthalmology
- Glaucoma Research
- Intraocular Lens Technology
Background:
- Global increase in cataract and glaucoma incidence.
- Rising use of premium intraocular lenses (IOLs), including presbyopia-correcting and toric IOLs.
- Concerns exist regarding premium IOLs in glaucoma patients.
Purpose of the Study:
- To systematically review the use and outcomes of premium IOLs in eyes with glaucoma.
- To evaluate visual acuity, spectacle independence, and patient satisfaction.
- To identify key considerations for patient selection.
Main Methods:
- Systematic review of MEDLINE database from inception to June 1, 2023.
- Initial search identified 1404 records.
- 12 studies were included in the final review of post-operative outcomes.
Main Results:
- Positive outcomes reported for spectacle independence, visual acuity, and patient satisfaction in glaucomatous eyes.
- Good results observed for residual astigmatism and contrast sensitivity.
- Patient selection factors are critical, including glaucoma severity, subtype, and ocular surface health.
Conclusions:
- Premium IOLs can be successfully implanted in select glaucoma patients, yielding favorable visual results.
- Careful consideration of anatomical and functional factors is essential for optimal outcomes.
- Ongoing research is needed due to rapid advancements in IOL technology and glaucoma treatments.
Related Concept Videos
01:25Glaucoma: Overview
614
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
614
01:27Open Angle Glaucoma: Treatment
474
In open-angle glaucoma, the iridocorneal angle remains open, but the trabecular meshwork becomes stiff, slowing down the outflow of aqueous humor. This causes a buildup of aqueous humor in the anterior chamber, leading to a sudden increase in intraocular pressure. The treatment for open-angle glaucoma focuses on reducing the elevated intraocular pressure by either decreasing the secretion of aqueous humor or increasing its outflow.
Drugs such as carbonic anhydrase inhibitors, α2- and...
Drugs such as carbonic anhydrase inhibitors, α2- and...
474
01:28Angle Closure Glaucoma: Treatment
555
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
555