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Related Experiment Video

Updated: May 9, 2025

Author Spotlight: Advancements in Refractive Surgical Correction for Presbyopia and Exploring Postoperative Visual Acuity
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Presbyopia Correction in Lens Replacement Surgery: A Review.

Benjamin Stern1,2, Damien Gatinel1

  • 1Anterior Segment and Refractive Surgery Department, Rothschild Foundation Hospital, Paris, France.

Clinical & Experimental Ophthalmology
|April 28, 2025
PubMed
Summary

Presbyopia correction during lens replacement surgery is advancing with new intraocular lens (IOL) technologies. Personalized strategies are key for optimizing vision and reducing eyewear dependence in patients with presbyopia.

Keywords:
cataractextended depth‐of‐focus lensesmonovisionmultifocal intraocular lensespresbyopia

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Area of Science:

  • Ophthalmology
  • Biomedical Engineering
  • Vision Science

Background:

  • Presbyopia affects 1.8 billion globally, increasing with life expectancy and near-vision tasks.
  • Cataract surgery presents an opportunity to address presbyopia, reducing reliance on corrective lenses.
  • Growing near-vision demands, especially from mobile device usage, exacerbate presbyopia challenges.

Purpose of the Study:

  • To review current intraocular lens (IOL) technologies for presbyopia correction.
  • To outline surgical strategies for managing presbyopia during lens replacement.
  • To emphasize personalized patient selection for optimal visual outcomes.

Main Methods:

  • Review of current literature on presbyopia-correcting IOLs.
  • Analysis of surgical techniques for IOL implantation.
  • Discussion of patient-specific factors influencing IOL choice.

Main Results:

  • Partial correction (monovision, extended depth-of-focus IOLs) improves intermediate vision with trade-offs.
  • Multifocal IOLs are most effective for complete presbyopia correction.
  • Mix-and-match and supplementary IOLs offer flexible solutions, including reversibility.

Conclusions:

  • Personalized IOL selection is crucial, considering visual needs and ocular anatomy.
  • Advanced IOL technologies provide options for presbyopia correction during cataract surgery.
  • Careful consideration is needed for patients with complex ocular conditions.