Update on Laser Vision Correction Versus Intraocular Lens Options
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CATARACT & REFRACTIVE SURGERY (CE STARR AND A BRISSETTE, SECTION EDITORS)
Update on Laser Vision Correction Versus Intraocular Lens Options Victoria Barnett 1 & Allon Barsam 2 Published online: 19 August 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Purpose of Review In this article, we review the current surgical options for refractive error and presbyopia, including laser refractive surgery and intraocular lens surgery. Recent Findings A wide range of surgical treatments are available for treating refractive error. Refractive surgeons today can correct higher levels of ametropia and presbyopia more safely and predictably. Laser vision correction has been established as a safe and effective method for treating refractive error; however, the potential benefits of a wider range of procedures including refractive lens exchange and phakic intraocular implants are potentially useful in selected patients. Summary Refractive surgeons are able to provide patients with many options for the correction of refractive error. Selecting the safest and most appropriate technique for each individual patient is critical. This article discusses the various options available and specific considerations to take into account for myopia, hyperopia, astigmatism and presbyopia in turn. Keywords Refractive surgery . Refractive lens exchange . Laser vision correction . Premium intraocular lenses . Presbyopia
Introduction Refractive error is estimated to affect up to 2 billion people worldwide. It is estimated that 153 million people globally are visually impaired and 8 million people are blind as a result of uncorrected refractive errors [1]. Refractive error is therefore a leading cause of reversible vision impairment worldwide, and refractive surgery is one of the most common ocular surgeries performed globally. As well as the cosmetic advantage of spectacle independence, the benefits of refractive surgery extend beyond this to improved quality of life and improved performance at work [2]. With the enhancement of surgical technology, the options for patients today with refractive error range from laser refractive surgery to phakic IOLs and This article is part of the Topical Collection on Cataract & Refractive Surgery * Allon Barsam ; https://www.oclvision.com Victoria Barnett [email protected] 1
Department of Ophthalmology, Western Eye Hospital, 153-173 Marylebone Rd, Marylebone, London NW1 5QH, UK
2
Ophthalmic Consultants of London, 55 New Cavendish St, London W1G 9TF, UK
refractive lens exchange. This requires the surgeon to have an extensive understanding of the risk-benefit profile of each procedure, in order to select the safest and most appropriate technique for an individual patient.
Refractive Lens Exchange Removal of the crystalline lens and implantation of an intraocular lens (IOL) into the capsular bag is most commonly performed for conventional cataract surgery in patients with a cloudy crystalline lens to improve visual acuity and quality of vision. Refractive lens exchange
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