Lentes intraoculares fáquicas: recientes avances e innovaciones
- E. Martínez-Plaza 14
- A. López-Miguel 14
- A. Holgueras 1
- R.I. Barraquer 24
- J.L. Alió 34
- M.J. Maldonado 14
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1
Instituto de Oftalmología Aplicada de Valladolid
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Instituto de Oftalmología Aplicada de Valladolid
Valladolid, España
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2
Barraquer Centro de Oftalmología
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3
Instituto Oftalmologico de Alicante
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Instituto Oftalmologico de Alicante
Alicante, España
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4
Instituto de Salud Carlos III
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ISSN: 0365-6691
Year of publication: 2020
Volume: 95
Issue: 4
Pages: 178-187
Type: Article
More publications in: Archivos de la Sociedad Española de Oftalmologia
Abstract
Phakic intraocular lenses (pIOL) are recommended when counselling refractive surgery candidates presenting with high ametropia or ocular surface and/or corneal conditions that contraindicate corneal refractive surgery. This review aims to present the state-of-the-art regarding pIOL models currently available in Europe, addressing their newer indications and recent design innovations. These include, in the case of posterior chamber pIOLs, the addition of a central hole to improve aqueous humour circulation, the availability of larger optical zones, and multifocal optics for the compensation of presbyopia. The review also highlights their good safety and efficacy results, as well as the role of patient education to ensure adequate outcomes in the medium-long term. The indications of pIOLs in special situations, as well as bi-lensectomy, a procedure that most pIOL patients may eventually require as they age and develop cataracts, are also addressed.