Lentes intraoculares fáquicas: recientes avances e innovaciones

  1. E. Martínez-Plaza 14
  2. A. López-Miguel 14
  3. A. Holgueras 1
  4. R.I. Barraquer 24
  5. J.L. Alió 34
  6. M.J. Maldonado 14
  1. 1 Instituto de Oftalmología Aplicada de Valladolid
    info

    Instituto de Oftalmología Aplicada de Valladolid

    Valladolid, España

  2. 2 Barraquer Centro de Oftalmología
    info

    Barraquer Centro de Oftalmología

    Barcelona, España

    ROR https://ror.org/04hzvka15

  3. 3 Instituto Oftalmologico de Alicante
    info

    Instituto Oftalmologico de Alicante

    Alicante, España

  4. 4 Instituto de Salud Carlos III
    info

    Instituto de Salud Carlos III

    Madrid, España

    ROR https://ror.org/00ca2c886

Journal:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Year of publication: 2020

Volume: 95

Issue: 4

Pages: 178-187

Type: Article

DOI: 10.1016/J.OFTAL.2020.02.001 DIALNET GOOGLE SCHOLAR

More publications in: Archivos de la Sociedad Española de Oftalmologia

Sustainable development goals

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.