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Disruptive Innovation and Refractive IOLs: How the Game Will Change With Adjustable IOLs

Disruptive Innovation and Refractive IOLs: How the Game Will Change With Adjustable IOLs Downloaded from http://journals.lww.com/apjoo by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/02/2020 PERSPECTIVES Disruptive Innovation and Refractive IOLs: How the Game Will Change With Adjustable IOLs David F. Chang, MD away and until then, reducing spectacle dependence will always Abstract: The light-adjustable lens is the first Food and Drug Administra- invoke optical tradeoffs. The most popular presbyopia-correcting tion (FDA)-approved product from an entirely new category of intraocular IOLs have utilized diffractive optics. High and low-add multifo- lenses (IOLs). The 3-piece foldable silicone light-adjustable lens is implanted cal, trifocal, and extended depth of focus (EDOF) diffractive through a small incision after phacoemulsification. A slit-lamp-based digital optics all reduce spectacle wear compared with monofocal IOLs, light delivery device is used to adjust and then lock-in the IOL power during 1,2 but produce halos and unwanted images at night. Individual the first postoperative month. Up to 4.5 diopters (D) of cylindrical or spherical patient tolerance is unpredictable, and IOL exchange may be the adjustment can be achieved. This should offer significant advantages in only recourse for those that cannot adapt. Diffractive multifocal difficult IOL power calculation cases, such as postrefractive eyes. In addition IOLs reduce contrast sensitivity, which can noticeably diminish to achieving better refractive accuracy, an http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png The Asia-Pacific Journal of Ophthalmology Wolters Kluwer Health

Disruptive Innovation and Refractive IOLs: How the Game Will Change With Adjustable IOLs

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References (30)

Publisher
Wolters Kluwer Health
ISSN
2162-0989
eISSN
2475-5028
DOI
10.1097/APO.0000000000000266
Publisher site
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Abstract

Downloaded from http://journals.lww.com/apjoo by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/02/2020 PERSPECTIVES Disruptive Innovation and Refractive IOLs: How the Game Will Change With Adjustable IOLs David F. Chang, MD away and until then, reducing spectacle dependence will always Abstract: The light-adjustable lens is the first Food and Drug Administra- invoke optical tradeoffs. The most popular presbyopia-correcting tion (FDA)-approved product from an entirely new category of intraocular IOLs have utilized diffractive optics. High and low-add multifo- lenses (IOLs). The 3-piece foldable silicone light-adjustable lens is implanted cal, trifocal, and extended depth of focus (EDOF) diffractive through a small incision after phacoemulsification. A slit-lamp-based digital optics all reduce spectacle wear compared with monofocal IOLs, light delivery device is used to adjust and then lock-in the IOL power during 1,2 but produce halos and unwanted images at night. Individual the first postoperative month. Up to 4.5 diopters (D) of cylindrical or spherical patient tolerance is unpredictable, and IOL exchange may be the adjustment can be achieved. This should offer significant advantages in only recourse for those that cannot adapt. Diffractive multifocal difficult IOL power calculation cases, such as postrefractive eyes. In addition IOLs reduce contrast sensitivity, which can noticeably diminish to achieving better refractive accuracy, an

Journal

The Asia-Pacific Journal of Ophthalmology – Wolters Kluwer Health

Published: Nov 1, 2019

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