As the population steadily ages, an increasing number of individuals will develop presbyopia and cataracts. In addition to seeking cosmetic surgery in an effort to remain youthful in their physical appearance, many patients are similarly attracted to refractive cataract surgery to correct their presbyopia and regain their ability to focus clearly at distance vision and near vision without glasses. The optical advantages of presbyopia-correcting IOLs (PrCIOLs) are sometimes outweighed by visual side effects in a minority of patients. As surgical techniques and technology advance, patient expectations increase as well and they often have a strong desire for excellent quality of vision at all distances. The disappointment when PrCIOLs do not meet these high expectations is compounded when a patient has to pay a premium above the insurance coverage for a standard monofocal IOL. With careful patient selection, PrCIOLs can offer an alternative to standard monofocal IOLs and the possibility of a broad range of unaided vision. Therefore, all refractive and cataract surgeons must become an expert in the evaluation and management of the dissatisfied PrCIOL patient.
Upon completion of this Focal Points module, you should be able to:
- Demonstrate understanding of the optics of the current presbyopia-correcting intraocular lens implant designs.
- Recognize the potential side effects and complications associated with implantation of PrCIOLs.
- Use various testing modalities to clinically evaluate the signs and symptoms accompanying side effects of PrCIOLs.
- Review the treatment options for the potential side effects and complications of PrCIOLs.
- Formulate a list of exclusionary criteria for potential PrCIOL candidates.
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The American Academy of Ophthalmology designates this enduring material for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Once you have completed this Focal Points module, please visit CME Central to review or claim your CME.