Aktuelle Übersicht: multifokale Linsen und Extended-Depth-of-Focus-Intraokularlinsen

 

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Zusammenfassung

Das Bedürfnis von Presbyopie- und Kataraktpatienten nach einer erhöhten postoperativen Brillenunabhängigkeit ist einer der Hauptgründe für die Entwicklung multifokaler Intraokularlinsen (MIOL) und erweiterter Tiefenschärfe (EDOF) bei intraokularen Linsen (IOL). Da sich in den letzten 10 Jahren die Bereiche Ausbildung, Biometrie, Diagnostik, chirurgische Techniken und MIOL-/EDOF-IOL-Designs verbessert haben, sind immer mehr Kataraktchirurgen zu Katarakt- und Refraktivchirurgen geworden, um diesen Anforderungen gerecht zu werden. Es gibt jedoch keine einzige MIOL/EDOF-IOL, die für alle Patienten geeignet ist. Die große Vielfalt an MIOL und EDOF-IOL, ihrer Optiken und ihr jeweiliger Einfluss auf die Sehqualität unserer Patienten müssen verstanden werden, um die geeignete IOL für jedes Individuum passend auszuwählen. MIOL-/EDOF-IOL-Chirurgie muss individuell geplant werden. Dieser Review untersucht die verschiedenen optischen Aspekte und klinischen Konsequenzen von MIOL/EDOF-IOL, um Chirurgen bei der Suche nach geeigneten Lösungen für jeden einzelnen Patienten zu unterstützen.

Abstract

Presbyopia and cataract patientsʼ wish to be increasingly independent of spectacles after surgery and this is one of the main drivers for the development of multifocal intraocular lenses (MIOL) and extended depth of focus (EDOF) intraocular lenses (IOL). As education, biometry, diagnostics, surgical techniques, and MIOL/EDOF IOL designs have improved over the past decade, an increasing number of cataract surgeons have become cataract refractive surgeons to help address this need. There is not one single MIOL/EDOF IOL, however, that suits all patientsʼ needs. The wide variety of MIOL and EDOF IOL, their optics, and their impact on our patientsʼ quality of vision have to be fully understood if we have to choose the appropriate IOL for each individual; MIOL/EDOF IOL surgery has to be customized. This review article looks at the different optical aspects and clinical consequences of MIOL/EDOF IOL, in order to help surgeons find an appropriate solution for each of their individual patients.

Publication History

Received: 14 August 2019

Accepted: 07 January 2020

Article published online:
14 August 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Stuttgart · New York

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