Unilateral Versus Bilateral Refractive Lens Exchange With a Trifocal Intraocular Lens in Emmetropic Presbyopic Patients

2021 ◽  
Vol 223 ◽  
pp. 53-59
Author(s):  
Javier L. Fernández-García ◽  
Andrea Llovet-Rausell ◽  
Julio Ortega-Usobiaga ◽  
Rafael Bilbao-Calabuig ◽  
Fernando Llovet-Osuna ◽  
...  
2021 ◽  
Vol 37 (8) ◽  
pp. 524-531
Author(s):  
Mohammad Reza Djodeyre ◽  
Julio Ortega-Usobiaga ◽  
Jaime Beltran ◽  
Vasyl Druchkiv ◽  
Julio Baviera-Sabater ◽  
...  

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Kepa Balparda ◽  
Claudia Marcela Vanegas-Ramírez ◽  
Laura Segura-Muñoz ◽  
Manuela Gómez-Londoño

Background. Refractive errors are widespread in the human population; nowadays, numerous surgical options allow for efficient and safe correction them. One of the main elements to ensure success in this kind of intervention will depend on the careful patient and surgical approach selection. Excimer laser corneal surgery is considered by most for low to moderate ametropias. Another option, which has been suggested may be safer, is to cut a small corneal lenticule with femtosecond laser, and then extracting it through a small incision. Nevertheless, in some specific cases, such as patients with high refractive error or those with some corneal abnormality, laser corneal ablations are considered unsafe from either a biomechanical or refractive standpoint. In this kind of particular cases, Phakic Intraocular Lens (P-IOL) implantation constitutes attractive, highly predictable and safe option. Objective. The authors want to show the case of a young high-myopic woman, already pseudophakic in one eye, where the P-IOL implantation in the fellow eye yielded excellent short-term visual results, and high patient’s satisfaction, is presented. Materials. The authors present the case of a 32-years-old, highly myopic female patient underwent a Refractive Lens Exchange (RLE) with a monofocal Intraocular Lens (IOL) implantation in her left eye elsewhere, and developed severe visual issues, especially regarding near-work. Symptoms resolved through the implantation of a posterior chamber P-IOL in the contralateral eye. Results. The postoperative course was unremarkable, inflammation was mild, and visual recovery was quick. There was no need to perform any procedure on her left eye or to use any reading glasses, as unilateral effective near vision through her right eye was enough for all her daily tasks. Conclusions. RLE in young pre-presbyopic highly myopic patients may not be an advisable alternative in most cases, because of the high risks of retinal complications observed. In addition, eliminating accommodation will cause significant limitations, and multifocal IOLs currently available are far from the quality of vision that a young human crystalline lens yields. On the other hand, implantation of a P-IOL is a good option if eye conditions are optimal, as it preserves natural accommodation. In this case an EyeCryl Phakic Toric® IOL showed excellent short-term refractive predictability and safety.


2010 ◽  
Vol 20 (3) ◽  
pp. 509-516 ◽  
Author(s):  
José F. Alfonso ◽  
Luis Fernández-Vega ◽  
Susana Ortí ◽  
Robert Montés-Micó

2017 ◽  
Vol 8 (3) ◽  
pp. 539-544 ◽  
Author(s):  
Guy Sallet

We report the case of an emmetropic 32-year-old female with decreased uncorrected visual acuity and diplopia due to intermittent episodes of spasm of the near reflex. Neurologic, general, and ophthalmic examination could not find an organic cause. Attempts at spontaneous recovery, psychogenic therapy, and cycloplegic therapy were unsuccessful and the symptoms persisted for almost 5 years, leading to psychogenic distress. Final treatment with refractive lens exchange and implantation of a toric trifocal intraocular lens resolved the spasm of the near reflex, resulting in an uncorrected distance and near visual acuity of 20/20.


2021 ◽  
Vol Volume 15 ◽  
pp. 2117-2126
Author(s):  
Mike P Holzer ◽  
Rudy MMA Nuijts ◽  
Soraya MR Jonker ◽  
Erik LJG Mertens ◽  
Asim Bozkurt Sener ◽  
...  

2020 ◽  
Vol Volume 16 ◽  
pp. 1125-1137
Author(s):  
Cristina Ariadna Nicula ◽  
Raluca Popescu ◽  
Anca Maria Rednik ◽  
Dorin Nicula ◽  
Adriana Elena Bulboaca ◽  
...  

2002 ◽  
Vol 18 (5) ◽  
pp. 509-518
Author(s):  
H Burkhard Dick ◽  
Susanne Gross ◽  
Mana Tehrani ◽  
Dieter Eisenmann ◽  
Norbert Pfeiffer

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