Multifocal intraocular lenses.

Abstract:

:Since the publication of my last article in Current Opinion in Ophthalmology in 1991 (2:33-34), the use of multifocal intraocular lenses (IOLs) has not gained general acceptance among ophthalmologists. Despite this situation, major IOL companies have continued to invest in clinical trials of new designs. Recently, large optic multifocal lenses used mainly with extracapsular extraction provided good results, with 94% to 100% of best-corrected cases having distance correction of 20/40 vision or better; 77% to 100% similarly had J3 near vision or better, and approximately 52% to 63% of patients became eyeglass independent. Between 50% to 80% of eyes in which 20/40 vision or better was obtained and in which J2 or better resulted were unaided. However, all multifocal lens designs showed some reduction in contrast sensitivity compared with monofocal designs using Regan charts and Vistech 6500 tests. Contrast sensitivity loss was probably only significant when reading very small print or in low-contrast light. Small-incision surgery with phacoemulsification and more accurate IOL power calculations have made the goal of emmetropia more possible. Also, less eyeglass dependence with the use of multifocal IOLs is a more realistic expectation.

journal_name

Curr Opin Ophthalmol

authors

Pearce JL

keywords:

subject

Has Abstract

pub_date

1996-02-01 00:00:00

pages

2-10

issue

1

eissn

1040-8738

issn

1531-7021

journal_volume

7

pub_type

杂志文章,评审
  • Toxic optic neuropathies.

    abstract:PURPOSE OF REVIEW:Many causes of toxic optic neuropathy have been described to date and novel causes of toxicity are continuously being added to the current literature. The pathophysiological basis for the toxicity or a direct causal relationship is yet to be determined for many of these agents. This review highlights ...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000001

    authors: Altiparmak UE

    更新日期:2013-11-01 00:00:00

  • Glaucoma therapy and ocular surface disease: current literature and recommendations.

    abstract:PURPOSE OF REVIEW:To provide an update on clinical and experimental literature for ocular surface effects of glaucoma therapy and to provide practical guidelines for ophthalmologists treating glaucoma patients with ocular surface disease (OSD). RECENT FINDINGS:Preservatives, notably benzalkonium chloride (BAK), contin...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e32835c8aba

    authors: Anwar Z,Wellik SR,Galor A

    更新日期:2013-03-01 00:00:00

  • Long-term results after low-dose ocular irradiation for choroidal hemangiomas.

    abstract::Radiotherapy has become increasingly important for the treatment of complicated choroidal hemangiomas. In recent years, a broad spectrum of different radiotherapeutic options that either replace or complement the conventional therapeutic approach by photocoagulation has been recommended. This article reviews the vario...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199806000-00009

    authors: Schilling H,Bornfeld N

    更新日期:1998-06-01 00:00:00

  • Diagnosing glaucoma progression: current practice and promising technologies.

    abstract:PURPOSE OF REVIEW:An update on recent work is provided that has broadened our understanding of the evaluation of visual function and structure, and their use in evaluating glaucoma progression. RECENT FINDINGS:The challenge of determining visual-field progression and the implications of long-term fluctuation are revie...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/01.icu.0000193089.52561.ac

    authors: Giangiacomo A,Garway-Heath D,Caprioli J

    更新日期:2006-04-01 00:00:00

  • Lasers in cataract surgery.

    abstract::Several laser technologies including 1053-nm picosecond, excimer, erbium:yttrium-aluminum-garnet, and neodymium:yttrium-aluminum-garnet (Nd:YAG) have been studied for use in the removal of cataractous lens tissue. Nd:YAG laser phacolysis involves laser pulses striking a titanium target that are incorporated into an i...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199302000-00017

    authors: Dodick JM,Lally JM,Sperber LT

    更新日期:1993-02-01 00:00:00

  • Optic disc hemorrhages in glaucoma and ocular hypertension: implications and recommendations.

    abstract:PURPOSE OF REVIEW:To describe the epidemiology of disc hemorrhages and underscore the importance of detecting these markers of potential glaucomatous damage and progression. RECENT FINDINGS:The Ocular Hypertension Treatment Study has confirmed that disc hemorrhages are an independent risk factor in the development of ...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e3282f3e6bc

    authors: Uhler TA,Piltz-Seymour J

    更新日期:2008-03-01 00:00:00

  • Pediatric phakic intraocular lens surgery: review of clinical studies.

    abstract:PURPOSE OF REVIEW:To report on the accumulating peer-reviewed data of phakic intraocular lens (pIOL) implantation in the pediatric population. I evaluate and compare the published peer-reviewed articles for the reported efficacy and complications of phakic intraocular lens implantations in children for correction of cl...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e32833a9a9f

    authors: Pirouzian A

    更新日期:2010-07-01 00:00:00

  • Simple limbal epithelial transplantation.

    abstract:PURPOSE OF REVIEW:Simple limbal epithelial transplant (SLET) is a technique for addressing limbal stem cell deficiency. Limbal tissue from a donor eye, typically the patient's fellow healthy eye, is transplanted onto an amniotic membrane attached to the surface of the diseased eye. SLET was developed to address limitat...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000377

    authors: Sangwan VS,Sharp JAH

    更新日期:2017-07-01 00:00:00

  • Biometry in cataract surgery: a review of the current literature.

    abstract:PURPOSE OF REVIEW:To review the literature in 2017 and 2018 pertaining to biometry for cataract surgery and report pertinent findings. RECENT FINDINGS:New devices using swept-source ocular coherence tomography can measure axial length in dense cataracts more frequently than common biometers. Computer-assisted registra...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000536

    authors: Moshirfar M,Buckner B,Ronquillo YC,Hofstedt D

    更新日期:2019-01-01 00:00:00

  • Endothelium-derived vasoactive substances relevant to normal-tension glaucoma.

    abstract::Glaucoma is a progressive optic neuropathy that has a multi-factorial etiology. The most important risk factor is certainly an increased intraocular pressure. However, clinical observations have indicated that factors other than increased intraocular pressure also damage the neural tissue in glaucomatous optic neuropa...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199804000-00016

    authors: Orgül S,Prünte C,Flammer J

    更新日期:1998-04-01 00:00:00

  • Venous sinus stenting in idiopathic intracranial hypertension: a safer surgical approach?

    abstract:PURPOSE OF REVIEW:The purpose is to summarize treatment strategies in idiopathic intracranial hypertension (IIH), a potentially sight-threatening disease, with a focus on the most current outcome data for venous sinus stenting. RECENT FINDINGS:Historically, the primary treatment options for medically refractory IIH co...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000315

    authors: Chaudhry S,Bryant TK,Peeler CE

    更新日期:2016-11-01 00:00:00

  • Vision screening for children: current trends, technology, and legislative issues.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to examine current trends in vision screening for children. RECENT FINDINGS:Literature within the past year regarding children's vision screening has been dominated by clinical validation studies of autorefractors or photoscreeners that allow the detection of amblyogenic...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/01.icu.0000136112.48664.62

    authors: Kerr NC,Arnold RW

    更新日期:2004-10-01 00:00:00

  • Effects of smoking on ocular health.

    abstract:PURPOSE OF REVIEW:To review recent data on the effects of smoking on ocular health. RECENT FINDINGS:Smoking has been associated with a myriad of negative ocular health effects including age-related macular degeneration (ARMD) and cataract. Most recently, several papers have demonstrated a connection between smoking an...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e32834bbe7a

    authors: Galor A,Lee DJ

    更新日期:2011-11-01 00:00:00

  • Combined surgery for cataract and glaucoma.

    abstract::The current literature and meeting abstracts regarding combined cataract and glaucoma surgery are reviewed. Potential acuity measurements are compared. Intraoperative manipulation of the pupil, wound size, antimetabolites, and types of filtration surgery are also discussed. Postoperative intraocular pressure rise, f...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:

    authors: Hurvitz LM

    更新日期:1993-04-01 00:00:00

  • Clinical features of small choroidal melanoma.

    abstract::The detection and treatment of choroidal melanoma early in its natural course is critical to providing the patient with the best prognosis. Patients with small choroidal melanoma (< 4 mm thickness) develop metastasis in 16% of cases at 5 years follow up, whereas those with medium choroidal melanoma (4-8 mm thickness) ...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-200206000-00001

    authors: Shields CL,Shields JA

    更新日期:2002-06-01 00:00:00

  • Management of irregular astigmatism.

    abstract::Using a liberal definition of corneal irregularity, modern videokeratoscopy may define approximately 40% of normal corneas with a toric refractive error as possessing primary irregular astigmatism. The causes of secondary forms of irregular astigmatism include corneal surgery, trauma, dystrophies, and infections. Inte...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-200008000-00007

    authors: Goggin M,Alpins N,Schmid LM

    更新日期:2000-08-01 00:00:00

  • Current and future applications of corneal cross-linking.

    abstract:PURPOSE OF REVIEW:To review current concepts and future directions of corneal cross-linking (CXL) as a treatment for keratoconus, ectasia after refractive surgery and infectious keratitis. RECENT FINDINGS:Several important laboratory and clinical studies have established the safety and success of corneal cross-linking...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000146

    authors: Khandelwal SS,Randleman JB

    更新日期:2015-05-01 00:00:00

  • The changing face of the genetics of corneal dystrophies.

    abstract::Modern molecular genetics has had a profound effect on our understanding of corneal dystrophies. Mutations in the BIGH3 gene are responsible for four autosomal dominant corneal dystrophies. The mutation spectrum reveals the phenotypically diverse possibilities stemming from mutations of a single gene. Dystrophies have...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-200208000-00002

    authors: Siddiqui N,Afshari NA

    更新日期:2002-08-01 00:00:00

  • Advances in medical therapy for glaucoma.

    abstract:PURPOSE OF REVIEW:To discuss a new class of medication that has recently become available for the treatment of glaucoma; as well as share insights into developments in glaucoma medicine administration which has the potential to revolutionize medical therapy for glaucoma. RECENT FINDINGS:Newly available eye drops, neta...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章

    doi:10.1097/ICU.0000000000000740

    authors: Ostler E,Rhee D,Burney E,Sozeri Y

    更新日期:2020-12-30 00:00:00

  • Advances in experimental optic nerve regeneration.

    abstract:PURPOSE OF REVIEW:Recent advances in experimental studies of optic nerve regeneration to better understand the pathophysiology of axon regrowth and provide insights into the future treatment of numerous optic neuropathies. RECENT FINDINGS:The optic nerve is part of the central nervous system and cannot regenerate if i...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000417

    authors: Chun BY,Cestari DM

    更新日期:2017-11-01 00:00:00

  • Quantitative assessment of the anterior segment using ultrasound biomicroscopy.

    abstract::The development of ocular imaging devices has progressed rapidly during the past 10 years. Ultrasound biomicroscopy has revolutionized the evaluation of the anterior segment of the eye. The qualitative information gathered using this technology has contributed to our understanding of the pathophysiology of angle-closu...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-200004000-00012

    authors: Ishikawa H,Liebmann JM,Ritch R

    更新日期:2000-04-01 00:00:00

  • Cataract surgery and intraocular lens manufacturing in India.

    abstract:PURPOSE OF REVIEW:Cataract surgery in India has seen exponential growth in the past decade. This leap was possible due to cost-effective cataract surgery with intraocular lenses. The purpose of this review is to update the reader regarding the Indian scenario of cataract surgery and intraocular lens manufacturing. REC...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0b013e3282f2aaed

    authors: Aravind S,Haripriya A,Sumara Taranum BS

    更新日期:2008-01-01 00:00:00

  • Endoresection utilizing pars plana vitrectomy for benign and malignant intraocular tumors.

    abstract:PURPOSE OF REVIEW:Endoresection of intraocular tumors is a complicated procedure utilizing pars plana vitrectomy techniques. Though it has potential downsides and complications, there is potential for this technique in the treatment of malignant and benign intraocular tumors. RECENT FINDINGS:Endoresection has been uti...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000561

    authors: Reichstein D,Karan K

    更新日期:2019-05-01 00:00:00

  • Strabismus surgery in the treatment of paralytic strabismus.

    abstract::Strabismus surgery may restore limited binocular function and improve cosmesis in patients with paralytic strabismus. Evaluation of the amount of residual function of the affected extraocular muscles is essential to determine which surgical procedure will yield the best results. Standard muscle resection techniques ar...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-200112000-00005

    authors: Phillips PH

    更新日期:2001-12-01 00:00:00

  • Selectivity of site of action and systemic effects of topical alpha agonists.

    abstract::Clonidine hydrochloride, apraclonidine hydrochloride, and brimonidine tartrate constitute the three topical alpha agonists that are used in the treatment of elevated intraocular pressure. All the alpha agonists have prejunctional (alpha 2) as well as postjunctional (alpha 1) effects. Within the past year, questions ha...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199804000-00006

    authors: Robin AL,Burnstein Y

    更新日期:1998-04-01 00:00:00

  • Neuro-ophthalmic manifestations of the phakomatoses.

    abstract:PURPOSE OF REVIEW:The phakomatoses are a group of inherited disorders with variable clinical manifestations that are characterized by brain, cutaneous, ocular and other distinct lesions in multiple organs. Correctly recognizing the neuro-ophthalmic signs and symptoms can lead to early diagnosis and treatment. The group...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000609

    authors: Douglas KAA,Douglas VP,Cestari DM

    更新日期:2019-11-01 00:00:00

  • Does general anesthesia or intravitreal injection affect neurodevelopment in children undergoing ophthalmic procedures?

    abstract:PURPOSE OF REVIEW:To review recent studies on potential neurodevelopmental impacts on the pediatric population through general anesthesia events or intravitreal anti-vascular endothelial growth factor (VEGF) injection. RECENT FINDINGS:Studies on this topic have been extensive with varied reported neurodevelopmental ou...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000598

    authors: De Andrade LM,Isenberg SJ

    更新日期:2019-09-01 00:00:00

  • Comparison of femtosecond and excimer laser platforms available for corneal refractive surgery.

    abstract:PURPOSE OF REVIEW:The evolution of laser technology has left today's refractive surgeon with a choice between multiple laser platforms. The purpose of this review is to compare currently available femtosecond and excimer laser platforms, providing a summary of current evidence. RECENT FINDINGS:Femtosecond lasers creat...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/ICU.0000000000000268

    authors: Chen LY,Manche EE

    更新日期:2016-07-01 00:00:00

  • Diabetes and thyroid-related eye disease.

    abstract::Diabetes and thyroid-related eye disease cause significant morbidity. Although these are endocrine disorders, they cause different ocular manifestations. Previously unexamined epidemiologic factors offer new insight to diabetic eye disease. The association of hyperglycemia, systemic medical therapy, and visual loss is...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199412000-00011

    authors: Feman SS

    更新日期:1994-12-01 00:00:00

  • Corneal complications of cataract surgery.

    abstract::Recent advances in cataract surgery have reduced the incidence of corneal complications. Review of the current literature reveals a trend toward early visual rehabilitation and minimization of postoperative astigmatism by careful selection of incision type and location for small-incision cataract surgery. Since the in...

    journal_title:Current opinion in ophthalmology

    pub_type: 杂志文章,评审

    doi:10.1097/00055735-199608000-00010

    authors: Batlan SJ,Dodick JM

    更新日期:1996-08-01 00:00:00