Accommodating intraocular lenses a critical review
The information presented is not meant to serve as a guideline for patient management.
Any procedures, medications or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient's conditions and possible contraindications or dangers in use, review of any applicable manufacturer's product information, and comparison with recommendations of other authorities. The Postgraduate Institute for Medicine and do not recommend the use of any agent outside of the labeled indications.
To understand the pre- and postoperative issues in terms of patient selection, surgical goals and follow-up care that are peculiar to accommodating IOLs.3.
To discuss specific surgical techniques that are critical to success with accommodating IOLs.
This activity has been planned and produced in accordance with the ACCME Essential Areas and Policies.
Target Audience: Ophthalmologists Statement of Need: Accommodating intraocular lenses are the newest technology available to offer a surgical option to treat presbyopia.
These include the Array (Advanced Medical Optics) and Nu Vue (Iolab) lenses, as well as several recently released or about-to-be released, advanced-generation multifocal IOLs, such as the AMO's Re Zoom and Tecnis multifocals and Alcon's Re Stor apodized multifocal IOL. Food and Drug Administration clinical trials results for some of the newest lenses have been excellent.
Designation Statement: The Postgraduate Institute for Medicine designates this educational activity for a maximum of one (1) category 1 credit toward the AMA Physician's Recognition Award. Postgraduate Institute for Medicine has a conflict of interest policy that requires course faculty to disclose any real or apparent commercial financial affiliations related to the content of their presentations/materials.It has a 4.5-mm square-edged optic and a long hinged plate design with polyimide loops at the end of the haptics.When the lens is placed in the capsular bag, the long, flexible haptics push the lens optic back against the posterior capsule and the vitreous.Accommodating IOLs Thus far, the only accommodating lens available outside of clinical trials is the Crystalens (Eyeonics); therefore much of the following text about surgical technique and clinical results will focus on this lens.The Crystalens is designed to provide good vision at all distances by moving forward and backward along the axis of the eye.
Though they achieve the goal by different means, their purpose is to restore to patients the ability to accommodate at near, intermediate and distance vision.