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Accommodative Intraocular Lenses

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Multifocal Intraocular Lenses

Part of the book series: Essentials in Ophthalmology ((ESSENTIALS))

Abstract

The correction of presbyopia is still one of the major challenges that face the ophthalmologist in their daily practice. Several medical and surgical proposals have been developed, but none of them have showed the efficacy of restoring accommodation. Formulations of topical instilled medication, corneal excimer laser surgery, scleral devices, and intraocular lenses are among the different options that have been proposed for presbyopia correction. Nowadays, multifocal IOL are the most popular and accepted option for presbyopia correction, but this technology does not restore accommodation and induce photic phenomena that in some circumstances might be a serious limitation situation for the patient. With the aim of restoring accommodation and avoid disadvantages of multifocal IOL, accommodative IOL were developed several years ago. Nevertheless, some of the technologies proposed for this type of IOL have not shown to be effective in restoring accommodation. New advances in material and technologies have brought new designs that are in continuous development and may overcome the difficulties observed with previous types of accommodative IOLs.

Therefore, the aim of the present chapter is to provide an updated overview of the different accommodative intraocular lenses that have been developed, and new technologies that are proposed for presbyopia correction and restoring accommodation in patients after cataract surgery.

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References

  1. Charman WN. Restoring accommodation: a dream or an approaching reality? Ophthalmic Physiol Opt. 2005;25:1–6.

    Article  CAS  Google Scholar 

  2. Alió JL, Ben-Nun J. Study of the force dynamics at the capsular interface related to ciliary body stimulation in a primate model. J Refract Surg. 2015;31:124–8.

    Article  Google Scholar 

  3. Sadoughi MM, Einollahi B, Roshandel D, Sarimohammadli M, Feizi S. Visual and refractive outcomes of phacoemulsification with implantation of accommodating versus standard monofocal intraocular lenses. J Ophthalmic Vis Res. 2015;10:370–4.

    Article  Google Scholar 

  4. Vilupuru S, Lin L, Pepose JS. Comparison of contrast sensitivity and through focus in small-aperture inlay, accommodating intraocular lens, or multifocal intraocular lens subjects. Am J Ophthalmol. 2015;160:150–62.

    Article  Google Scholar 

  5. Pérez-Merino P, Birkenfeld J, Dorronsoro C, Ortiz S, Durán S, Jiménez-Alfaro I, et al. Aberrometry in patients implanted with accommodative intraocular lenses. Am J Ophthalmol. 2014;157:1077–89.

    Article  Google Scholar 

  6. Dhital A, Spalton DJ, Gala KB. Comparison of near vision, intraocular lens movement, and depth of focus with accommodating and monofocal intraocular lenses. J Cataract Refract Surg. 2013;39:1872–8.

    Article  Google Scholar 

  7. Zamora-Alejo KV, Moore SP, Parker DG, Ullrich K, Esterman A, Goggin M. Objective accommodation measurement of the Crystalens HD compared to monofocal intraocular lenses. J Refract Surg. 2013;29:133–9.

    Article  Google Scholar 

  8. Alió JL, Plaza-Puche AB, Montalban R, Javaloy J. Visual outcomes with a single-optic accommodating intraocular lens and a low-addition-power rotational asymmetric multifocal intraocular lens. J Cataract Refract Surg. 2012;38:978–85.

    Article  Google Scholar 

  9. Alió JL, Plaza-Puche AB, Montalban R, Ortega P. Near visual outcomes with single-optic and dual-optic accommodating intraocular lenses. J Cataract Refract Surg. 2012;38:1568–75.

    Article  Google Scholar 

  10. Mastropasqua L, Toto L, Falconio G, Nubile M, Carpineto P, Ciancaglini M, et al. Longterm results of 1 CU accommodative intraocular lens implantation: 2-year follow-up study. Acta Ophthalmol Scand. 2007;85:409–14.

    Article  Google Scholar 

  11. Uthoff D, Gulati A, Hepper D, Holland D. Potentially accommodating 1CU intraocular lens: 1-year results in 553 eyes and literature review. J Refract Surg. 2007;23:159–71.

    Article  Google Scholar 

  12. Harman FE, Maling S, Kampougeris G, Langan L, Khan I, Lee N, et al. Comparing the 1CU accommodative, multifocal, and monofocal intraocular lenses: a randomized trial. Ophthalmology. 2008;115:993–1001.

    Article  CAS  Google Scholar 

  13. Ong HS, Evans JR, Allan BD. Accommodative intraocular lens versus standard monofocal intraocular lens implantation in cataract surgery. Cochrane Database Syst Rev. 2014;5:CD009667.

    Google Scholar 

  14. Sanders DR, Sanders ML. Visual performance results after Tetraflex accommodating intraocular lens implantation. Ophthalmology. 2007;114:1679–84.

    Article  Google Scholar 

  15. Brown D, Dougherty P, Gills JP, Hunkeler J, Sanders DR, Sanders ML. Functional reading acuity and performance: comparison of 2 accommodating intraocular lenses. J Cataract Refract Surg. 2009;35:1711–4.

    Article  Google Scholar 

  16. Wolffsohn JS, Davies LN, Gupta N, Naroo SA, Gibson GA, Mihashi T, et al. Mechanism of action of the tetraflex accommodative intraocular lens. J Refract Surg. 2010;26:858–62.

    Article  Google Scholar 

  17. Leng L, Chen Q, Yuan Y, Hu D, Zhu D, Wang J, et al. Anterior segment biometry of the accommodating intraocular lens and its relationship with the amplitude of accommodation. Eye Contact Lens. 2017;43(2):123–9.

    Article  Google Scholar 

  18. Tan N, Zheng D, Ye J. Comparison of visual performance after implantation of 3 types of intraocular lenses: accommodative, multifocal, and monofocal. Eur J Ophthalmol. 2014;24:693–8.

    Article  Google Scholar 

  19. Beiko GH. Comparison of visual results with accommodating intraocular lenses versus mini-monovision with a monofocal intraocular lens. J Cataract Refract Surg. 2013;39:48–55.

    Article  Google Scholar 

  20. Kramer GD, Werner L, Neuhann T, Tetz M, Mamalis N. Anterior haptic flexing and in-the-bag subluxation of an accommodating intraocular lens due to excessive capsular bag contraction. J Cataract Refract Surg. 2015;41:2010–3.

    Article  Google Scholar 

  21. Stachs O, Martin H, Kirchhoff A, Stave J, Terwee T, Guthoff R. Monitoring accommodative ciliary muscle function using three-dimensional ultrasound. Graefes Arch Clin Exp Ophthalmol. 2002;240:906–12.

    Article  Google Scholar 

  22. Marchini G, Pedrotti E, Modesti M, Visentin S, Tosi R. Anterior segment changes during accommodation in eyes with a monofocal intraocular lens: high-frequency ultrasound study. J Cataract Refract Surg. 2008;34:949–56.

    Article  Google Scholar 

  23. Pallikaris IG, Karavitaki AE, Kymionis GD, Kontadakis GA, Panagopoulou SI, Kounis GA. Unilateral sulcus implantation of the crystalens HD. J Refract Surg. 2012;28:299–301.

    Article  Google Scholar 

  24. Alio JL, Simonov A, Plaza-Puche AB, Angelov A, Angelov Y, van Lawick W, et al. Visual outcomes and accommodative response of the lumina accommodative intraocular lens. Am J Ophthalmol. 2016;164:37–48.

    Article  Google Scholar 

  25. Glasser A. Accommodation: mechanism and measurement. Ophthalmol Clin N Am. 2006;19:1–12.

    Google Scholar 

  26. Alió JL, Ben-Nun J, Rodríguezs JL, Plaza AB. Visual and accommodative outcomes 1 year after implantation of an accommodating intraocular lens based on a new concept. J Cataract Refract Surg. 2009;35:1671–8.

    Article  Google Scholar 

  27. Studeny P, Krizova D, Urminsky J. Clinical experience with the WIOL-CF accommodative bioanalogic intraocular lens: Czech national observational registry. Eur J Ophthalmol. 2016;26:230–5.

    Article  Google Scholar 

  28. Kohl JC, Werner L, Ford JR, Cole SC, Vasavada SA, Gardiner GL, et al. Long-term uveal and capsular biocompatibility of a new accommodating intraocular lens. J Cataract Refract Surg. 2014;40(12):2113–9.

    Article  Google Scholar 

  29. Pepose JS, Burke J, Qazi M. Accommodating intraocular lenses. Asia Pac J Ophthalmol (Phila). 2017;6(4):350–7.

    Google Scholar 

  30. Vega-Estrada A, Alio J. Accommodative IOLs: an update on recent developments. Special Interest Symposium: LC - Lens and IOL - optics and accommodation. European Association for Vision and Eye Research (EVER). Nice, France. October 2016.

    Google Scholar 

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Compliance with Ethical Requirements

Alfredo Vega-Estrada, Jorge L. Alió del Barrio, and Jorge L. Alió declare that they have no conflict of interest. No human or animal studies were carried out by the authors for this article.

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Correspondence to Jorge L. Alió .

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Vega-Estrada, A., Alió del Barrio, J.L., Alió, J.L. (2019). Accommodative Intraocular Lenses. In: Alió, J., Pikkel, J. (eds) Multifocal Intraocular Lenses. Essentials in Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-030-21282-7_28

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  • DOI: https://doi.org/10.1007/978-3-030-21282-7_28

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  • Publisher Name: Springer, Cham

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