Refractive lens exchange in modern practice: when and when not to do it?
Identifieur interne : 000F10 ( Main/Merge ); précédent : 000F09; suivant : 000F11Refractive lens exchange in modern practice: when and when not to do it?
Auteurs : Jorge L. Ali [Espagne] ; Andrzej Grzybowski [Pologne] ; Dorota Romaniuk [Pologne]Source :
- Eye and Vision [ 2326-0254 ] ; 2014.
Abstract
Cataract surgery due to advances in small incision surgery evolved from a procedure concerned with the primary focus on the safe removal of cataractous lens to a procedure focused on the best possible postoperative refractive result. As the outcomes of cataract surgery became better, the use of lens surgery as a refractive modality in patients without cataracts has increased in interest and in popularity. Removal of the crystalline lens for refractive purposes or refractive lens exchange (RLE) presents several advantages over corneal refractive surgery. Patients with high degrees of myopia, hyperopia and astigmatism are still not good candidates for laser surgery. Moreover, presbyopia can currently only be corrected with monovision or reading spectacles.
RLE supplemented with multifocal or accommodating intraocular lenses (IOLs) in combination with corneal astigmatic procedures might address all refractive errors including presbyopia, and eliminate the future need for cataract surgery.
Url:
DOI: 10.1186/s40662-014-0010-2
PubMed: 26605356
PubMed Central: 4655463
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Ali</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Vissum Corporation, Alicante, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Vissum Corporation, Alicante</wicri:regionArea><wicri:noRegion>Alicante</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">Division of Ophthalmology, Universidad Miguel Hernández, Alicante, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Division of Ophthalmology, Universidad Miguel Hernández, Alicante</wicri:regionArea><wicri:noRegion>Alicante</wicri:noRegion></affiliation><affiliation wicri:level="2"><nlm:aff id="Aff6">Avda de Denia s/n, Edificio Vissum, 03016 Alicante, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Avda de Denia s/n, Edificio Vissum, 03016 Alicante</wicri:regionArea><placeName><region nuts="2" type="communauté">Communauté valencienne</region></placeName></affiliation></author><author><name sortKey="Grzybowski, Andrzej" sort="Grzybowski, Andrzej" uniqKey="Grzybowski A" first="Andrzej" last="Grzybowski">Andrzej Grzybowski</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Ophthalmology, Poznan City Hospital, Poznań, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Ophthalmology, Poznan City Hospital, Poznań</wicri:regionArea><wicri:noRegion>Poznań</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">Chair of Ophthalmology, University of Warmia and Mazury, Olsztyn, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Chair of Ophthalmology, University of Warmia and Mazury, Olsztyn</wicri:regionArea><wicri:noRegion>Olsztyn</wicri:noRegion></affiliation></author><author><name sortKey="Romaniuk, Dorota" sort="Romaniuk, Dorota" uniqKey="Romaniuk D" first="Dorota" last="Romaniuk">Dorota Romaniuk</name><affiliation wicri:level="1"><nlm:aff id="Aff5">Clinical Department of Ophthalmology, Silesian University of Medicine, Katowice, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Clinical Department of Ophthalmology, Silesian University of Medicine, Katowice</wicri:regionArea><wicri:noRegion>Katowice</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26605356</idno><idno type="pmc">4655463</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4655463</idno><idno type="RBID">PMC:4655463</idno><idno type="doi">10.1186/s40662-014-0010-2</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000913</idno><idno type="wicri:Area/Pmc/Curation">000913</idno><idno type="wicri:Area/Pmc/Checkpoint">000A09</idno><idno type="wicri:Area/Ncbi/Merge">003D84</idno><idno type="wicri:Area/Ncbi/Curation">003D84</idno><idno type="wicri:Area/Ncbi/Checkpoint">003D84</idno><idno type="wicri:Area/Main/Merge">000F10</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Refractive lens exchange in modern practice: when and when not to do it?</title><author><name sortKey="Ali, Jorge L" sort="Ali, Jorge L" uniqKey="Ali J" first="Jorge L" last="Ali">Jorge L. Ali</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Vissum Corporation, Alicante, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Vissum Corporation, Alicante</wicri:regionArea><wicri:noRegion>Alicante</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">Division of Ophthalmology, Universidad Miguel Hernández, Alicante, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Division of Ophthalmology, Universidad Miguel Hernández, Alicante</wicri:regionArea><wicri:noRegion>Alicante</wicri:noRegion></affiliation><affiliation wicri:level="2"><nlm:aff id="Aff6">Avda de Denia s/n, Edificio Vissum, 03016 Alicante, Spain</nlm:aff><country xml:lang="fr">Espagne</country><wicri:regionArea>Avda de Denia s/n, Edificio Vissum, 03016 Alicante</wicri:regionArea><placeName><region nuts="2" type="communauté">Communauté valencienne</region></placeName></affiliation></author><author><name sortKey="Grzybowski, Andrzej" sort="Grzybowski, Andrzej" uniqKey="Grzybowski A" first="Andrzej" last="Grzybowski">Andrzej Grzybowski</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Department of Ophthalmology, Poznan City Hospital, Poznań, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Department of Ophthalmology, Poznan City Hospital, Poznań</wicri:regionArea><wicri:noRegion>Poznań</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">Chair of Ophthalmology, University of Warmia and Mazury, Olsztyn, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Chair of Ophthalmology, University of Warmia and Mazury, Olsztyn</wicri:regionArea><wicri:noRegion>Olsztyn</wicri:noRegion></affiliation></author><author><name sortKey="Romaniuk, Dorota" sort="Romaniuk, Dorota" uniqKey="Romaniuk D" first="Dorota" last="Romaniuk">Dorota Romaniuk</name><affiliation wicri:level="1"><nlm:aff id="Aff5">Clinical Department of Ophthalmology, Silesian University of Medicine, Katowice, Poland</nlm:aff><country xml:lang="fr">Pologne</country><wicri:regionArea>Clinical Department of Ophthalmology, Silesian University of Medicine, Katowice</wicri:regionArea><wicri:noRegion>Katowice</wicri:noRegion></affiliation></author></analytic><series><title level="j">Eye and Vision</title><idno type="eISSN">2326-0254</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Cataract surgery due to advances in small incision surgery evolved from a procedure concerned with the primary focus on the safe removal of cataractous lens to a procedure focused on the best possible postoperative refractive result. As the outcomes of cataract surgery became better, the use of lens surgery as a refractive modality in patients without cataracts has increased in interest and in popularity. Removal of the crystalline lens for refractive purposes or refractive lens exchange (RLE) presents several advantages over corneal refractive surgery. Patients with high degrees of myopia, hyperopia and astigmatism are still not good candidates for laser surgery. Moreover, presbyopia can currently only be corrected with monovision or reading spectacles.</p><p>RLE supplemented with multifocal or accommodating intraocular lenses (IOLs) in combination with corneal astigmatic procedures might address all refractive errors including presbyopia, and eliminate the future need for cataract surgery.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Schmidt, D" uniqKey="Schmidt D">D Schmidt</name></author><author><name sortKey="Grzybowski, A" uniqKey="Grzybowski A">A Grzybowski</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schmidt, D" uniqKey="Schmidt D">D Schmidt</name></author><author><name sortKey="Grzybowski, A" uniqKey="Grzybowski A">A Grzybowski</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schmidt, D" uniqKey="Schmidt D">D Schmidt</name></author><author><name sortKey="Grzybowski, A" uniqKey="Grzybowski A">A 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