Real and Pseudoaccommodation in Accommodative Lenses
Identifieur interne : 002A01 ( Main/Curation ); précédent : 002A00; suivant : 002A02Real and Pseudoaccommodation in Accommodative Lenses
Auteurs : Ioannis G. Pallikaris [Grèce] ; Georgios A. Kontadakis [Grèce] ; Dimitra M. Portaliou [Grèce]Source :
- Journal of Ophthalmology [ 2090-004X ] ; 2011.
Abstract
In the attempt to manage presbyopia, different intraocular lens designs have been proposed such as monofocal IOLs with monovision or multifocal IOLs. Even though the lenses mentioned offer satisfactory visual results, contemporary ophthalmology has not completely answered the presbyopic dilemma by simulating the accommodative properties of the crystalline lens itself. Accommodative IOLs were designed to fill this gap and provide satisfactory vision for all distances by restoring some degree of “pseudoaccommodation.” Pseudo accommodative capability can be linked to monofocal IOL's as well but the results are not satisfactory enough to fully support unaided near vision. Pseudoaccommodation is a complex phenomenon that can be attributed to several static (i.e., pupil size, against-the-rule cylindrical refractive error, multifocality of the cornea) and dynamic (i.e., anterior movement of the implant itself) factors. Objective measurement of the accommodative capability offered by the accommodative IOLs is extremely difficult to obtain, and different methods such as autorefractometers, retinoscopy, and ultrasound imaging during accommodative effort, ray tracing, or pharmacological stimulation have been developed but the results are sometimes inconsistent. Despite the difficulties in measuring accommodation, accommodative IOLs represent the future in the attempt to successfully “cure” presbyopia.
Url:
DOI: 10.1155/2011/284961
PubMed: 21941625
PubMed Central: 3175706
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Real and Pseudoaccommodation in Accommodative Lenses</title><author><name sortKey="Pallikaris, Ioannis G" sort="Pallikaris, Ioannis G" uniqKey="Pallikaris I" first="Ioannis G." last="Pallikaris">Ioannis G. Pallikaris</name><affiliation wicri:level="1"><nlm:aff id="I1">Institute of Vision and Optics (IVO), University of Crete, Medical School, Heraklion, 71003 Crete, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Institute of Vision and Optics (IVO), University of Crete, Medical School, Heraklion, 71003 Crete</wicri:regionArea><wicri:noRegion>71003 Crete</wicri:noRegion></affiliation></author><author><name sortKey="Kontadakis, Georgios A" sort="Kontadakis, Georgios A" uniqKey="Kontadakis G" first="Georgios A." last="Kontadakis">Georgios A. Kontadakis</name><affiliation wicri:level="1"><nlm:aff id="I1">Institute of Vision and Optics (IVO), University of Crete, Medical School, Heraklion, 71003 Crete, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Institute of Vision and Optics (IVO), University of Crete, Medical School, Heraklion, 71003 Crete</wicri:regionArea><wicri:noRegion>71003 Crete</wicri:noRegion></affiliation></author><author><name sortKey="Portaliou, Dimitra M" sort="Portaliou, Dimitra M" uniqKey="Portaliou D" first="Dimitra M." last="Portaliou">Dimitra M. Portaliou</name><affiliation wicri:level="1"><nlm:aff id="I1">Institute of Vision and Optics (IVO), University of Crete, Medical School, Heraklion, 71003 Crete, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Institute of Vision and Optics (IVO), University of Crete, Medical School, Heraklion, 71003 Crete</wicri:regionArea><wicri:noRegion>71003 Crete</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21941625</idno><idno type="pmc">3175706</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3175706</idno><idno type="RBID">PMC:3175706</idno><idno type="doi">10.1155/2011/284961</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">002778</idno><idno type="wicri:Area/Pmc/Curation">002778</idno><idno type="wicri:Area/Pmc/Checkpoint">001A17</idno><idno type="wicri:Area/Ncbi/Merge">001B99</idno><idno type="wicri:Area/Ncbi/Curation">001B99</idno><idno type="wicri:Area/Ncbi/Checkpoint">001B99</idno><idno type="wicri:doubleKey">2090-004X:2011:Pallikaris I:real:and:pseudoaccommodation</idno><idno type="wicri:Area/Main/Merge">002A33</idno><idno type="wicri:Area/Main/Curation">002A01</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Real and Pseudoaccommodation in Accommodative Lenses</title><author><name sortKey="Pallikaris, Ioannis G" sort="Pallikaris, Ioannis G" uniqKey="Pallikaris I" first="Ioannis G." last="Pallikaris">Ioannis G. Pallikaris</name><affiliation wicri:level="1"><nlm:aff id="I1">Institute of Vision and Optics (IVO), University of Crete, Medical School, Heraklion, 71003 Crete, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Institute of Vision and Optics (IVO), University of Crete, Medical School, Heraklion, 71003 Crete</wicri:regionArea><wicri:noRegion>71003 Crete</wicri:noRegion></affiliation></author><author><name sortKey="Kontadakis, Georgios A" sort="Kontadakis, Georgios A" uniqKey="Kontadakis G" first="Georgios A." last="Kontadakis">Georgios A. Kontadakis</name><affiliation wicri:level="1"><nlm:aff id="I1">Institute of Vision and Optics (IVO), University of Crete, Medical School, Heraklion, 71003 Crete, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Institute of Vision and Optics (IVO), University of Crete, Medical School, Heraklion, 71003 Crete</wicri:regionArea><wicri:noRegion>71003 Crete</wicri:noRegion></affiliation></author><author><name sortKey="Portaliou, Dimitra M" sort="Portaliou, Dimitra M" uniqKey="Portaliou D" first="Dimitra M." last="Portaliou">Dimitra M. Portaliou</name><affiliation wicri:level="1"><nlm:aff id="I1">Institute of Vision and Optics (IVO), University of Crete, Medical School, Heraklion, 71003 Crete, Greece</nlm:aff><country xml:lang="fr">Grèce</country><wicri:regionArea>Institute of Vision and Optics (IVO), University of Crete, Medical School, Heraklion, 71003 Crete</wicri:regionArea><wicri:noRegion>71003 Crete</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of Ophthalmology</title><idno type="ISSN">2090-004X</idno><idno type="eISSN">2090-0058</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>In the attempt to manage presbyopia, different intraocular lens designs have been proposed such as monofocal IOLs with monovision or multifocal IOLs. Even though the lenses mentioned offer satisfactory visual results, contemporary ophthalmology has not completely answered the presbyopic dilemma by simulating the accommodative properties of the crystalline lens itself. Accommodative IOLs were designed to fill this gap and provide satisfactory vision for all distances by restoring some degree of “pseudoaccommodation.” Pseudo accommodative capability can be linked to monofocal IOL's as well but the results are not satisfactory enough to fully support unaided near vision. Pseudoaccommodation is a complex phenomenon that can be attributed to several static (i.e., pupil size, against-the-rule cylindrical refractive error, multifocality of the cornea) and dynamic (i.e., anterior movement of the implant itself) factors. Objective measurement of the accommodative capability offered by the accommodative IOLs is extremely difficult to obtain, and different methods such as autorefractometers, retinoscopy, and ultrasound imaging during accommodative effort, ray tracing, or pharmacological stimulation have been developed but the results are sometimes inconsistent. Despite the difficulties in measuring accommodation, accommodative IOLs represent the future in the attempt to successfully “cure” presbyopia.
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Schneider</name></author><author><name sortKey="Beck, R" uniqKey="Beck R">R Beck</name></author><author><name sortKey="Guthoff, R" uniqKey="Guthoff R">R Guthoff</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Macsai, Ms" uniqKey="Macsai M">MS Macsai</name></author><author><name sortKey="Padnick Silver, L" uniqKey="Padnick Silver L">L Padnick-Silver</name></author><author><name sortKey="Fontes, Bm" uniqKey="Fontes B">BM Fontes</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Marchini, G" uniqKey="Marchini G">G Marchini</name></author><author><name sortKey="Mora, P" uniqKey="Mora P">P Mora</name></author><author><name sortKey="Pedrotti, E" uniqKey="Pedrotti E">E Pedrotti</name></author><author><name sortKey="Manzotti, F" uniqKey="Manzotti F">F Manzotti</name></author><author><name sortKey="Aldigeri, R" uniqKey="Aldigeri R">R Aldigeri</name></author><author><name sortKey="Gandolfi, Sa" uniqKey="Gandolfi S">SA Gandolfi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ali, Jl" uniqKey="Ali J">JL Alió</name></author><author><name sortKey="Pi Ero, Dp" uniqKey="Pi Ero D">DP Piñero</name></author><author><name sortKey="Plaza Puche, Ab" uniqKey="Plaza Puche A">AB Plaza-Puche</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sanders, Dr" uniqKey="Sanders D">DR Sanders</name></author><author><name sortKey="Sanders, Ml" uniqKey="Sanders M">ML Sanders</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wolffsohn, Js" uniqKey="Wolffsohn J">JS Wolffsohn</name></author><author><name sortKey="Davies, Ln" uniqKey="Davies L">LN Davies</name></author><author><name sortKey="Gupta, N" uniqKey="Gupta N">N Gupta</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ossma, Il" uniqKey="Ossma I">IL Ossma</name></author><author><name sortKey="Galvis, A" uniqKey="Galvis A">A Galvis</name></author><author><name sortKey="Vargas, Lg" uniqKey="Vargas L">LG Vargas</name></author><author><name sortKey="Trager, Mj" uniqKey="Trager M">MJ Trager</name></author><author><name sortKey="Vagefi, Mr" uniqKey="Vagefi M">MR Vagefi</name></author><author><name sortKey="Mcleod, Sd" uniqKey="Mcleod S">SD McLeod</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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