Phakic Intraocular Lenses media有晶状体眼人工晶状体媒体.optomonline.au.pptVIP

Multifocal Intraocular Lenses Contrast Sensitivity Dr Kerrie Meades MBBS(Hons) FRANZCO FRACS Cataract and Refractive Surgeon Multifocal IOL’s Come in three basic types; Refractive Diffractive Accommodative Multifocal IOL’s can also be Aspheric contain a UV or blue filter Aspheric IOL’s The idea of the aspheric IOL is to return the eye to that of youthful optics, The young eye has zero Spherical Aberration With age, Spherical Aberration increases reducing functional vision Filters – Blue light UV The human lens has the ability to filter UV and blue light naturally Blue light filtration (yellow) UV blocking is believed to slow down the progression of AMD caused by exposure virtually 100% of IOLs now contain UV-absorbers Multifocal IOL’s Multifocal IOL’s provide greater spectacle independence to patients Careful patient counseling is needed to match a lens solution to the patients expectations. Sometimes you may need to Mix IOL’s to suit a patients visual requirements. Refractive Refractive multifocal IOL’s are designed with several optical zones on the IOL. These zones provide various focal points, allowing for an improvement in distance, intermediate, near vision Rezoom offers a good DVA. Mid-distance haloing is a side effect Diffractive Diffractive multifocal IOL’s have gradual diffractive steps on the IOL implant that create a smooth transition between focal points. The IOL also bends incoming light to the multiple focal points to increase vision in various lighting situations. Haloing is a side effect Restor Tecnis Accommodative An accommodative IOL only has one focal point, but the focal point moves The IOL has a hinge similar to the mechanics of the eye’s natural lens. Using the eye’s muscles, the single focal point of an accommodative IOL can shift to bring objects at varying distances into focus Patients get good DVA but NVA may be variable No Haloing Tetraflex crystalens 5-0 Patient Experiences with Restor +3 JW 68years Pre-op RVA 6