Managing low corneal astigmatism in patients with presbyopia correcting intraocular lenses: a narrative review

BMC Ophthalmology

Review

Filomena J Ribeiro¹  Manuel Rodríguez-Vallejo²  Joaquín Fernández²  Marina Rodríguez-Calvo-de-Mora³  Carlos Rocha-de-Lossada⁴ 

[1] Departamento de Oftalmologia, Hospital da Luz, 1500-650, Lisbon, Portugal;Faculdade de Medicina, Universidade de Lisboa, 1649-028, Lisbon, Portugal;Qvision, Department of Ophthalmology of VITHAS Almería Hospital, 04120, Almería, Spain;Qvision, Department of Ophthalmology of VITHAS Almería Hospital, 04120, Almería, Spain;Ophthalmology Department, VITHAS Málaga, 29016, Málaga, Spain;Hospital Regional Universitario de Málaga, Plaza del Hospital Civil, S/N, 29009, Málaga, Spain;Qvision, Department of Ophthalmology of VITHAS Almería Hospital, 04120, Almería, Spain;Ophthalmology Department, VITHAS Málaga, 29016, Málaga, Spain;Hospital Regional Universitario de Málaga, Plaza del Hospital Civil, S/N, 29009, Málaga, Spain;Departamento de Cirugía, Universidad de Sevilla, Área de Oftalmología. Doctor Fedriani, S/N, 41009, Sevilla, Spain;

关键词: Astigmatism;    Presbyopia;    Multifocal;    Intraocular lenses;    Cataract surgery;   

DOI  :  10.1186/s12886-023-03003-2

 received in 2023-04-20, accepted in 2023-05-31,  发布年份 2023

来源: Springer

【 摘 要 】

Cataract surgery has become a refractive procedure in which emmetropia is the goal, with the implantation of extended depth-of-focus or multifocal intraocular lenses (IOLs) being the commonly selected option to restore vision beyond the far distance. The selection criteria for implanting these lenses can differ from those for monofocal IOLs and even between technologies, as eye characteristics can affect postoperative visual performance. Corneal astigmatism is an eye characteristic that can affect visual performance differently, depending on the implanted IOL. The magnitude of corneal astigmatism, the tolerance of the IOL to this astigmatism, economic aspects, comorbidities, and the efficacy of astigmatism treatment are factors that can make surgeons’ doubt as to what astigmatism treatment should be applied to each patient. This review aims to summarize the current evidence related to low astigmatism tolerance in presbyopia-correcting lenses, the efficacy achieved through corneal incisions, and their comparison with the implantation of toric IOLs.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 3