Ocular Surgery News U.S. Edition, October 10, 2015
Richard L. Lindstrom, MD
The options available for the surgical correction of presbyopia with an IOL implant continue to expand. The potential indications for the treatment of presbyopia also continue to expand. Every patient who undergoes cataract surgery is potentially a candidate for a presbyopia-correcting IOL if we had a technology that did not degrade quality of vision and retained stereopsis and binocular summation. In addition, because the etiology of presbyopia resides in the lens, it is patently obvious to both patients and surgeons that a lens-based solution is logical.
The defining of the so-called dysfunctional lens syndrome, which includes presbyopia along with a reduced quality of vision from increased higher-order aberrations, light scatter and reduced contrast sensitivity in the aging natural lens, has helped both surgeons and patients better understand the problem. Elective patient pay refractive lens exchange for the treatment of dysfunctional lens syndrome is becoming more common in many practices with high patient satisfaction.