PURPOSE To compare higher order aberrations (HOA) in AcrySof SN60AT and Acrysof IQ SN60WF intraocular lenses (IOLs) and natural crystalline lenses in an age-matched population. METHODS Sixty-nine eyes of 55 patients were examined. Group I included AcrySof spheric lenses, group II AcrySof aspheric lenses, and group III included patients with the natural crystalline lens. The HOA data were obta...

Aim: To design an accommodating intraocular lens with extended accommodative range that can be adapted to current standard phacoemulsification and endocapsular implantation technique. Method: Ray tracing analysis and lens design; cadaver eye implantation. Results: Ray tracing analysis indicated that axial movement of an exaggerated converging anterior optic linked by spring loaded haptics to a ...

UNLABELLED This article presents an extensive overview of best clinical practice pertaining to selection and use of multifocal intraocular lenses (IOLs) currently available in the United States. Relevant preoperative diagnostic evaluations, patient selection criteria, counseling, and managing expectations are reviewed, as well as how to approach patients with underlying ocular intricacies or ch...

In the current era of presbyopia-correcting intraocular lenses (IOLs), toric IOLs and aspheric IOL technology, the practice milieu is changing. Informed consent takes on newmeaning when the surgeon and the patient decide together which IOL technology represents the best fit for a particular life style and its visual demands. Customizing IOL choice is no longer optional; it is essential to the p...

PURPOSE To analyze intraocular lens (IOL) orientation data from an online toric back-calculator (astigmatismfix.com) for determining if differences were apparent by lens type. METHODS A retrospective review of astigmatismfix.com toric back-calculations that included IOL identification and intended orientation axis. RESULTS Of 12,812 total validated calculation records, 8,229 included intend...

PURPOSE To determine the refractive cylinder effect of rotating a toric intraocular lens (IOL) and identify the sources of refractive astigmatic surprise after toric IOL implantation. SETTING Private practice, Melbourne, Australia. DESIGN Experimental study. METHODS Vergence formulas using a standard reduced eye model were used to bring all lens powers to the corneal plane. Double-angle v...

PURPOSE To evaluate intraindividual visual acuity, wavefront errors and modulation transfer functions in patients implanted with two diffractive multifocal intraocular lenses. METHODS This prospective study examined 40 eyes of 20 cataract patients who underwent phacoemulsification and implantation of a spherical multifocal ReSTOR intraocular lens in one eye and an aspheric Tecnis ZM900 multif...

We describe the histopathological findings of an enucleation specimen from a clinically undiagnosed case of phacoanaphylaxis which occurred after extracapsular cataract extraction with intraocular lens implantation. Phacoanaphylaxis, a granulomatous inflammatory response to liberated lens protein, is potentially curable by prompt removal of residual lens material. This case emphasises that the ...

A 32-year-old female who had undergone the silicone oil removal procedure presented with visual disturbance in her left eye. Several months previous, she had cataract surgery in a private clinic, and a month later she had a Nd:YAG laser procedure for posterior capsulotomy. The slit-lamp examination revealed silicone oil droplets that had adhered to the intraocular lens where the posterior capsu...

A 74-year-old man presented to the ophthalmology outpatient clinic with reduced visual acuity and increasing haziness of vision in his left eye over several months. Seven years previously he had undergone uneventful cataract surgery with phacoemulsification and insertion of a posterior chamber lens (+14.5 dioptres Alcon MA60BM, 6.0 mm optic) in the same eye. There had been no postoperative comp...