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Secondary IOLs: ACIOL vs Iris Sutured vs Scleral Fixated vs Phakic IOL in Aphakic Settings

  • Cataract (CE Starr and A Brissette, Section Editors)
  • Published:
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Abstract

Purpose of Review

The aim of this review is to present ophthalmologists with up-to-date literature and treatment practices in the correction of vision with secondary intraocular lenses (IOLs) in the aphakic setting.

Recent Findings

Advances in the surgical techniques for the implantation of secondary intraocular lenses have allowed for improved postoperative outcomes. Studies published continue to evaluate the different surgical approaches and provide guidance to surgeons when choosing the optimal treatment plan for their patients.

Summary

In the absence of adequate capsular support, surgical implantation of intraocular lenses in different positions within the eye can be performed. Anterior chamber, iris-sutured, scleral-fixated, and iris-claw intraocular lenses have been found to be safe and effective treatment modalities in the correction of aphakia in eyes lacking adequate capsular support. Recent studies show that the development of new surgical techniques continue to provide safer and more effective treatment options for these patients.

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Authors and Affiliations

  1. Department of Ophthalmology, Baylor College of Medicine, Houston, TX, USA

    Mahmood J. Khan

  2. Cornea, Cataract and Refractive Surgery, Baylor College of Medicine, Houston, TX, USA

    Zaina N. Al-Mohtaseb

  3. Comprehensive, Cornea, Cataract and Refractive Surgery, 1111 Professional Boulevard, Dalton, GA, 30720, USA

    Dooho Brian Kim

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  1. Mahmood J. Khan
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Correspondence to Dooho Brian Kim.

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Khan, M.J., Al-Mohtaseb, Z.N. & Kim, D.B. Secondary IOLs: ACIOL vs Iris Sutured vs Scleral Fixated vs Phakic IOL in Aphakic Settings. Curr Ophthalmol Rep 6, 217–225 (2018). https://doi.org/10.1007/s40135-018-0184-1

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