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The intraocular implant lens development and results with special reference to the binkhorst lens

Thesis

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Summary

  1. 1.

    Spectacle lenses for the correction of aphakia have considerable disadvantages. Optically they are only adequate for vision along the optical axis, and consequently, the patient tries to look along the optical axis by turning his head instead of his eyes. Image magnification and ring scotoma, however, cannot be overcome and blurring of the periphery of the image only partially. Binocular vision can only be present in binocular aphakics.

  2. 2.

    The contact lens has far better optical properties than the spectacle lens. Irregular corneal astigmatism is a strong indication. Binocular vision is reportedly present in unilateral aphakics with an average of 46 % WIRT stereopsis. However, successful use does not last in children, and decreases in adults over the years, especially in unilateral aphakics.

  3. 3.

    The intraocular lens has the best optical properties. It has rendered amblyopia prevention much easier in unilateral aphakic children, and has even made it possible to restore binocular vision. Binocular vision is present in unilateral aphakics with an average of 82% WIRT stereopsis.

Iseikonia or only minimal aniseikonia may be achieved with a standard power implant lens or, in special cases, with an implant of individually-computed power.

We may thus conclude that, compared with the spectacle lens and the contact lens, the intraocular lens offers far the best theoretical and practical possibilities for both the optical correction of aphakia and the restoration of binocular vision.

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    Nordlohne, M.E. The intraocular implant lens development and results with special reference to the binkhorst lens. Doc Ophthalmol 38, 1–269 (1974). https://doi.org/10.1007/BF00580982

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