Synonyms
Definition
An accommodative IOL is an artificial intraocular lens which is designed to enable accommodation (a dynamic change in focus of the eye).
Indication
Accommodating IOLs are supposed to transform the movement of the ciliary muscle which occurs with an accommodative effort into a dynamic change of dioptric power of the eye. They are indicated to treat the loss of the ability to accommodate which occurs with advancing age (presbyopia).
Contraindications
Accommodative IOLs are not indicated in eyes with a weakened zonule and insufficient fixation of the crystalline lens capsule.
Techniques and Principles
All accommodating IOLs currently available are based on the principle of translation of the IOL optic. By means of a hinge or a similar mechanism in the IOL, haptic contraction of the ciliary muscle is expected to effect an anterior shift of the IOL optic and thus increase the power of the eye. This allows only a limited range of...
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References
Baumeister M, Kohnen T (2008) Accommodation and presbyopia: part 2: surgical procedures for the correction of presbyopia. Ophthalmologe 105:1059–1074
Findl O, Leydolt C (2007) Meta-analysis of accommodating intraocular lenses. J Cataract Refract Surg 33:522–527
Ho A, Erickson P, Manns F, Pham T, Parel JM (2001) Theoretical analysis of accommodation amplitude and ametropia correction by varying refractive index in Phaco-Ersatz. Optom Vis Sci 78:405–410
McLeod SD, Portney V, Ting A (2003) A dual optic accommodating foldable intraocular lens. Br J Ophthalmol 87:1083–1085
Ossma IL, Galvis A, Vargas LG, Trager MJ, Vagefi MR, McLeod SD (2007) Synchrony dual-optic accommodating intraocular lens. Part 2: pilot clinical evaluation. J Cataract Refract Surg 33:47–52
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Baumeister, M., Kohnen, T. (2018). Accommodating Intraocular Lens. In: Schmidt-Erfurth, U., Kohnen, T. (eds) Encyclopedia of Ophthalmology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-69000-9_384
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DOI: https://doi.org/10.1007/978-3-540-69000-9_384
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Publisher Name: Springer, Berlin, Heidelberg
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