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Accommodative Intraocular Lenses

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Albert and Jakobiec's Principles and Practice of Ophthalmology

Abstract

Presbyopia correction remains a considerable obstacle for ophthalmologists practicing today.

There are several modes of treatment available, including formulations of topical medications, corneal excimer laser surgery, scleral devices, and intraocular lenses. The predominant course of action for pseudophakic presbyopia is the use of multifocal IOLs. The use of this treatment poses possible limitations for the patient, as this technology does not restore the accommodation itself and can induce a variety of photic phenomena.

Accommodative IOLs (A-IOLs) were developed several years ago with the aim of counteracting disadvantages of multifocal IOLs and restoring real accommodation. That being said, since their inception A-IOLs have not been shown to be meaningfully effective in restoring real accommodation in a clinically significant manner in the long term. The primary reason for the failure of A-IOLs has been the relationship between secondary fibrosis and contraction of the capsular bag following lensectomy. Research continues on the improvement of this type of treatment and new advances in materials, technologies, and surgical approaches have borne new designs that may allow A-IOLs to overcome their obstacles.

This chapter will delve into accommodation restoration in patients after cataract surgery. Specifically, it will provide an analysis of the different accommodative lenses that have been developed, their limitations, and new technologies on the horizon.

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Declarations

Competing interests:

JL Alio is a consultant and clinical investigator of Zeiss Meditec, Akkolens, Topcon and Hanita Lenses. The other authors have no financial interest to disclose on the topic of intraocular lenses.

Author information

Authors and Affiliations

  1. Cornea, Cataract and Refractive Surgery Department, Vissum Corporación, Alicante, Spain

    Jorge L. Alió del Barrio & Alfredo Vega

  2. Division of Ophthalmology, Universidad Miguel Hernández, Alicante, Spain

    Jorge L. Alió del Barrio & Alfredo Vega

  3. Division of Ophthalmology, Department of Pathology and Surgery, Miguel Hernández University, Elche, Spain

    Jorge L. Alió

  4. Vissum Instituto Oftalmológico de Alicante, Alicante, Spain

    Jorge L. Alió

  5. Cataract and Refractive Surgery Unit, VISSUM, Alicante, Spain

    Jorge L. Alió

Authors
  1. Jorge L. Alió del Barrio
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  2. Alfredo Vega
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  3. Jorge L. Alió
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Corresponding author

Correspondence to Jorge L. Alió .

Editor information

Editors and Affiliations

  1. Casey Eye Institute, Oregon Health & Science, Portland, OR, USA

    Daniel M. Albert

  2. Department of Ophthalmology, Massachusetts Eye and Ear, Massachusetts General Hospital, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

    Joan W. Miller

  3. Department of Ophthalmology, University of Illinois College of Medicine, University of Illinois at Chicago, Chicago, IL, USA

    Dimitri T. Azar

  4. Department of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA

    Lucy H. Young

Section Editor information

  1. Department of Ophthalmology, University of Illinois at Chicago, Chicago, IL, USA

    Dimitri T. Azar

  2. Division of Ophthalmology, Department of Pathology and Surgery, Universidad Miguel Hernandez, Alicante, Spain

    Jorge Alio

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Alió del Barrio, J.L., Vega, A., Alió, J.L. (2022). Accommodative Intraocular Lenses. In: Albert, D.M., Miller, J.W., Azar, D.T., Young, L.H. (eds) Albert and Jakobiec's Principles and Practice of Ophthalmology. Springer, Cham. https://doi.org/10.1007/978-3-030-42634-7_232

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  • DOI: https://doi.org/10.1007/978-3-030-42634-7_232

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-42633-0

  • Online ISBN: 978-3-030-42634-7

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