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Innovations in Cataract Surgery

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Ophthalmology and the Ageing Society

Abstract

Cataract surgery has come a long way, from couching in the middle ears as long as 5,000 years ago to femtosecond laser lens fragmentation today. Although it is a routine surgery in the Western world today, cataract is still a major cause of blindness in the world, as the availability of surgery in other countries is much worse. And even if cataract surgery is available, posterior YAG capsulotomies might be not. Besides these problems, the development of cataract surgery in the Western world is progressing with huge steps. Smaller incisions, less invasive surgical techniques, and last but not least more precise IOL calculations lead the way to premium IOL. Bi- and trifocal lenses, requiring precise and predictable positioning are being implanted successfully today, due to these developments allowing patients to be independent of their glasses after cataract surgery. This step – from the removal of the blurred lens only towards the aiming for postoperative spectacle independency – marked the change from cataract surgery to refractive cataract surgery, which will be the cataract surgery of the twenty-first century.

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References

  • Akaishi L, Vaz R et al (2010) Visual performance of Tecnis ZM900 diffractive multifocal IOL after 2500 implants: a 3-year followup. J Ophthalmol 2010; pii: 717591. doi: 10.1155/2010/717591. Epub 2010

  • Alio JL, Plaza-Puche AB et al (2012) Comparison of the visual and intraocular optical performance of a refractive multifocal IOL with rotational asymmetry and an apodized diffractive multifocal IOL. J Refract Surg 28(2):100–105

    Article  PubMed  Google Scholar 

  • Apple DJ, Solomon KD et al (1992) Posterior capsule opacification. Surv Ophthalmol 37(2):73–116

    Article  PubMed  CAS  Google Scholar 

  • Bali SJ, Hodge C et al (2012) Early experience with the femtosecond laser for cataract surgery. Ophthalmology 119(5):891–899

    Article  PubMed  Google Scholar 

  • Dupps WJ Jr, Kohnen T et al (2011) Standardized graphs and terms for refractive surgery results. J Cataract Refract Surg 37(1):1–3

    Article  PubMed  Google Scholar 

  • Erie JC, Raecker MA et al (2006a) Risk of retinal detachment after cataract extraction, 1980–2004: a population-based study. Ophthalmology 113(11):2026–2032

    Article  PubMed  Google Scholar 

  • Erie JC, Raecker ME et al (2006b) Risk of retinal detachment after cataract extraction, 1980–2004: a population-based study. Trans Am Ophthalmol Soc 104:167–175

    PubMed  Google Scholar 

  • ESCRS (2007) Prophylaxis of postoperative endophthalmitis following cataract surgery: results of the ESCRS multicenter study and identification of risk factors. J Cataract Refract Surg 33(6):978–988

    Article  Google Scholar 

  • Ezra DG, Allan BD (2007) Topical anaesthesia alone versus topical anaesthesia with intracameral lidocaine for phacoemulsification. Cochrane Database Syst Rev (3):CD005276

    Google Scholar 

  • Filkorn T, Kovacs I et al (2012) Comparison of IOL power calculation and refractive outcome after laser refractive cataract surgery with a femtosecond laser versus conventional phacoemulsification. J Refract Surg 28:540–544

    Article  PubMed  Google Scholar 

  • Findl O, Leydolt C (2007) Meta-analysis of accommodating intraocular lenses. J Cataract Refract Surg 33(3):522–527

    Article  PubMed  Google Scholar 

  • Gunvant P, Ablamowicz A et al (2011) Predicting the necessity of LASIK enhancement after cataract surgery in patients with multifocal IOL implantation. Clin Ophthalmol 5:1281–1285

    Article  PubMed  Google Scholar 

  • Haefliger E, Neuhann T (1988) Neuhann capsulorhexis: a technic for reliable implantation of the capsule sack. Klin Monbl Augenheilkd 192(5):435–438

    Article  PubMed  CAS  Google Scholar 

  • Haigis W (2008) Intraocular lens calculation after refractive surgery for myopia: Haigis-L formula. J Cataract Refract Surg 34(10):1658–1663

    Article  PubMed  Google Scholar 

  • Hayashi K, Manabe S et al (2009a) Visual acuity from far to near and contrast sensitivity in eyes with a diffractive multifocal intraocular lens with a low addition power. J Cataract Refract Surg 35(12):2070–2076

    Article  PubMed  Google Scholar 

  • Hayashi K, Yoshida M et al (2009b) All-distance visual acuity and contrast visual acuity in eyes with a refractive multifocal intraocular lens with minimal added power. Ophthalmology 116(3):401–408

    Article  PubMed  Google Scholar 

  • Hengerer FH, Hutz WW et al (2011) Combined correction of axial hyperopia and astigmatism using the light adjustable intraocular lens. Ophthalmology 118(7):1236–1241

    PubMed  Google Scholar 

  • Kelman CD (1967) Phaco-emulsification and aspiration. A new technique of cataract removal. A preliminary report. Am J Ophthalmol 64(1):23–35

    PubMed  CAS  Google Scholar 

  • Klaproth OK, Titke C et al (2011) Accommodative intraocular lenses – principles of clinical evaluation and current results. Klin Monbl Augenheilkd 228(8):666–675

    Article  PubMed  CAS  Google Scholar 

  • Koch MJ, Kohnen T (1999) Refractive cataract surgery. Curr Opin Ophthalmol 10(1):10–15

    Article  PubMed  CAS  Google Scholar 

  • Koch DD, Liu JF et al (1989) Refractive complications of cataract surgery after radial keratotomy. Am J Ophthalmol 108(6):676–682

    PubMed  CAS  Google Scholar 

  • Kohnen T (2009) New abbreviations for visual acuity values. J Cataract Refract Surg 35(7):1145

    Article  PubMed  Google Scholar 

  • Kohnen T, Klaproth OK (2008) Aspheric intraocular lenses. Ophthalmologe 105(3):234–240

    Article  PubMed  CAS  Google Scholar 

  • Kohnen T, Kasper T et al (2004) Ten-year follow-up of a ciliary sulcus-fixated silicone phakic posterior ­chamber intraocular lens. J Cataract Refract Surg 30(11):2431–2434

    Article  PubMed  Google Scholar 

  • Kohnen T, Baumeister M et al (2009a) Cataract surgery with implantation of an artificial lens. Dtsch Arztebl Int 106(43):695–702

    PubMed  Google Scholar 

  • Kohnen T, Klaproth OK et al (2009b) Effect of intraocular lens asphericity on quality of vision after cataract removal: an intraindividual comparison. Ophthalmology 116(9):1697–1706

    Article  PubMed  Google Scholar 

  • Kohnen T, Nuijts R et al (2009c) Visual function after bilateral implantation of apodized diffractive aspheric multifocal intraocular lenses with a +3.0 D addition. J Cataract Refract Surg 35(12):2062–2069

    Article  PubMed  Google Scholar 

  • Kollarits CR, Kollarits FJ et al (1982) The pupil dark response in normal volunteers. Curr Eye Res 2(4):255–259

    Article  PubMed  Google Scholar 

  • Koopmans SA, Terwee T et al (2003) Polymer refilling of presbyopic human lenses in vitro restores the ability to undergo accommodative changes. Invest Ophthalmol Vis Sci 44(1):250–257

    Article  PubMed  Google Scholar 

  • Kranitz K, Takacs A et al (2011) Femtosecond laser capsulotomy and manual continuous curvilinear capsulorrhexis parameters and their effects on intraocular lens centration. J Refract Surg 27(8):558–563

    Article  PubMed  Google Scholar 

  • Langenbucher A, Reese S et al (2004) Pseudophakic accommodation with translation lenses–dual optic vs mono optic. Ophthalmic Physiol Opt 24(5):450–457

    Article  PubMed  Google Scholar 

  • Leydolt C, Neumayer T et al (2009) Effect of patient motivation on near vision in pseudophakic patients. Am J Ophthalmol 147(3):398–405 e3

    Article  PubMed  Google Scholar 

  • Lundstrom M, Wejde G et al (2007) Endophthalmitis after cataract surgery: a nationwide prospective study evaluating incidence in relation to incision type and location. Ophthalmology 114(5):866–870

    Article  PubMed  Google Scholar 

  • Nagpal KM, Desai C et al (2000) Is pseudophakic astigmatism a desirable goal? Indian J Ophthalmol 48(3):213–216

    PubMed  CAS  Google Scholar 

  • Nagy Z, Takacs A et al (2009) Initial clinical evaluation of an intraocular femtosecond laser in cataract surgery. J Refract Surg 25(12):1053–1060

    Article  PubMed  Google Scholar 

  • Nanavaty MA, Vasavada AR et al (2006) Analysis of patients with good uncorrected distance and near vision after monofocal intraocular lens implantation. J Cataract Refract Surg 32(7):1091–1097

    Article  PubMed  Google Scholar 

  • Nishi Y, Mireskandari K et al (2009) Lens refilling to restore accommodation. J Cataract Refract Surg 35(2):374–382

    Article  PubMed  Google Scholar 

  • Olsen G, Olson RJ (2000) Update on a long-term, prospective study of capsulotomy and retinal detachment rates after cataract surgery. J Cataract Refract Surg 26(7):1017–1021

    Article  PubMed  CAS  Google Scholar 

  • Patel S, Alio JL et al (2008) Comparison of Acri. Smart multifocal IOL, crystalens AT-45 accommodative IOL, and Technovision presbyLASIK for correcting presbyopia. J Refract Surg 24(3):294–299

    PubMed  Google Scholar 

  • Patwardhan A, Rao GP et al (2006) Incidence and outcomes evaluation of endophthalmitis management after phacoemulsification and 3-piece silicone intraocular lens implantation over 6 years in a single eye unit. J Cataract Refract Surg 32(6):1018–1021

    Article  PubMed  Google Scholar 

  • Poll Jt, Wang L et al (2010) Correction of astigmatism during cataract surgery: toric intraocular lens compared to peripheral corneal relaxing incisions. J Refract Surg 27:165–171.

    Google Scholar 

  • Powe NR, Schein OD et al (1994) Synthesis of the literature on visual acuity and complications following cataract extraction with intraocular lens implantation. Cataract Patient Outcome Research Team. Arch Ophthalmol 112(2):239–252

    Article  PubMed  CAS  Google Scholar 

  • Ridley H (1952) Intra-ocular acrylic lenses after cataract extraction. Lancet 1(6699):118–121

    Article  PubMed  CAS  Google Scholar 

  • Russell M, Gaskin B et al (2006) Pseudophakic retinal detachment after phacoemulsification cataract surgery: ten-year retrospective review. J Cataract Refract Surg 32(3):442–445

    Article  PubMed  Google Scholar 

  • Sun X, Li P et al (2010) Investigating the effects of dimethylsulfoxide on hemodynamics during cortical spreading depression by combining laser speckle imaging with optical intrinsic signal imaging. Lasers Surg Med 42(9):649–655

    Article  PubMed  Google Scholar 

  • Wang L, Dai E et al (2003) Optical aberrations of the human anterior cornea. J Cataract Refract Surg 29(8):1514–1521

    Article  PubMed  Google Scholar 

  • Wang L, Santaella RM et al (2005) Higher-order aberrations from the internal optics of the eye. J Cataract Refract Surg 31(8):1512–1519

    Article  PubMed  Google Scholar 

  • Werner L (2007) Causes of intraocular lens opacification or discoloration. J Cataract Refract Surg 33(4):713–726

    Article  PubMed  Google Scholar 

  • WHO (2011) http://www.who.int/en/ Accessed on January 1, 2012.

  • Zemaitiene R, Jasinskas V et al (2007) Influence of three-piece and single-piece designs of two sharp-edge optic hydrophobic acrylic intraocular lenses on the prevention of posterior capsule opacification: a prospective, randomised, long-term clinical trial. Br J Ophthalmol 91(5):644–648

    Article  PubMed  Google Scholar 

Download references

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Conflict of interest: none; Ethical standards: Informed consent – not applicable; Animal rights – not applicable.

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Correspondence to Thomas Kohnen MD, PhD, FEBO .

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Klaproth, O.K., Ostovic, M., Kohnen, T. (2013). Innovations in Cataract Surgery. In: Scholl, H., Massof, R., West, S. (eds) Ophthalmology and the Ageing Society. Essentials in Ophthalmology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36324-5_7

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  • DOI: https://doi.org/10.1007/978-3-642-36324-5_7

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