Update on the Use of Premium Intraocular Lenses in Glaucoma

  • Abayomi Fabunmi
  • Steven R. SarkisianJrEmail author
Diagnosis and Monitoring of Glaucoma (J Kammer, Section Editor)
Part of the following topical collections:
  1. Diagnosis and Monitoring of Glaucoma


Purpose of Review

In this report, we review the latest evidence for and against the use of premium intraocular lenses (IOL) in patients with glaucoma.

Recent Findings

Visual outcomes from clinical studies of newer Extend Depth of Focus (EDF) IOLs and low add apodized diffractive-refractive IOLs are significantly better than prior generations of multifocal (MF) IOLs. Clinical studies show that EDF and monofocal IOLs have similar contrast sensitivities in photopic conditions independent of spatial frequency.


Premium IOLs restore uncorrected visual function, but intolerable visual disturbances and contrast impairment are uncommon side effects. Awareness of issues unique to glaucoma is critical for appropriate patient selection. Combined procedures with sizable shifts in IOP may have better refractive outcomes when staged. Toric and accommodating IOLs are reasonable options for most stages of glaucoma without fixation loss. EDF and newer MF IOLs can be appropriate options for stable pre-perimetric and early perimetric conditions.


Glaucoma Premium intraocular lenses Contrast sensitivity Multifocal Extended depth of focus 


Compliance with Ethical Standards

Conflict of Interest

Abayomi Fabunmi declares no potential conflicts of interest. Steven Sarkisian is a consultant/advisor for Allergen, Beaver-Visitec International, Inc., Katema Products, Inc., New World Medical Inc., Omeros, and Stanten, Inc. Dr. Sarkisian is also a consultant/advisor and has received grant support and lecture fees from Alcon Laboratories, Inc. He is also a consultant/advisor and received grant support from Glaukos Corporation. Lastly, Dr. Sarkisian is a consultant/advisor, equity owner, and received grant support from Sight Sciences, Inc.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Ophthalmology, Dean McGee Eye InstituteUniversity of Oklahoma College of MedicineOklahoma CityUSA
  2. 2.Oklahoma Eye SurgeonsOklahoma CityUSA

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