Sulcus Add-on Intraocular Lenses and Dual Procedures

oftalmoloji-17-1-kapak-wosonayiyok

Dilek YAŞAa , Gönül KARATAŞ DURUSOYb , Bülent KÖSEa

aPrivate Aritmi Osmangazi Hospital, Clinic of Ophthalmology, Bursa, Türkiye
bGaziantep Dr. Ersin Arslan Training and Research Hospital, Clinic of Ophthalmology, Gaziantep, Türkiye

ABSTRACT
Secondary add-on intraocular lens (IOL) implantation can effectively correct residual refractive error in pseudophakic patients. Although lens models not specifically designed for that purpose were once used in the procedure, today specific IOLs called ”add-on IOLs” are designed for implantation in the ciliary sulcus of pseudophakic patients and are more effective and safer to use than lenses of the past. With add-on IOLs, a primary dual (duet) implantation procedure may also be performed to create reversible multifocality. In that procedure, a monofocal IOL is implanted in the capsular bag, while a multifocal add-on IOL is implanted in the ciliary sulcus in the same session. If the patient is unsatisfied with the visual results of multifocality, then the add-on IOL in the ciliary sulcus is explanted. Easy reversibility is a major advantage of the procedure.
Keywords: Refractive error; lens implantation intraocular; multifocal intraocular lenses; cataract extraction; presbyopia

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