When carefully selected, presbyopic IOLs can be used in glaucoma patients
SAN FRANCISCO — Surgeons may successfully implant presbyopia-correcting IOLS in glaucoma patients, but only if they take great care to match patients to the appropriate lenses, a cataract surgeon said here.
![]() Samuel Masket |
Samuel Masket, MD, speaking here at Glaucoma Day at the American Society of Cataract and Refractive Surgery meeting, added that surgeons should not simply be "occasional users" of presbyopia-correcting IOLS.
He said glaucoma patients face specific challenges when undergoing presbyopic IOL implantation, including optic neuropathy, zonulopathy, pupillopathy, maculopathy and keratopathy.
"Not to make you fear it — I think it's do-able — but you have to match, very carefully, the lens to the patient," Dr. Masket said. "You need to know what's available in the United States today — we have two diffractive multifocal lenses and one refractive lens and one accommodating lens."
He called toric single-piece acrylic IOLs a "slam dunk winner" for the glaucoma patient, posing no image degradation or loss of contrast sensitivity.