Exchangeable IOLs may be option for presbyopia management
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Easily exchangeable IOLs and more advanced accommodating IOLs may be on the horizon for presbyopia management, according to speakers on the clinical panel at the virtual Ophthalmology Innovation Summit Presbyopia Innovation Showcase.
“Talking about a lens and then experiencing it is very different,” Gary Wörtz, MD, said. “It stresses me out knowing that there’s a possibility that, even with a great outcome, I’m implanting something that may be difficult to remove later on.”
In the pursuit of finding the perfect solution for patients with presbyopia, there is no one right answer, Kendall Donaldson, MD, said. Even as a patient finds a compromising solution, technological upgrades and evolving clinical needs are inevitable. Easily exchangeable IOLs might offer patients an easier and less permanent solution to their presbyopia.
“I’m looking forward to having a backup plan in the future,” Wörtz said. “I feel like it might also bring more surgeons into the fold knowing that there’s an easy button for reversing when a patient doesn’t tolerate the lens.”
In addition to exchangeable IOLs, accommodating IOLs provide patients with an approach tailored to their specific needs. Although FDA-approved lens choices are limited in visual range, accommodating IOLs still provide patients with a lens that feels more natural in comparison to corneal inlays and other available modes of presbyopia management.
“I think in the future we’ll probably consider all these different options but maybe move toward accommodating lenses because that will give us more of a natural lens type and provide patients that quality of vision,” Thomas John, MD, said.
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Wortz G, Donaldson K, John T, et al. Presbyopia outlook panel - clinical perspective. Presented at: OIS Presbyopia Innovation Showcase; Jan. 28, 2021 (virtual meeting).
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