Sachdev Gitansha Shreyas, Sachdev Mahipal
The Eye Foundation 582A, DB Road, RS Puram, Coimbatore, Tamil Nadu, India.
Chairman and Medical Director, Centre for Sight, B-5/24, Safdarjung Enclave, New Delhi, India.
Indian J Ophthalmol. 2017 Dec;65(12):1294-1300. doi: 10.4103/ijo.IJO_1072_17.
Modern day cataract surgery is evolving from a visual restorative to a refractive procedure. The advent of multifocal intraocular lenses (MFIOLs) allows greater spectacle independence and increased quality of life postoperatively. Since the inception in 1980s, MFIOLs have undergone various technical advancements including trifocal and extended depth of vision implants more recently. A thorough preoperative workup including the patients' visual needs and inherent ocular anatomy allows us to achieve superior outcomes. This review offers a comprehensive overview of the various types of MFIOLs and principles of optimizing outcomes through a comprehensive preoperative screening and management of postoperative complications.
现代白内障手术正在从视觉恢复手术向屈光手术演变。多焦点人工晶状体(MFIOL)的出现使患者术后对眼镜的依赖大大减少,生活质量得以提高。自20世纪80年代问世以来,MFIOL经历了各种技术进步,包括最近出现的三焦点和扩展景深植入物。全面的术前检查,包括患者的视觉需求和眼部固有解剖结构,使我们能够取得更好的手术效果。本文综述全面介绍了各种类型的MFIOL,以及通过全面的术前筛查和术后并发症管理来优化手术效果的原则。