Refractive lens exchange

Abstract

Transparent or opacified crystalline lens extraction with the implantation of a mono- or multifocal intraocular lens, with or without a toric correction compound, tends to become the option of choice given the rising number of patients with previous corneal refractive surgery, as well as of those who aim for a bigger visual comfort without glasses. We present our experience of ametropias by the means of crystalline lens extraction and intraocular lens implantation. The discussed cases present patients with grade I-III myopia or hyperopia, anisometropia, presbyopia, with or without clinical significant corneal astigmatism, corneal ectasia, and prior LASIK procedures. The intraocular lens used were: Acrysof IQ(Alcon), AcrySof Toric (Alcon), Panoptix TFNT00, Panoptix Toric (Alcon), and Akreos adapt (Bausch&Lomb). Calculation formulas were selected for each case, depending on ocular data including ocular biometry, autokeratorefractometry and corneal topography. All patients presented improved and stable visual
outcomes. Refractive lens exchange is an efficient, highly precise, and reversible method of ametropias correction.