Premium IOLs Selection Criteria, Investigations IOl Models and Residual Correction : An Overview

Abstract

Cataract Surgery is the by far the 'most performed surgery' in the world. Now, more than ever before, the need for the ophthalmic surgeons to keep themselves abreast with the latest in refractive cataract surgery, is of utmost importance. Today, the patients demands are based on needs in tune with the modern gadgetaries and on knowledge about availability of different techniques and IOLs gathered from the internet. This article describes the selection criterias and the different advanced investigations necessary for extracting optimal results from premium IOL implantations. Whilst counselling is extremely important, pre operative examination of macula, optical biometry, wavefront aberrometry, corneal topography and dry eye evaluation are very crucial. Different IOL models are described in detail. Bifocal, Trifocal and Toric IOLs including Bifocal and Trifocal Toric, EDOF IOLs, marking for implantations and image guided operating systems add value to precision and perfection which affect the final visual outcome. Monetarily charging a premium and raising the expectation of the patient can only be met confidently if the surgeon is additionally well versed with the management of residual refractive error. It is equally important to know the future of premium IOLs so that we keep abreast with the latest in technology and then transfer it to the advantage of our patients.