An article by Dr. Alanna Nattis
In an article published in Cataract & Refractive Surgery Today, Dr. Alanna Nattis outlines how to manage dislocated presbyopia-correcting intraocular lenses (PCIOLs). Dr. Nattis discusses how certain strategies may be chosen for particular patients based on the specific characteristics of each case. “As innovation surrounding cataract and refractive surgery evolves, we are afforded the opportunity not only to improve but also to enhance our patients’ vision” says Dr. Alanna Nattis.
The results achieved with presbyopia-correcting IOLs have steadily improved over time. However, it is important for doctors to realize that not every patient is an ideal candidate for these lenses. Cataract surgeons must take into account their patients personality traits, career profiles, and anatomic findings. These are all aspects that contribute to a patient having a very successful, or less-than-successful surgical result.
Thankfully, dislocation of a intraocular lenses is uncommon, but management of dislocation requires careful planning. Management strategies for a decentered presbyopia-correcting IOL can be chosen based on the severity, location, and nature of the decentration.
Surgeons should use a technique in which he or she is most comfortable with. If sufficient previous experience is lacking, it is helpful to review a novel technique in person with another experienced surgeon before attempting it oneself.
Ultimately patient-physician communication is incredibly important. Often, patients are happy that their surgeon has spent the chair time discussing their unique conditions with them, and they will be highly satisfied with any lens or surgical plan decided upon. In addition, don’t be afraid to reach out for a helping hand. Performing advanced, complex surgery with an experienced assistant is priceless, and his or her presence can help save the day.
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