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    Exploring wider role for premium IOL implantation in glaucoma patients

    Patient selection is key to both surgical success, satisfaction in this populace


    Who might be poor candidates?

    Pseudoexfoliation is the most common contraindication to a toric IOL, he continued.

    Patients with zonular weakness are also poor candidates for a toric IOL because the lens is more likely to rotate after implantation. For patients with less than 1 D of astigmatism, astigmatic keratotomy—with or without a femtosecond laser—may be a viable alternative to a toric lens.

    “Premium IOLs, especially toric IOLs, offer significant advantages for patients with glaucoma,” Dr. Lewis said. “But as with any lens, patient selection is key to achieving the best possible outcome.

    “At the end of the day, our real job is to get patients the best possible vision we can,” he added. “For the vast majority of patients, a premium IOL is the most effective way to deliver on that promise.”


    Richard A. Lewis, MD

    E: [email protected]

    This article was adapted from Dr. Lewis’ presentation during Glaucoma Day at the 2017 meeting of the American Society of Cataract and Refractive Surgery. He is a consultant to Advanced Visual Science, Aerie Pharmaceuticals, Alcon Laboratories, Allergan, CenterVue, Glaukos, and Ivantis.

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