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Proper time for refractive lens alternate is determined by the case

March 17, 2023

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Randleman JB. Refractive lens alternate (RLE): When and why it’s the suitable selection. Introduced at: Telling It Like It Is 2023; Feb. 15-19, 2023; Tampa, Florida.

Randleman reviews no related monetary disclosures.

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TAMPA, Fla. — Selecting the best time to do a refractive lens alternate comes down to some choices, in accordance with an professional.

In a presentation on the Telling It Like It Is assembly, J. Bradley Randleman, MD, offered 4 examples of when lens alternate can be utilized.

Eye surgeon
At a time when extra sufferers wish to decrease the usage of spectacles, cataract surgical procedure with implantation of a Vivity IOL is an possibility in eyes with Fuchs’ dystrophy.
Picture: Adobe Inventory.

First is when the remedy wanted exceeds the correction vary of laser imaginative and prescient correction. This contains sufferers with excessive hyperopia at any age and older sufferers with excessive myopia.

“I’ve bought much more I can do with them over time, and I’m going to stably cut back that hyperopia with out doing a number of issues to their cornea,” Randleman mentioned. “In excessive myopia, there are higher choices, notably the ICL in youthful sufferers, however in older sufferers, the lens alternate begins to be a superb possibility.”

Second is when the specified final result isn’t potential with laser imaginative and prescient correction, notably in sufferers who need prolonged vary of imaginative and prescient. Whereas monovision is a standard avenue, Randleman mentioned it doesn’t work for everybody, and sufferers who need extra vary of imaginative and prescient will seemingly want a presbyopia-correcting IOL.

The third situation for lens alternate is when different components restrict laser imaginative and prescient correction and ICL (STAAR Surgical) surgical procedure, together with age, ocular floor points and a necessity for long-term stability.

Randleman mentioned the ultimate situation for refractive lens alternate is in sufferers present process bioptic procedures.

“That is one thing that’s most likely underutilized,” he mentioned. “It requires a number of preoperative planning. It’s important to ensure that sufferers are laser imaginative and prescient correction candidates forward of time.”



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