Browse articles on EyeWorld.org from the Refractive section. EyeWorld is the award-winning member publication of ASCRS. The magazine provides news and updates from the Society as well as clinical features in the areas of cataract, refractive, cornea, glaucoma, and practice management. It publishes quarterly with editorial direction from its medical editorial board and staff.

Read more about the article Tips for IOL exchange
This is an example of midperipheral transillumination defects from a multifocal IOL causing UGH syndrome. The patient underwent IOL exchange with resolution of inflammation. Source: Allison Chen, MD

Tips for IOL exchange

Two cornea and refractive specialists discussed the most common reasons an IOL exchange may be needed and the initial diagnostic steps to rule out other reasons for poor quality vision. They shared pearls for performing these cases and the importance of having a comprehensive plan of attack.

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Clearing up the confusion: get the right anterior chamber depth for ICL

Among the important indications for use of the EVO ICL (STAAR Surgical)—age, amount of myopia, astigmatism correction, etc.—there is one parameter that some surgeons say could be causing confusion. Five of these surgeons discussed anterior chamber depth.

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Toric troubles: postop rotation

The rotational stability of toric IOLs and reposition rates have been well studied and reported. In most cases, any rotation that occurs postop is usually 5 degrees off axis or less. Four ophthalmologists shared their thoughts on the prevention and management of this issue.

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Assessing IOL tilt and decentration

Lens tilt or decentration can occur with intraocular surgery, and while not always something that physicians need to address, this may require attention with more complicated cases or with larger decentrations. A physicist and a physician discussed what they look for and techniques that might be used.

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