This comprehensive 2nd edition will build on the highly successful first edition, providing an updated global perspective of the fundamentals of multifocal intraocular lenses. The varying outcomes, limitations, and the neuroadaptation process necessary for an adequate clinical success are thoroughly discussed, along with an overview of the different types of multifocal lenses, including the recently developed extended depth of focus lenses. Multifocal Intraocular Lenses: The Art and the Practice, 2nd edition opens with an introduction that will delve into current technological offerings for the correction of pseudophakic presbyopia, as well as the opportunity for refractive lens exchange in advanced presbyopic ages and the opportunity to use these lenses. The first section will include the historical background and clinical indications, while section two addresses the varying types and models of lenses currently available, including important clinical and technological highlights. Section three and four will follow, and provide an extended look at the Zeiss and Alcon Family Multifocal IOL’s. Section five will delve into extended depth of field lenses, and will contain an introduction about the concept, different models and the evidence available about their outcomes. Section six concludes the book, closely examining accommodative intraocular lenses, and a full update will be provided on these lenses, the failures of the past and the hopes for the future. Multifocal Intraocular Lenses: The Art and the Practice, 2nd edition is a thorough, resource for the practical ophthalmologist and ophthalmic surgeon interested in learning more about intraocular lenses, identifying the best technologies and lenses for the benefit of their patients.

This eBook is a review on the state-of-the-art knowledge on currently available premium intraocular lenses. The volume covers a variety of intraocular lenses including multifocal, accommodative, aspheric, and toric versions and special intraocular biodevices such as intraocular telescopes. Details regarding their features, indications, contraindications and clinical results are also discussed based on evidence based / peer reviewed data. This eBook serves as a brief reference for optometry professionals seeking updates about high quality lenses for eye patients.

Until 1-1-1972 DINKHORST inserted 170 iridocapsular lenses in 158 patients. The first operation took place on 16-9--1965*. Initially, indication for the fitting of an iridocapsular lens was congenital or traumatic cataract in children, since the e~tracapsular cataract extraction necessary at that age, facilitated iridocapsular fixation (DINKHORST, 1967ac; DINKHORST & GODIN, 1967d, 1970b, 197lb, 1972d). After 1970 MANSCHOT's histopathological findings (see Chapter VIII) and the desire to reduce disloca tions and the development of ECD to a minimum induced DINKHORST to per form primary iridocapsular lens implant operations in cases with senile cataract as weH. This explains the decrease in the fitting or iris clip lens implants in favor ofiridocapsular lens implants (see Fig. 39). The distribution ofthe patients' ages in these 170 cases is, therefore, quite different from that of the 677 iris clip lens implant operations (see Fig. 40). The technique ofthe iridocapsular lens implantation is described on page 59. Numerical data are shown in Fig. 41. Noteworthy in this table are the following points: 1. The average age at operation of 30.82 years which is very low compared with the 65.80 years for the iris clip lens series, may be explained by the relatively !arge nurober of children in this series (see Fig. 40).

The authors of this book are busy practical men with no particular barrow to push. The text of the book includes a comprehensive review of all aspects of intraocular lens surgery including details of the design, optics chem istry and sterilization of intraocular lenses. Its value is enhanced by excellent illustrations and extensive tabulated references to the litera ture. Accounts of patient acceptability are balanced against candid discus sion of complications and their management. The historical introduction recalls that in the early stages of develop ment of the art, over a period of 10 years, two dozen different lens designs were proposed, most claiming elimination of problems which had arisen with their predecessors. Eventually nearly all disappeared from the scene. In an age where every cataract surgeon has to determine a personal position on intraocular lens implantation the author's reflections on these matters are timely. Intraocular lenses are neither a miracle nor a menace, provided that personal decisions and preferences are carefully thought through and put into practice upon the basis of known facts and not upon the basis of fickle fashion and fad. This book provides a background upon which the reader can eva luate in his own mind the validity of information provided by the manufacturers of various lens designs.