Despite ongoing fine-tuning of the formulas for the optical power of IOLs, errors are still possible, often related to keratometry, prediction of effective lens position, and optical biometry, according to Jack T. Holladay, MD, MSEE, FACS.
Refractive lens exchange is a viable and very reasonable option to offer patients across the various ranges. Corneal inlays, when implanted at an appropriately deep corneal location, provide good near vision, minimizing the impact on uncorrected distance vision, reports William F. Wiley, MD.
Follow-up that includes data from 264 eyes seen at 7 years after surgery show that small-incision lenticule extraction (SMILE, Carl Zeiss Meditec) is safe, effective, and provides stable correction for eyes with up to –14.0 D of myopia and up to –6.0 D of astigmatism, says Osama Ibrahim, MD, PhD.
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