Intraocular Lenses for Cataract Surgery: Clinical Advances and Perspectives

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Ophthalmology".

Deadline for manuscript submissions: 25 August 2025 | Viewed by 800

Special Issue Editor


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Guest Editor
Department of Ophthalmology, Samsung Medical Center, 81 Irwon-ro, Gangnam-gu, Seoul 06351, Republic of Korea
Interests: cataract surgery; intraocular lens; presbyopia; astigmatism; complication; multifocal; visual acuity; femtosecond; diffractive; refractive; surgical technique

Special Issue Information

Dear Colleagues,

Cataract surgery is a rapidly increasing field in ophthalmology closely linked to the aging global population. Not only has the number of surgical cases increased, but there have also been many technological advancements. The procedure has evolved from extracapsular cataract extraction to phacoemulsification using ultrasound. Technological advancements in ultrasound cataract surgery machines have made it safer and more effective to remove the lens. Additionally, femtosecond laser technology has been introduced to cataract surgery, allowing for the preoperative creation of corneal incisions, anterior capsulotomy, and lens softening, making the surgery even safer. Intraocular lenses (IOLs) have also evolved from monofocal lenses to widely used multifocal and enhanced depth of focus lenses. Due to these technological advancements, cataract surgery is sometimes used as a substitute for presbyopia surgery in some regions, leading to a trend of younger patients undergoing the procedure. In this Special Issue, we are seeking the submission of papers that present the latest advancements in cataract surgery, the optical fundamentals of widely used intraocular lenses (IOLs), and the actual optical comparative evaluations of various premium IOLs available in clinical practice. Additionally, we welcome studies on the complications of IOLs and their treatments, the optimization of IOL calculation formulas for accurate IOL selection, and the most up-to-date trends, current status, and future directions of cataract surgery.

Dr. Choul Yong Park
Guest Editor

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Keywords

  • cataract surgery
  • intraocular lens
  • IOL formula
  • optic
  • complication
  • presbyopia
  • refractive

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Published Papers (1 paper)

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Research

12 pages, 241 KiB  
Article
Iris-Claw Intraocular Lens Implantation in Pediatric Population: Indications, Outcomes, and a Comparison with Adult Population
by Rami Al-Dwairi, Hisham M. Jammal, Mohammad Al Qudah, Hamad Alazmi, Saad Almutairi and Abdelwahab Aleshawi
J. Clin. Med. 2025, 14(4), 1135; https://doi.org/10.3390/jcm14041135 - 10 Feb 2025
Viewed by 614
Abstract
Objective: The utilization of iris-claw intraocular lens (IOL) in adult cases of capsular insufficiency has been investigated. However, the use of iris-claw IOL in the pediatric population is still under investigation. In this study, we evaluated the overall practice of iris-claw IOL [...] Read more.
Objective: The utilization of iris-claw intraocular lens (IOL) in adult cases of capsular insufficiency has been investigated. However, the use of iris-claw IOL in the pediatric population is still under investigation. In this study, we evaluated the overall practice of iris-claw IOL implantation in pediatrics and compared the visual outcomes and postoperative complication rates between children and adults. Methods: Retrospectively, we examined the practice, indications, and outcomes of pediatric patients who underwent iris-claw “Artisan®” intraocular lens implantation (IOL). All patients who underwent iris-claw IOL implantation for any causative indications were enrolled in the study. The outcome was compared by visual acuity and postoperative complications. Furthermore, the outcomes in pediatrics were compared to another adult group. Results: In this study, 41 eyes of 34 pediatric patients were included with a mean age of 11.1 years and a mean follow-up period of 24.5 months. Trauma is the most common indication for iris-claw IOL in pediatrics, followed by ectopia lentis and by congenital cataract. Iris-claw IOL was implanted anteriorly in 70.7% of pediatrics. Patients with retropupillary position achieved better visual outcome. Anterior iris-claw IOL had higher intraocular pressure readings and more decentration and disenclavation. In comparison with the adult group consisting of 130 eyes, pediatric iris-claw implantation was associated with more decentration and disenclavation, while adult practice was associated with more macular edema. Conclusions: Iris-claw IOL offers a relatively safe method for optical rehabilitation in pediatric patients where the capsular support is inadequate. Retropupillary implantation may achieve better visual outcome with less frequency of glaucoma and corneal endothelial loss. Full article
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