Surgical Correction of Presbyopia

Lenticular, Corneal, and Scleral Approaches

Michael Greenwood, MD; Shamik Bafna, MD; Vance Thompson, MD


Int Ophthalmol Clin. 2016;56(3):149-166. 

In This Article

Lenticular Approach

The current state of the lenticular approach for correcting presbyopia requires removal of the natural crystalline lens and replacing it with a posterior chamber IOLs. There are different models available, and more are rapidly becoming available. These include bifocal and trifocal IOLs, extended depth of focus IOLs, and accommodating IOLs. A thorough understanding of the pros and cons of each lens type is helpful when selecting which lens to choose for an ideal outcome. There is also early work using the femtosecond laser to restore the flexibility of the lens using a procedure based on the nonlinear interaction of ultrafast laser pulses and tissue. This approach is called femtosecond lentotomy, but will not be discussed in this article.[50]