Essentials in Ophthalmology Series Editor: Arun D. Singh Jorge L. Alió Joseph Pikkel E ditors Multifocal Intraocular Lenses The Art and the Practice Essentials in Ophthalmology Series Editor Arun D. Singh For further volumes: http://www.springer.com/series/5332 Jorge L. Alió (cid:129) Joseph Pikkel Editors Multifocal Intraocular Lenses The Art and the Practice Editors Jorge L. Alió , MD, PhD, FEBO Joseph Pikkel , MD Division of Ophthalmology Department of Ophthalmology Miguel Hernandez University Ziv Medical Center Alicante Safed Spain Israel Vissum Corporation Bar Ilan University Faculty of Medicine Alicante Safed Spain Israel ISBN 978-3-319-09218-8 ISBN 978-3-319-09219-5 (eBook) DOI 10.1007/978-3-319-09219-5 Springer Cham Heidelberg New York Dordrecht London Library of Congress Control Number: 2014955785 © Springer International Publishing Switzerland 2014 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifi cally for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher's location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) To my beloved wife and children, who escort and support me in a lifelong effort of helping patients to save sight and in my journey towards reaching the impossible Jorge L. Alio To my wife Dvora, my copilot in fl ying towards my dreams Joseph Pikkel Pref ace T he quest for perfection is a great motivator for advances in life and in sci- ence. The rapid changes in modern life as well as the continuous extension of life expectancy raise the need for perfection of vision in all distances. This need is the reason for searching the ideal solution for multifocality. At present, multifocal intraocular lenses provide the best available solu- tion; however the more we implant these lenses, the more we learn about their advantages and disadvantages. This book is dedicated to accumulation and refi ning of the current knowl- edge on this subject, and we hope it will serve as a practical tool for cataract surgeons. Alicante, Spain Jorge L. Alio, MD, PhD, FEBO Safed, Israel Joseph Pikkel, MD vii Contents 1 Multifocal Intraocular Lenses: The Challenges . . . . . . . . . . . . 1 Jorge L. Alió and Joseph Pikkel Part I Historical Background and Clinical Indications 2 Multifocal Intraocular Lenses: Historical Perspective. . . . . . . 5 Kenneth J. Hoffer and Giacomo Savini 3 Multifocal Intraocular Lenses: Preoperative Considerations. . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Jorge L. Alió and Joseph Pikkel 4 Multifocal Intraocular Lenses in Special Cases . . . . . . . . . . . . 39 Jorge L. Alió and Joseph Pikkel Part II Types, Models and Clinical Practice with Multifocal IOLs 5 Multifocal Intraocular Lenses: Neuroadaptation. . . . . . . . . . . 47 Jorge L. Alió and Joseph Pikkel 6 Multifocal Intraocular Lenses: Complications . . . . . . . . . . . . . 53 Roberto Fernández-Buenaga and Jorge L. Alió 7 Solutions for the Unhappy Patient. . . . . . . . . . . . . . . . . . . . . . . 69 Richard Packard 8 Multifocal Intraocular Lenses: Types and Models. . . . . . . . . . 77 María Luisa Durán-García and Jorge L. Alió 9 Multifocal Intraocular Lenses: Critical Analysis of Results. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141 Jorge L. Alió and Joseph Pikkel 10 Diffractive Multifocal IOLs: The AcrivaUD Reviol MFM 611 IOL and AcrivaUD Reviol MF 613 IOL . . . . . . . . . . 147 Minoru Tomita 11 Apodized Diffractive Multifocal Intraocular Lens: AcrySof ReSTOR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155 Ana Belén Plaza-Puche, Jorge L. Alió, and Esperanza Sala Pomares ix