title: New intraocular lens technology.
abstract: OBJECTIVE
  To review the current status of phakic intraocular lenses (IOLs), intraocular treatment of presbyopia, and IOLs that filter some blue light.
  
  
  METHODS
  Review of current information on the subject from numerous sources.
  
  
  METHODS
  Medline search and Internet search engines on the topics of phakic IOLs, presbyopia or multifocal IOLs, and blue light and macular degeneration.
  
  
  RESULTS
  An iris fixated phakic IOLs is now approved in the United States (US). There are concerns for corneal endothelial stability and late dislocation. Other approaches include anterior chamber fixation with concerns of corneal endothelial stability and pupil elongation, and posterior chamber fixation with concerns of cataract formation, IOL dislocation, and pigment dispersion. Intraocular treatment of presbyopia includes monovision, multifocal, and accommodative IOLs. Which approach is superior today is still not clear. There are IOLs designed to block some blue light to potentially lessen the risk of age-related macular degeneration (ARMD). While there is presumptive evidence of this, no definitive study shows such a correlation. Color perception issues are unlikely to be a problem. While decreased scotopic vision has been proposed, there is no study that proves this is an issue of clinical significance.
  
  
  CONCLUSIONS
  The IOL field is dynamic with many new choices. Phakic IOLs and treatment of presbyopia will be an increasingly important part of ophthalmology; however, there are important unresolved issues. With better evidence that blue light is an important variable in ARMD, such an approach could rapidly become the standard.
authors: Department of Ophthalmology and Visual Sciences, University of Utah, Salt Lake City, Utah 84132, USA. randall.olson@hsc.utah.edu
authors: Randall J
authors: RJ
authors: Olson
authors: Liliana
authors: L
authors: Werner
authors: Nick
authors: N
authors: Mamalis
authors: Robert
authors: R
authors: Cionni
mesh_terms: D020811:Biomedical Technology; D018795:Device Approval; D006801:Humans; D007908:Lens, Crystalline / Q000502:physiology; D007910:Lenses, Intraocular; D011305:Presbyopia / Q000628:therapy; D011474:Prosthesis Design