Journal Article

Update on the Light-Adjustable Lens (LAL)

Colindres, León, Perez-Varela, Rafael, Portillo, Amarilis, Alas, Eduardo, Waltz, Kevin, Quesada, Rodrigo, Ortiz, Pablo, Quesada, Gabriel

2022

Overview

  Purpose of Review To review the latest articles or papers on the results of light-adjustable lens implantation after lens surgery. We know this IOL was approved by the FDA in 2017. Mexico and Europe have experience with the LAL since 2008. Recent Findings Despite more than 5 years of LAL approval in the market, there is only one paper that shows 7 years of folloAbstract_Paraw-up results after LAL implantation. There are also reports with visual results in special cases after cataract surgery in patients with prior LASIK and prior radial keratotomy. Summary Retinal safety, refractive accuracy, and management of refractive error following cataract surgery with implantation of a LAL have been well documented over the last 5 years. We found one published case with complications after LAL implantation and had to be explanted and changed for another IOL, 14 days after surgery, and one case reported with explantation 4 years after surgery because of persistent erythropsia. On the other hand, there are published papers with good results in visual acuity on difficult cases after refractive surgery or trauma with the LAL. Long-term reports from targeted refraction with the LAL were better than + / − 0.5 D in 98% of the cases at 6 months, with refractive stability at 1 year of 0.04 D, and a + / − 0.23 D range at 7 years. (3)

• Publisher: Springer US,Springer Nature B.V
• Subject: Accuracy / Astigmatism / Cataract and Refractive Surgery (E Otero / Cataracts / Cornea / Eye surgery / Intraocular lenses / Light / Medicine / Medicine & Public Health / Ophthalmology / Optics / Patient satisfaction / Section Editor / Silicones / Surgical outcomes / Topical Collection on Cataract and Refractive Surgery / Visual acuity