ESCRS - PP26.03 - Optimizing Presbyopia Iol Selection With A New Application

Optimizing Presbyopia Iol Selection With A New Application

Published 2025 - 43rd Congress of the ESCRS

Reference: PP26.03 | Type: Free paper | DOI: 10.82333/xesa-cy60

Authors: Ivan Gabric* 1 , Karla Bodakoš 1 , Mateja Jagic 1 , Alma Biščević 1 , Maja Bohač 1

1Refractive surgery,Eye Clinic Svjetlost,Zagreb,Croatia

Purpose

To address the challenge of selecting the most appropriate intraocular lens (IOL) for patients with specific visual needs and ocular histories, including prior refractive or lens surgeries. IOL MATCH is a free application developed to assist surgeons in these complex decisions by combining biometric data, visual habit analysis, and defocus curve comparisons.

Setting

IOL MATCH is intended for use in clinical practice by ophthalmic surgeons managing complex cases of IOL selection, particularly for patients with previous refractive or cataract surgeries, specific intermediate vision needs, or challenging ocular conditions.

Methods

IOL MATCH employs a detailed questionnaire to assess the patient's visual requirements, integrates biometric data (pupil diameter, cornea, retina, optical aberrations), and considers prior surgical interventions. The application simulates various IOL options and compares their defocus curves to propose personalized solutions, even in challenging clinical scenarios.

Results

Case 1: A patient requiring intermediate vision for computer use (55-65 cm) benefited from a comparison between Tecnis Synergy (Johnson & Johnson Vision, USA) and FineVision HP (BVI, Belgium), identifying the optimal implant for their needs.
Case 2: A patient with a monofocal IOL in one eye, seeking improved intermediate vision (40-65 cm) for daily activities, tested a monovision approach with a monofocal+ lens offset by 1.25 diopters.
Case 3: A patient presenting a refractive desapointment in one eye after previous surgery explored a multifocal sulcus IOL to enhance intermediate vision and reduce dependence on glasses.

Conclusions

IOL MATCH proves to be a practical tool for guiding surgeons through complex IOL selection processes. By aligning patient visual preferences with their specific ocular characteristics, the application supports personalized outcomes and enhances overall patient satisfaction. Available free of charge, IOL MATCH continues to evolve to meet the needs of the ophthalmic community.