Advances in microincision cataract surgery intraocular lenses

PURPOSE OF REVIEW: This paper reviews the recent developments in microincision cataract surgery intraocular lenses. RECENT FINDINGS: Seven intraocular lenses are currently available for implantation through sub-2.0-mm incision. From the intraocular lenses available, two microincision cataract surgery intraocular lenses were included in clinical studies and their results were reviewed. The available lenses were implanted through a clear corneal incision of 1.5-1.9 mm and showed excellent biocompatibility. The behavior of the microincision cataract surgery in vivo is similar to the conventional lenses in terms of optical quality and retinal image quality. The clinical results of microincision cataract surgery intraocular lenses such as Acri. Smart 48S showed that a certain degree of pseudoaccommodation could be achieved with this lens. SUMMARY: Cataract removal through sub-2.0 mm incision is possible with implantation of microincision cataract surgery intraocular lenses through the same undilated incision. The current technique allows cataract removal through 1.7 mm and the available microincision cataract surgery intraocular lenses showed optical quality and biocompatibility similar to conventional intraocular lenses.