Choice of intraocular lens in combined surgery for macular holes
Year: 2026
Type: article
Abstract: Relevance. In today’s world, the demand for high-quality vision at various distances is steadily increasing; however, the presence of macular pathology is a relative contraindication to the implantation of premium intraocular lenses. Purpose. To analyze the domestic and foreign literature on the optical properties of different types of intraocular lenses (IOLs) and the potential for their use in macular pathology. Material and methods. The review was based on the analysis of scientific publications by Russian and international authors retrieved from PubMed, eLIBRARY. RU, and Scopus for the period from 2000 to 2025. Results. The analysis of publications demonstrated that EDOF IOLs appear to be a alternative to monofocal lenses in a significant proportion of patients with macular holes, but require a personalized approach. When selecting the type of lens to be implanted, one can rely on prognostic criteria derived from optical coherence tomography data — the size and configuration of the holes, as well as the integrity of the ellipsoid zone and the external limiting membrane. Postoperative refraction in vitrectomized eyes tends to exhibit a myopic shift, which must be taken into account when calculating IOL power. Conclusion. Thus, the accumulated data confirm the rationale for the use of EDOF IOLs in macular holes; however, the lack of standardized algorithms necessitates the further accumulation of comparative data. Keywords: macular hole, extended depth-of-focus intraocular lens, EDOF, phacoemulsification, vitrectomy, contrast sensitivity, mix-andmatch
Language: English
Subfield: Ophthalmology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7212767136