Use of Partial Range of Field Intraocular Lenses in Eyes with Macular Disease

Abstract

This comprehensive review evaluates the current evidence and expert opinion regarding the use of extended depth of focus (EDOF) intraocular lenses (IOLs) in patients with macular disease. A literature review and a survey of European Society of Cataract and Refractive Surgeons (ESCRS) committee members were conducted. The review found a growing body of evidence suggesting potential benefits of EDOF IOLs in selected patients with mild to moderate macular disease, although concerns remain. The survey found that while 59% of respondents considered EDOF IOL implantation in this population “worth trying”, only 37% reported performing the procedure occasionally, and a minority did not consider it at all. Further research is needed to determine optimal patient selection criteria and long-term outcomes for EDOF IOLs in eyes with macular pathology.

Zusammenfassung

In dieser Übersichtsarbeit werden die aktuelle Evidenz und Expertenmeinungen zum Einsatz von Intraokularlinsen (IOL) mit erweiterter Tiefenschärfe (EDOF) bei Patienten mit Makulaerkrankungen evaluiert. Es wurde eine Literaturrecherche und eine Umfrage unter den Komiteemitgliedern der European Society of Cataract and Refractive Surgeons (ESCRS) durchgeführt. Die Analyse ergab, dass es zunehmend Evidenz für den potenziellen Nutzen von EDOF-IOLs bei ausgewählten Patienten mit leichter bis mittelschwerer Makulaerkrankung gibt, auch wenn weiterhin Bedenken bestehen. Die Umfrage ergab, dass zwar 59% der Befragten die EDOF-IOL-Implantation bei dieser Patientengruppe für „einen Versuch wert“ hielten, aber nur 37% angaben, das Verfahren gelegentlich anzuwenden und eine Minderheit es überhaupt nicht in Betracht zog. Weitere Untersuchungen sind erforderlich, um die optimalen Kriterien für die Patientenauswahl und die Langzeitergebnisse von EDOF-IOLs bei Augen mit Makulaerkrankungen zu ermitteln.

Keywords

intraocular lens - extended depth of focus - macular disease - clinical decision making

Schlüsselwörter

EDOF - IOL - Intraokularlinsen - Makulaerkrankung

Publication History

Received: 10 May 2025

Accepted: 22 August 2025

Article published online:
17 October 2025

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