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Editorial Spotlight | Jan 2018

Dear Industry …

You’ve come a long way, IOLs, but you’re not quite there yet. CRST Europe surveyed ophthalmologists around the world and asked what challenges they face and what they would put on top of their wish lists for future lens technology. To start, Here’s a look at the challenges they’d like future IOLs to solve:

QUESTION NO. 1


QUESTION NO. 2


QUESTION NO. 3


QUESTION NO. 4


QUESTION NO. 5

My Wish List

By Roberto Fernández-Buenaga, MD, PhD



  • A multifocal IOL with no photic phenomena. I would prefer a multifocal IOL with worse reading vision than another one with excellent reading vision but significant photic phenomena.
  • Lenses with reliable biocompatibility tests that make me feel confident that the IOL is not going to become opacified or cause glistenings in the long term.
  • Lenses that could be implanted through a 1.8- to 2-mm incision.
  • IOLs with low posterior capsular opacification rates.
  • High posterior capsular adherence, especially in toric IOLs, to prevent IOL rotation.
  • This is probably very utopian, but I would like for IOL manufacturers to provide a simulator so the patient can have a reliable idea about how vision after surgery will be. This would be especially interesting with multifocal IOLs.
  • A very wide IOL power range and the possibility of customization.

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