What is your approach to using multifocal or extended depth of focus IOLs in patients with preperimetric glaucoma?  

As a glaucoma specialist, my approach may be viewed as more conservative. I completely avoid multifocal lenses in anyone with glaucoma and am very hesitant to recommend EDOF lenses unless there is a compelling argument in favor (patient wants to maximize spectacle independence for distance and inter...

Glaucoma diagnosed via progressive optic nerve damage and not showing perimetry changes is still going to give contrast sensitivity issues. Since MFIOLs also have a reduction in contrast sensitivity, I tend to stay away from this type of lens in patients with glaucoma or highly suspicious for glauco...

Per research, the issue is one of contrast sensitivity loss with MTF IOLs in particular, but also, to a middle lesser degree, EDOF lenses. In my experience, I have actually placed an MTF lens in a concert bass player for an orchestra because he demanded the full range of vision. He is one of my hap...

IOLs are always about patient selection. There is no one-size-fits-all answer. I would consider an EDOF lens like the Rayner EMV or Eyehance, but not Synergy or Symfony. As for multifocal, without any other pathology and well-controlled disease, they could be considered, especially if they are a c...

Interesting to see the diversity of opinion. I have no issue implanting the PanOptix lens in patients with visual field loss down to -10MD. Obviously, I'll consider proximity to fixation, but I don't see a reason to penalize my glaucoma patients given the excellent contrast sensitivity of current mu...