The evolution of intraocular lenses: from monovision to spiral optics Review article

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Published: Jul 31, 2025
DOI: https://doi.org/10.24292/01.OT.170925
Keywords:
cataract, intraocular lenses, premium lenses, spiral optics

Main Article Content

Bogumił Wowra
1. Department of Ophthalmology, St. Barbara Hospital, Sosnowiec. 2. Chair and Clinical Department of Ophthalmology, School of Medical Science in Zabrze, Medical University of Silesia in Katowice.
http://orcid.org/0000-0002-5875-6586
Olga Łach-Wojnarowicz
Department of Ophthalmology, St. Barbara Hospital, Sosnowiec
http://orcid.org/0000-0003-1323-8440
Dariusz Dobrowolski
1. Department of Ophthalmology, St. Barbara Hospital, Sosnowiec. 2. Chair and Clinical Department of Ophthalmology, School of Medical Science in Zabrze, Medical University of Silesia in Katowice.
http://orcid.org/0000-0002-8768-1691
Edward Wylęgała
1. Department of Ophthalmology, St. Barbara Hospital, Sosnowiec. 2. Chair and Clinical Department of Ophthalmology, School of Medical Science in Zabrze, Medical University of Silesia in Katowice.
http://orcid.org/0000-0002-6707-5790

Abstract

Cataracts remain one of the leading causes of blindness worldwide, and their surgical treatment, which involves the removal of the cloudy lens and the implantation of an artificial intraocular lens (IOL), is highly effective and safe. Advances in technology have significantly expanded the range of lens options, allowing not only the restoration of visual acuity but also the correction of co-existing refractive errors and presbyopia. This review article presents current standards for the use of intraocular lenses and discusses various types of implants: from classic monofocal lenses and monovision strategies, through improved monofocal plus lenses, to advanced multifocal designs, EDOF, and innovative spiral lenses. Particular attention is paid to the optical properties of each type of IOL, their advantages, limitations, and impact on patients’ quality of life after surgery. The aim of this article is to help physicians and patients make informed choices about the most appropriate type of lens, tailored to their individual visual needs and expectations.

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How to Cite
1.
Wowra B, Łach-Wojnarowicz O, Dobrowolski D, Wylęgała E. The evolution of intraocular lenses: from monovision to spiral optics. Ophthatherapy [Internet]. 2025Jul.31 [cited 2026Feb.22];12(2):158-62. Available from: https://www.journalsmededu.pl/index.php/ophthatherapy/article/view/3404
Issue
Vol 12 No 2 (2025)
Section
Surgery and laser therapy

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