Subscribe to Newsletter
Subspecialties Refractive

Is Clear Lens Extraction Madness?

Should patients with presbyopia be swapping their natural lens for a multifocal IOL? Graham Barrett is clear; surgical interventions need to be in the patient’s best interest before any commercial considerations are raised. But he fears for the reputation and status of ophthalmologists if clear lens extraction for presbyopia becomes routine.

Australian ophthalmologist Graham Barrett spoke at the ESCRS Congress, and he was given the title: “Clear lens extraction. Have we gone mad?”

“I think the session was meant to be controversial,” said Graham, “but when you sit down and think about it, it’s worth considering. One of the issues is that presbyopic patients, without any refractive error, who are neither short sighted nor long-sighted, who only need reading glasses, are undergoing clear lens extraction. Is this something that is just responding to patient demand? Or is this perhaps being driven by commercial interests?”

Those commercial interests are not difficult to identify – it’s a very large potential market: all forty and fifty year olds who need to wear reading glasses. “The financial implications of that are huge, both for industry and surgeons,” noted Graham. “Essentially, what is being offered is cataract surgery, with all of the risks and technical problems inherent with that procedure – and you can’t completely eliminate those issues,” which means that results may not always please the patient. “For someone who just needs reading glasses, you’re stretching the capabilities of the technologies we have,” he explains.

The key question is: what is best for the patient? “This sort of procedure fundamentally alters a very important part of being a physician, which is thinking about patients’ best interests. We still have a role to provide our advice. We understand, much better than patients ever can, what the possibilities of success are, and what the risks are. When we provide that advice, it has to be in the patient’s best interest. And the reality is that advice will have commercial implications, but these must always be secondary considerations.”

Putting profit first won’t end well for the profession, warns Graham. “An overly commercial approach risks diminishing the professional status of ophthalmologists as physicians and as surgeons, and may also devalue cataract surgery in itself. But when you get into that mode of selling, you risk diminishing the reputation of ophthalmology in general.”

Receive content, products, events as well as relevant industry updates from The Ophthalmologist and its sponsors.

When you click “Subscribe” we will email you a link, which you must click to verify the email address above and activate your subscription. If you do not receive this email, please contact us at [email protected].
If you wish to unsubscribe, you can update your preferences at any point.

About the Author
Mark Hillen

I spent seven years as a medical writer, writing primary and review manuscripts, congress presentations and marketing materials for numerous – and mostly German – pharmaceutical companies. Prior to my adventures in medical communications, I was a Wellcome Trust PhD student at the University of Edinburgh.

Product Profiles

Access our product directory to see the latest products and services from our industry partners

Here
Register to The Ophthalmologist

Register to access our FREE online portfolio, request the magazine in print and manage your preferences.

You will benefit from:
  • Unlimited access to ALL articles
  • News, interviews & opinions from leading industry experts
  • Receive print (and PDF) copies of The Ophthalmologist magazine

Register

Disclaimer

The Ophthalmologist website is intended solely for the eyes of healthcare professionals. Please confirm below: