{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T19:35:28Z","timestamp":1757619328014,"version":"3.44.0"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T00:00:00Z","timestamp":1753056000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T00:00:00Z","timestamp":1753056000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"Johann Wolfgang Goethe-Universit\u00e4t, Frankfurt am Main"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ophthalmologie"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n          <jats:p>Additive Intraokularlinsen (IOLs) dienen der Korrektur von sph\u00e4rischen und astigmatischen Fehlsichtigkeiten nach stattgehabtem Einsatz einer IOL. Sie bieten den Patienten eine verbesserte unkorrigierte Sehsch\u00e4rfe und damit ein h\u00f6heres Ma\u00df an Brillenunabh\u00e4ngigkeit. F\u00fcr die Implantation additiver IOLs werden 2\u00a0Ans\u00e4tze unterschieden: das prim\u00e4re und sekund\u00e4re Duett-Verfahren. Die Indikationen umfassen ausgepr\u00e4gte refraktive Fehler, die sog. reversible Multifokalit\u00e4t, refraktive Restfehler oder auch die kindliche Kataraktchirurgie. Die Implantate sind als monofokale, \u201eextended-depth-of-focus\u201c- und multifokale Modelle, einige auch als torische Varianten verf\u00fcgbar. Durch spezielle IOL-Designs wurden die additiven IOLs f\u00fcr die Implantation in den Sulcus ciliaris optimiert, sodass es sich um eine sichere, effektive und gleichzeitig auch komplikationsarme Operation handelt. Das g\u00fcnstige Sicherheitsprofil, gut vorhersagbares Refraktionsergebnis und Verbesserung der unkorrigierten Sehsch\u00e4rfe wurde in mehreren Studien belegt. Durch die kontinuierlichen Fortschritte in der Entwicklung der IOL-Designs inklusive der Verf\u00fcgbarkeit von \u201eextended-depth-of-focus\u201c- und multifokalen Implantaten erweitern sich die Vorteile additiver IOLs stetig. Mit einem vergleichsweise kleinen, risikoarmen und schnellen Eingriff k\u00f6nnen f\u00fcr viele Patienten individuelle L\u00f6sungen zur Verbesserung der Sehkraft und auch zur Reduzierung der Brillenabh\u00e4ngigkeit realisiert werden.<\/jats:p>","DOI":"10.1007\/s00347-025-02268-w","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T17:59:01Z","timestamp":1753120741000},"page":"685-692","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Von Indikation bis Outcome\u00a0\u2013 eine kompakte \u00dcbersicht \u00fcber additive Intraokularlinsen","From indications to outcome\u2014A concise overview of supplementary intraocular lenses"],"prefix":"10.1007","volume":"122","author":[{"given":"Petra","family":"D\u00e1vidov\u00e1","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6933-9585","authenticated-orcid":false,"given":"Thomas","family":"Kohnen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,7,21]]},"reference":[{"key":"2268_CR1","doi-asserted-by":"publisher","DOI":"10.1186\/s40662-014-0002-2","author":"A Abdelghany","year":"2014","unstructured":"Abdelghany\u00a0A, Alio\u00a0J (2014) Surgical options for correction of refractive error following cataract surgery. Eye&Vision. https:\/\/doi.org\/10.1186\/s40662-014-0002-2","journal-title":"Eye&Vision"},{"key":"2268_CR2","doi-asserted-by":"publisher","first-page":"654","DOI":"10.3928\/1081597X-20180815-01","volume":"34","author":"J Alfonso","year":"2018","unstructured":"Alfonso\u00a0J, Lisa\u00a0C, Alfonso-Bartolozzi\u00a0B et\u00a0al (2018) Implantable Collamer Lens\u00ae for Management of Pseudophakic Ametropia in Eyes With a\u00a0Spectrum of Previous Corneal Surgery. J\u00a0Refract Surg 34:654\u2013663. https:\/\/doi.org\/10.3928\/1081597X-20180815-01","journal-title":"J Refract Surg"},{"key":"2268_CR3","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1007\/s00717-011-0062-9","volume":"26","author":"M Amon","year":"2012","unstructured":"Amon\u00a0M, Kahraman\u00a0G, Schrittwieser\u00a0H (2012) Prim\u00e4re (Duett Implantation) und sekund\u00e4re Implantation additiver Intraokularlinsen bei kindlicher Katarakt. Spektrum Augenheilkd 26:21\u201323","journal-title":"Spektrum Augenheilkd"},{"key":"2268_CR4","doi-asserted-by":"publisher","first-page":"1861","DOI":"10.1007\/s00417-013-2283-x","volume":"251","author":"HE El Awady","year":"2013","unstructured":"El Awady\u00a0HE, Ghanem\u00a0AA (2013) Secondary piggyback implantation versus IOL exchange for symptomatic pseudophakic residual ametropia. Graefes Arch Clin Exp Ophthalmol 251:1861\u20131866. https:\/\/doi.org\/10.1007\/s00417-013-2283-x","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"key":"2268_CR5","doi-asserted-by":"publisher","first-page":"2098","DOI":"10.1016\/j.jcrs.2006.08.033","volume":"32","author":"M Baumeister","year":"2006","unstructured":"Baumeister\u00a0M, Kohnen\u00a0T (2006) Scheimpflug measurement of intraocular lens position after piggyback implantation of foldable intraocular lenses in eyes with high hyperopia. J\u00a0Cataract Refract Surg 32:2098\u20132104. https:\/\/doi.org\/10.1016\/j.jcrs.2006.08.033","journal-title":"J Cataract Refract Surg"},{"key":"2268_CR6","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1016\/j.ajo.2023.08.006","volume":"256","author":"ID Baur","year":"2023","unstructured":"Baur\u00a0ID, Auffarth\u00a0GU, K\u00f6ppe\u00a0MK et\u00a0al (2023) Rotational Stability of Toric Capsular Bag-Fixated Intraocular Lenses in Duet Procedure for Reversible Trifocality. Am J Ophthalmol 256:156\u2013163","journal-title":"Am J Ophthalmol"},{"key":"2268_CR7","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1016\/j.ajo.2022.04.021","volume":"241","author":"ID Baur","year":"2022","unstructured":"Baur\u00a0ID, Auffarth\u00a0GU, Labuz\u00a0G, Khoramnia\u00a0R (2022) Clinical Outcomes in Patients After Duet Procedure for Reversible Trifocality Using a\u00a0Supplementary Trifocal Intraocular Lens. Am J Ophthalmol 241:117\u2013226","journal-title":"Am J Ophthalmol"},{"key":"2268_CR8","doi-asserted-by":"publisher","first-page":"532","DOI":"10.3928\/1081597X-20170606-02","volume":"33","author":"SA Eissa","year":"2017","unstructured":"Eissa\u00a0SA, Khafagy\u00a0MM, Sifky\u00a0MK (2017) Implantable Collamer Lens in the Management of Pseudophakic Ametropia. J\u00a0Refract Surg 33:532\u2013537. https:\/\/doi.org\/10.3928\/1081597X-20170606-02","journal-title":"J Refract Surg"},{"key":"2268_CR9","doi-asserted-by":"publisher","first-page":"302","DOI":"10.5301\/ejo.5000564","volume":"25","author":"T Ferreira","year":"2015","unstructured":"Ferreira\u00a0T, Pinheiro\u00a0J (2015) Clinical results with a\u00a0supplementary toric intraocular lens for the correction of astigmatism in pseudophakic patients. Eur J Ophthalmol 25:302\u2013308","journal-title":"Eur J Ophthalmol"},{"key":"2268_CR10","doi-asserted-by":"publisher","first-page":"330","DOI":"10.1016\/S0886-3350(99)00433-2","volume":"26","author":"J Gayton","year":"2000","unstructured":"Gayton\u00a0J, Apple\u00a0D, Peng\u00a0Q et\u00a0al (2000) Interlenticular opacification: clinicopathological correlation of a\u00a0complication of posterior chamber piggyback intraocular lenses. J\u00a0Cataract Refract Surg 26:330\u2013336","journal-title":"J Cataract Refract Surg"},{"key":"2268_CR11","doi-asserted-by":"publisher","first-page":"776","DOI":"10.1016\/S0886-3350(13)80349-5","volume":"19","author":"J Gayton","year":"1993","unstructured":"Gayton\u00a0J, Sanders\u00a0V (1993) Implanting two posterior chamber intraocular lenses in a\u00a0case of microphthalmos. J\u00a0Cataract Refract Surg 19:776\u2013777","journal-title":"J Cataract Refract Surg"},{"key":"2268_CR12","doi-asserted-by":"publisher","first-page":"1861","DOI":"10.2147\/OPTH.S366145","volume":"9","author":"KG Gundersen","year":"2022","unstructured":"Gundersen\u00a0KG, Potvin\u00a0R (2022) Refractive and Visual Outcomes After Implantation of a\u00a0Secondary Sulcus Intraocular Lens with an Extended Depth of Focus. Clin Ophthalmol 9:1861\u20131869. https:\/\/doi.org\/10.2147\/OPTH.S366145","journal-title":"Clin Ophthalmol"},{"key":"2268_CR13","first-page":"330","volume":"6","author":"KJ Hoffer","year":"2017","unstructured":"Hoffer\u00a0KJ, Savini\u00a0G (2017) IOL Power Calculation in Short and Long Eyes. Asia-Pacific. J\u00a0Ophthalmol 6:330\u2013331","journal-title":"J Ophthalmol"},{"key":"2268_CR14","doi-asserted-by":"publisher","first-page":"1821","DOI":"10.1016\/j.jcrs.2005.06.034","volume":"31","author":"T Iwase","year":"2005","unstructured":"Iwase\u00a0T, Tanaka\u00a0N (2005) Elevated intraocular pressure in secondary piggyback intraocular lens implantation. J\u00a0Cataract Refract Surg 31:1821\u20131823","journal-title":"J Cataract Refract Surg"},{"key":"2268_CR15","doi-asserted-by":"publisher","first-page":"562","DOI":"10.1016\/j.jcrs.2007.11.040","volume":"34","author":"G Jin","year":"2008","unstructured":"Jin\u00a0G, Merkley\u00a0K, Crandall\u00a0A, Jones\u00a0Y (2008) Laser in situ keratomileusis versus lens-based surgery for correcting residual refractive error after cataract surgery. J\u00a0Cataract Refract Surg 34:562\u2013569","journal-title":"J Cataract Refract Surg"},{"key":"2268_CR16","doi-asserted-by":"publisher","first-page":"1090","DOI":"10.1016\/j.jcrs.2009.12.045","volume":"36","author":"G Kahraman","year":"2010","unstructured":"Kahraman\u00a0G, Amon\u00a0M (2010) New supplementary intraocular lens for refractive enhancement in pseudophakic patients. J\u00a0Cataract Refract Surg 36:1090\u20131094","journal-title":"J Cataract Refract Surg"},{"key":"2268_CR17","doi-asserted-by":"publisher","first-page":"105","DOI":"10.3928\/1081597X-20201215-01","volume":"37","author":"G Kahraman","year":"2021","unstructured":"Kahraman\u00a0G, Dragostinoff\u00a0N, Brezna\u00a0W et\u00a0al (2021) Visual outcomes and patient satisfaction after bilateral sequential implantation of a\u00a0capsular bag IOL and a\u00a0supplementary sulcus-fixated trifocal IOL. J\u00a0Refract Surg 37:105\u2013111","journal-title":"J Refract Surg"},{"key":"2268_CR18","doi-asserted-by":"publisher","DOI":"10.1097\/j.jcrs.0000000000001604","author":"KP Kaiser","year":"2024","unstructured":"Kaiser\u00a0KP, Jandewerth\u00a0T, Davidova\u00a0P, Kohnen\u00a0T (2024) Surgical implications in intraocular lens exchange with an open posterior capsule: a\u00a0retrospective case series and review of the literature. J\u00a0Cataract Refract Surg:online Ahead Print. https:\/\/doi.org\/10.1097\/j.jcrs.0000000000001604","journal-title":"J Cataract Refract Surg:online Ahead Print"},{"key":"2268_CR19","doi-asserted-by":"publisher","first-page":"693","DOI":"10.3928\/1081597X-20110512-01","volume":"27","author":"M Khan","year":"2011","unstructured":"Khan\u00a0M, Muhtaseb\u00a0M (2011) Performance of the Sulcoflex piggyback intraocular lens in pseudophakic patients. J\u00a0Refract Surg 27:693\u2013696","journal-title":"J Refract Surg"},{"key":"2268_CR20","doi-asserted-by":"publisher","first-page":"243","DOI":"10.3390\/diagnostics12020243","volume":"12","author":"R Khoramnia","year":"2022","unstructured":"Khoramnia\u00a0R, Auffarth\u00a0G, Labuz\u00a0G et\u00a0al (2022) Refractive Outcomes after Cataract Surgery. Diagnostics (basel) 12:243. https:\/\/doi.org\/10.3390\/diagnostics12020243","journal-title":"Diagnostics (basel)"},{"key":"2268_CR21","doi-asserted-by":"publisher","first-page":"1482","DOI":"10.3390\/diagnostics13081482","volume":"13","author":"R Khoramnia","year":"2023","unstructured":"Khoramnia\u00a0R, Baur\u00a0ID, Yan\u00a0W et\u00a0al (2023) Comparison of a\u00a0Presbyopia-Correcting Supplementary Intraocular Lens Combination and a\u00a0Capsular-Bag Lens: An In Vitro Study. Diagnostics 13:1482. https:\/\/doi.org\/10.3390\/diagnostics13081482","journal-title":"Diagnostics"},{"key":"2268_CR22","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-024-06618-3","author":"R Khoramnia","year":"2024","unstructured":"Khoramnia\u00a0R, Kahraman\u00a0G, Amon\u00a0M et\u00a0al (2024) Polypseudophakia: from \u201cPiggyback\u201d to supplementary sulcus-fixated IOLs. Graefes Arch Clin Exp Ophthalmol. https:\/\/doi.org\/10.1007\/s00417-024-06618-3","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"key":"2268_CR23","unstructured":"Klais C, Tessmer C, Kohnen T et\u00a0al (1999) Zunahme des Bulbusl\u00e4ngenwachstums nach Kataraktoperation und IOL Implantation im Kindesalter. Dgii Band Des 13 Kongresses: 276\u2013280"},{"key":"2268_CR24","doi-asserted-by":"publisher","first-page":"766","DOI":"10.1007\/s00347-010-2219-3","volume":"107","author":"T Kohnen","year":"2010","unstructured":"Kohnen\u00a0T, Klaproth\u00a0OK (2010) Pseudophake additive Intraokularlinsen. Die Ophthalmol 107:766\u2013772","journal-title":"Die Ophthalmol"},{"key":"2268_CR25","doi-asserted-by":"publisher","first-page":"570","DOI":"10.3928\/1081597X-20200715-01","volume":"36","author":"G Labuz","year":"2020","unstructured":"Labuz\u00a0G, Auffarth\u00a0GU, Knorz\u00a0MC et\u00a0al (2020) Trifocality Achieved Through Polypseudophakia: Optical Quality and Light Loss Compared With a\u00a0Single Trifocal Intraocular Lens. J\u00a0Refract Surg 36:570\u2013577. https:\/\/doi.org\/10.3928\/1081597X-20200715-01","journal-title":"J Refract Surg"},{"key":"2268_CR26","doi-asserted-by":"publisher","first-page":"309","DOI":"10.3390\/photonics8080309","volume":"8","author":"G Labuz","year":"2021","unstructured":"Labuz\u00a0G, Auffarth\u00a0GU, Yan\u00a0W et\u00a0al (2021) Simulations of Decentration and Tilt of a\u00a0Supplementary Sulcus-Fixated Intraocular Lens in a\u00a0Polypseudophakic Combination Using Ray-Tracing Software. Photonics 8:309. https:\/\/doi.org\/10.3390\/photonics8080309","journal-title":"Photonics"},{"key":"2268_CR27","doi-asserted-by":"publisher","DOI":"10.4103\/2320-3897.195311","author":"JS Ladi","year":"2017","unstructured":"Ladi\u00a0JS (2017) Prevention and correction of residual refractive errors after cataract surgery. J\u00a0Clin Ophthalmol Res. https:\/\/doi.org\/10.4103\/2320-3897.195311","journal-title":"J Clin Ophthalmol Res"},{"key":"2268_CR28","doi-asserted-by":"publisher","first-page":"510","DOI":"10.3928\/1081597X-20230612-01","volume":"39","author":"C Lwowski","year":"2023","unstructured":"Lwowski\u00a0C, Rusev\u00a0V, Kohnen\u00a0T (2023) Assessment of Visual Habituation Measured With the Halo & Glare Simulator and Its Impact on Patient Satisfaction Following Quadrifocal IOL Implantation. J\u00a0Refract Surg 39:510\u2013517. https:\/\/doi.org\/10.3928\/1081597X-20230612-01","journal-title":"J Refract Surg"},{"key":"2268_CR29","first-page":"358","volume":"6","author":"B Manzouri","year":"2017","unstructured":"Manzouri\u00a0B, Dari\u00a0M\u2011L, Claoue\u00a0C (2017) Supplementary IOLs: Monofocal and Multifocal, Their Applications and Limitations. Asia-pacific J Ophthalmol 6:358\u2013363","journal-title":"Asia-pacific J Ophthalmol"},{"key":"2268_CR30","doi-asserted-by":"crossref","unstructured":"Palomino-Bautista C, Sanchez-Jean R, Carmona Gonzalez D et\u00a0al (2020) Spectacle independence for pseudophakic patients\u2014experience with a\u00a0trifocal supplementary add-on intraocular lens. Clin Ophthalmol: 1043\u20131054","DOI":"10.2147\/OPTH.S238553"},{"key":"2268_CR31","doi-asserted-by":"publisher","first-page":"1650","DOI":"10.1016\/j.jcrs.2012.03.039","volume":"38","author":"J Schrecker","year":"2012","unstructured":"Schrecker\u00a0J, Zoric\u00a0K, Me\u00dfner\u00a0A, Eppig\u00a0T (2012) Effect of interface reflection in pseudophakic eyes with an additional refractive intraocular lens. J\u00a0Cataract Refract Surg 38:1650\u20131656","journal-title":"J Cataract Refract Surg"},{"key":"2268_CR32","doi-asserted-by":"publisher","first-page":"611","DOI":"10.1136\/bjophthalmol-2015-307287","volume":"100","author":"M Serafino","year":"2016","unstructured":"Serafino\u00a0M, Trivedi\u00a0R, Levin\u00a0A et\u00a0al (2016) Use of the Delphi process in paediatric cataract management. Br J Ophthalmol 100:611\u2013615","journal-title":"Br J Ophthalmol"},{"key":"2268_CR33","doi-asserted-by":"publisher","first-page":"1883","DOI":"10.2147\/OPTH.S362930","volume":"9","author":"SA Stewart","year":"2022","unstructured":"Stewart\u00a0SA, McNeely\u00a0RN, Chan\u00a0WC, Moore\u00a0JE (2022) Visual and Refractive Outcomes Following Exchange of an Opacified Multifocal Intraocular Lens. Clin Ophthalmol 9:1883\u20131891. https:\/\/doi.org\/10.2147\/OPTH.S362930","journal-title":"Clin Ophthalmol"}],"container-title":["Die Ophthalmologie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00347-025-02268-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00347-025-02268-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00347-025-02268-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,7]],"date-time":"2025-09-07T18:48:23Z","timestamp":1757270903000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00347-025-02268-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,21]]},"references-count":33,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["2268"],"URL":"https:\/\/doi.org\/10.1007\/s00347-025-02268-w","relation":{},"ISSN":["2731-720X","2731-7218"],"issn-type":[{"type":"print","value":"2731-720X"},{"type":"electronic","value":"2731-7218"}],"subject":[],"published":{"date-parts":[[2025,7,21]]},"assertion":[{"value":"27 May 2025","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 July 2025","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"P.\u00a0D\u00e1vidov\u00e1 gibt an, dass kein Interessenkonflikt besteht. T.\u00a0Kohnen: Berater, Forschungsf\u00f6rderung und Vortragst\u00e4tigkeit f\u00fcr Alcon, Oculus, Schwind, Staar. Berater und Vortragst\u00e4tigkeit f\u00fcr Tarsus, Ziemer. Forschungsf\u00f6rderung und Vortragst\u00e4tigkeit f\u00fcr Teleon Surgical. Berater f\u00fcr AbbVie, Geuder, LensGen, Santen, Stadapharm, Thieme, Zeiss Meditec. Vortragst\u00e4tigkeit f\u00fcr Allergan, Bausch & Lomb, Johnson & Johnson, MedUpdate, streamedup. Deutsche Ophthalmologische Gesellschaft (DOG): Schatzmeister, Boardmitglied. European Sociey of Cataract and Refractive Surgeons: Schatzmeister, Boardmitglied. Internationaler Intraokularlinsen-Implant Club (IIIC): fr\u00fcherer Pr\u00e4sident.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autor\/-innen keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}