Abstract:The aspheric microincision IOL was safely implanted through a 1.8 mm or smaller incision during biaxial MICS and gave good postoperative outcomes.
“…Capsular bag contraction and phimosis are recognized postoperative complications of microincision IOLs. [17][18][19] Although Can et al 18 report that the progressive resistance of the haptics of the Akreos MI60 IOL was designed to prevent capsular bag contraction and optic displacement, they report 3 eyes (3%) with anterior capsule phimosis. Cavallini et al 19 report a single case of anterior capsule phimosis with the Akreos MI60.…”
Asphericity of IOLs did not affect distance visual acuity. The difference in depth of focus was significant only between negatively aspheric and spherical IOLs. Asphericity differences up to 20 μm did not influence depth of focus.
“…Capsular bag contraction and phimosis are recognized postoperative complications of microincision IOLs. [17][18][19] Although Can et al 18 report that the progressive resistance of the haptics of the Akreos MI60 IOL was designed to prevent capsular bag contraction and optic displacement, they report 3 eyes (3%) with anterior capsule phimosis. Cavallini et al 19 report a single case of anterior capsule phimosis with the Akreos MI60.…”
Asphericity of IOLs did not affect distance visual acuity. The difference in depth of focus was significant only between negatively aspheric and spherical IOLs. Asphericity differences up to 20 μm did not influence depth of focus.
“…[1][2][3] Although few multifocal IOLs that can be implanted through incisions of 2.0 mm or smaller are available, they are reported to resolve some of the problems of conventional small-incision IOLs. [4][5][6][7][8] In addition to multifocality, these IOLs must have the same good uveal and capsular biocompatibility as conventional monofocal IOLs. Most important, they must remain perfectly centered in the capsular bag to restore visual performance and quality of vision and to prevent dysphotopsia symptoms.…”
“…In recently published studies, the smallest final incision size for the hydrophobic acrylic Acrysof SN60WF IOL (Alcon Laboratories, Inc.) ranged from 2.0 to 2.5 mm, 7,8 although smaller final incision sizes have been reported for hydrophilic acrylic IOLs. 9 That there is such a wide range of reported final incision sizes suggests a significant element of surgical technique is involved in implanting through these smaller incisions.…”
The motorized injector was easy to use, and its use with an injection speed of 4.4 mm/sec caused significantly less incision enlargement than the manual injector during IOL implantation.
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