Microincisional cataract surgery and Thinoptx rollable intraocular lens implantation

Abstract

Based on the limited data in the literature and in this study, it is not possible to make concrete decisions about the benefits and disadvantages of the ThinOptx IOL for longer durations. Intraoperatively, this IOL apparently eliminates the need for enlargement of the corneal incision during implantation. However, the statistical insignificance of induced astigmatisms after microincisions and classical phacoincisions should also be taken into consideration. We conclude that ThinOptx IOL is a pioneering intraocular lens implant that will contribute to the exciting future of cataract refractive surgical procedures. However, both clinical and laboratory investigations are needed to clearly describe the long-term effectiveness of this new rollable IOL.

Effect of Corneal Incision Enlargement on Surgically Induced Astigmatism in Biaxial Microincision Cataract Surgery

“…With the microaxial procedure, the size of the corneal incision is reduced from 3.2 mm to 2.2 mm, while in biaxial phacoemulsification (B-MICS) the cornea incision is between 0.9 and 1.5 mm. 6 , 7 , 8 …”

Astigmatic neutrality in biaxial microincision cataract surgery

“…Since the first insertion of this in 2001, 2 6 reports of the astigmatic effect of this procedure have been published. [3][4][5][6][7][8] However, few of the reports used vector analysis, the preferred standard of reporting astigmatic change. 9,10 An article by Cinhuseyinoglu et al 7 states that vector analysis was performed; however, the results presented are those of a keratometry subtraction method.…”

“…[3][4][5][6][7][8] However, few of the reports used vector analysis, the preferred standard of reporting astigmatic change. 9,10 An article by Cinhuseyinoglu et al 7 states that vector analysis was performed; however, the results presented are those of a keratometry subtraction method. Dogru et al 6 assessed the magnitude of astigmatic change with the Holladay-Cravy-Koch formula and found an induced astigmatic change of 0.06 diopter (D) G 0.50 (SD) 6 months after surgery using a temporal 1.6 mm (enlarged to 2.2 mm) and a superonasal 1.6 mm clear corneal incision.…”

Welche Linse bei Kombination von MICS und 23-G-Vitrektomie?

“…Die Einführung der MICS war erst durch die Entwicklung geeigneter Intraokularfaltlinsen möglich. Heute stehen bereits mehr als 15 Faltlinsen für die MICS zur Verfügung [1][2][3][4]. Sowohl das Material als auch das Design der Optik und Haptiken sind für die Stabilität der sehr dünnen Linsen im Kapselsack und die Nachstarentwicklung verantwortlich [1].…”