Single-action implantation of a 3-piece acrylic intraocular lens with an injector

Abstract

We report a method to insert a 3-piece AcrySof MA30BA acrylic foldable intraocular lens (IOL) (Alcon) in a single action using a Monarch II (Alcon) injector. The technique was used in 134 eyes. The incision widths ranged from 3.00 to 3.75 mm. The IOLs were successfully inserted in the capsular bag. Complications included cracks in the IOL optic in 3 eyes (3%), haptic damage in 3 eyes (3%), and inadequate self-sealing of the incision in 18 eyes (13%).

Incision sizes at different stages of phacoemulsification with foldable intraocular lens implantation

“…10,12,18,19 The use of injectors minimizes, if not eliminates, contact with the ocular surface and corneal endothelium during implantation. Several studies [35][36][37][38][39][40] report that IOL implantation with injectors is safer than with a forceps.…”

Incision sizes before and after implantation of SN60WF intraocular lenses using the Monarch injector system with C and D cartridges

“…17,22 For this reason and to attain less intraoperative contact with the conjunctival tissue and corneal endothelium, major companies provide injector systems for implantation of their IOLs. Several studies [8][9][10][11][12][13][14] report that IOL implantation with injectors is safer than with a forceps. With progress in the development of IOL design and injector systems, decreasing incision sizes have been achieved.…”

“…8 New injector systems provide the opportunity to perform microincision cataract surgery, which allows the creation of smaller incisions without touching any corneal or conjunctival tissue during IOL implantation. [8][9][10][11][12][13][14] When injector systems are used, the incision size for IOL implantation is determined by the outer diameter of the cartridges and the IOL. [15][16][17][18][19] The purpose of this study was to clinically compare incision sizes associated with single-piece, 6.0 mm total optic, foldable hydrophobic acrylic IOLs using 2 new injector systems and 2 surgical techniques.…”

Clinical presentation of intraocular lens schisis

“…17,18 The MemoryLens is a 3-piece foldable hydrophilic acrylic IOL. It is prerolled and rigid at temperatures below 27 C and slowly unfolds in the eye once reaching body temperature.…”