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Title	Use of the Incise IOL in combined phaco-vitrectomy
Abstract Nr.	P128

Purpose	Since vitrectomy surgery in patients aged over 50 always induces cataract formation, phaco-emulsification with IOL implantation is frequently combined with vitrectomy. When the transconjunctival micro-incision vitrectomy surgery (MIVS) is used, it is recommended to perform the cataract surgery using the MICS technique (Micro Incision Cataract Surgery) using 1.8 mm incisions. The purpose of this study is to evaluate the advantages and potential disadvantages of using the B+L Incise IOL in combined phaco-vitrectomy.
Methods	In 8 patients that underwent combined phaco-vitrectomy, the Incise IOL was implanted. Both intra-operative as well as postoperative findings were compared with the standard-of-care using the MI60 IOL.
Results	During surgery, it was found that the newly designed injector could be inserted in the anterior chamber through a 1.8 mm incision rather than used wound-assisted, which facilitates the IOL insertion. The slower intra-ocular unfolding of the IOL allows better control over the positioning of the IOL after insertion. Finally, although the increased stiffness of the IOL requires more pressure to inject the IOL, it prevents postoperative IOL decentration when gas or silicone oil is used as a tamponade after vitrectomy.
Conclusion	The Incise IOL has several improvements making this lens type highly suitable for use in combined phaco-vitrectomy

Authors 1