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This abstract is assigned to session OB Free papers: Anterior segment
TitleACRI.TEC ACRI.SMART 36A vs PHYSIOL MICRO AY implantation in bimanual MICS
Abstract Nr.258
PurposeTo assess the visual results, contrast sensitivity and optical aberrations in patients that underwent Bimanual Micro Incision Cataract Surgery (MICS) through a 1.4 mm incision with implantation through a 1.9 mm incision in one eye of the aspherical Acritec Acrismart 36A IOL and in the other eye of the aspheric Physiol Micro AY IOL.
MethodsIn a prospective randomised study 30 cataract patients underwent implantation with either the Acritec Acrismart 36A IOL or the Physiol Micro AY IOL. The Acri.Smart 36A IOL has a plate haptic design, the Micro AY has 4 haptics to stabilize the optic in the capsular bag. Both lenses have aspherical characteristics. The per-operative complication rate was recorded. At 2 months the BCVA and the post-operative refraction were recorded, the contrast sensitivity in mesopic and photopic conditions was measured and visual function analysis using the ray tracing system (Tracey) was performed. A subjective evaluation by the patient was also done.
ResultsEven if the Micro AY was slightly easier to implant, in 2 cases a haptics was damaged during insertion without any effect on the positioning of the IOL in the capsular bag. In one eye the insertion of the Acri.Smart resulted in a slight damage to the optic of the IOL. None of these minor complications had a visual impact. Two months after surgery, the visual acuity was similar for both eyes in both groups. Contrast sensitivity measurements and ray tracing analysis showed no manifest differences.
ConclusionBimanual Micro Incision Cataract Surgery with implantation of the Acritec Acrismart 36A and the Physiol Micro AY IOL resulted in good surgical outcomes with identical optical performances.
Author 1
Last nameBOUZEKRI ALAMI
InitialsR
DepartmentClinique St-Jean
CityBrussels
Author 2
Last nameVRYGHEM
InitialsJC
DepartmentBrussels Eye Doctors
CityBrussels
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