B-MICS with INCISE IOL implantation: 6 month follow-up and PCO evaluation

Session Details

Session Title: Cataract Surgery Outcomes

Session Date/Time: Tuesday 16/09/2014 | 08:00-10:30

Paper Time: 09:44

Venue: Capital Hall A

First Author: : G.Torlai ITALY

Co Author(s): :    G. Cavallini   M. De Maria   L. Campi        

Abstract Details

Purpose:

To analyze the visual outcome, clear corneal incisions (CCIs) morphology and posterior capsule opacification (PCO), in patients who underwent bimanual microincisions cataract surgery (B-MICS) with INCISE MJ14 IOL implantation through 1.4 mm CCIs.

Setting:

Institute of Ophthalmology, University of Modena & Reggio Emilia, Modena, Italy (Head: Prof. Gian Maria Cavallini).

Methods:

Prospective observational study. 30 eyes which underwent B-MICS and implanted with INCISE MJ14 IOL through 1.4 mm CCI have been analyzed. All patients underwent an uneventful surgery between June 2013 – September 2013. All patients have been operated by the same experienced surgeon with the same surgical technique for cataract extraction: two trapezoidal incisions are created in the clear cornea at 10 and 2 o’clock, continuous capsulorhexis is performed with the a cystotome or with the dedicated microforceps, phacoemulsification is performed with a 20-gauge, 30 degree-angled sleveless probe and an irrigating chopper, by stop-and-chop technique, finally the IOL has been implanted through a 1.4 mm incision. Patients underwent a preoperative and postoperative complete ophthalmological evaluation (corrected distance visual acuity CDVA, endothelial biomicroscopy, slit lamp examination, autorefractometry). All the CCIs have been evaluated through an anterior segment OCT (AS-OCT) and slit lamp camera at 1, 3, 7 and 30 days and 6 months after surgery. PCO has been evaluated with EPCO 2000 Incl. Merge (Creative Development, CA). All clinical parameters have been reported and analyzed.

Results:

CDVA at 6 months was 0.95 (± 0.21 SD). At slit lamp camera no severe complications has been reported during the follow-up. At the AS-OCT the only common evidences in both the groups were endothelial gaping and local detachment of Descemet’s membrane with a progressive reduction in the first week of the follow-up. PCO evaluation showed no growth of epithelial cell lens in any portion of the IOL optic plate, rare opacities have been reported at the edge of the IOL with no sign of optic plate invasion.

Conclusions:

The implant of an MJ14 INCISE IOL through 1.4 mm CCI with B-MICS technique appeared to be safe and effective with a rapid visual recovery and a high patients’ satisfaction. The incisions achieve a fast healing since the first week of follow-up. Thanks to this new IOL innovative design characterized by a 5 microns, 360° square edge, the PCO scoring in the first 6 months after this IOL release, appear to be encouraging, confirming the aim of minimizing PCO in the long term.

Financial Interest:

NONE