First Author: K.Buusova Smeckova CZECH REPUBLIC
Co Author(s): Z. Smecka Z. Smecka
Purpose:
To evaluate the incision stretch after insertion of IOLs of different powers, especially for high hypermetropia.
Setting:
: Klinika ocni a esteticke chirurgie, Zlin, Czech Republic
Methods:
100 patients were evenly divided into 2 groups and underwent either RLE or a standard cataract procedure. First group had an IOL inserted by Monarch III injector. In the second group Intrepid AutoSert IOL Injector was used. Incision was measured prior and after the IOL insertion. Only Alcon IOLs were used. Results were also compared separately for the group of IOLs of 28D and lower and 29D and higher. Any complications were reported. All procedures were performed by a single surgeon, with single equipment, 2,2mm incision and form the temporal approach. All insertions were performed at high End Velocity (4.4 mm/sec).
Results:
Comparison of both groups revealed that less incision stretch was performed after implantation using AutoSert when compared to a manual injector (0,10mm difference compared with 0,03mm). No complications were reported in both groups. When different refractive powers were compared, similar results were obtained for the group 28D and lower. In higher refractive power IOLs more incision stress was measured in Monarch III group (0,12mm difference) as well as in AutoSert group (0,04mm). With these IOLs AutoSert provided better feeling of control over the insertion as there was the foot pedal involved as well and the hand could better control the position of the injector allowing the second hand to stabilize the position of the bulbus.
Conclusions:
Intrepid AutoSert IOL Injector seems to be a uses ful device that can provide a smooth and more controlled IOL insertion in both cataract and refractive patients. At high End Velocity AutoSert caused less stretch to the incision even in high dioptric powers. Introduction of a foot pedal to the IOL insertion increases phaco surgeon´s convenience and control.
Financial Disclosure:
No
