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Initial clinical results implanting the new Clareon® aspheric hydrophobic acrylic IOL using AutonoMe™ automated pre-loaded delivery system

Poster Details

First Author: K.Gundersen NORWAY

Co Author(s):                        

Abstract Details

Purpose:

To evaluate single surgeon’s clinical results of the first 56 eyes implanted with Clareon® aspheric hydrophobic acrylic IOL using AutonoMe™ automated pre-loaded delivery system from Alcon.

Setting:

A single surgeon, single site evaluation of post-operative outcomes.

Methods:

A retrospective study of the first 32 patients (56 eyes) implanted with Clareon® aspheric hydrophobic acrylic IOL using AutonoMe™ automated pre-loaded delivery system from Alcon. Post-operative study visits include Day 1, Months 1 and 3. Primary outcome measurements was safety and efficacy using this new lens material. Secondary outcome measurements were distance uncorrected and best-corrected visual acuity, refraction and clarity of the IOL after implantation. Furthermore, we studied the performance of the pre loaded delivery system. All complications during surgery and in the early postoperative period were recorded.

Results:

56 eyes of 38 patients were implanted with this new monofocal lens. Mean age was 72,4 ± 9,7 years. No serious sight-threatening complications occurred. Efficacy Index was 1.599 and Safety Index was 1,558 after 5 weeks. Mean preoperative UCVA improved from 0,38  0,21 to 0,84  0,26 mmHg and Mean preoperative BCVA improved from 0,68  0,18 to 1,02  0,18 after 5 weeks. We observed no micro vacuoles (“glistenings”) within the lens material during the slit lamp examination 5 weeks after surgery. The automated pre-loaded delivery system worked well in all 56 cases.

Conclusions:

Clareon® aspheric hydrophobic acrylic material represent the successor of the hydrophobic Acrysof® IOL platform from Alcon. Prior studies of this Acrysof® IOL material has showed an increased occurrence of micro vacuoles (“glistenings”) within this lens material with time. Although the clinical significance of this observation is not fully understood, we observed no such micro vacuoles after 5 weeks. Furthermore, the automated, gas driven lens delivery system AutonoMe™ worked well in all cases. We regard this as a promising start, but we emphasize that larger number of lenses and much longer observation time is needed to make a final conclusion

Financial Disclosure:

None

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