Evaluation of Akreos AO micro-incision IOL, implantation in 350 eyes :

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Presentation transcript:

Evaluation of Akreos AO micro-incision IOL, implantation in 350 eyes : Danielle DEIDIER, M.D. Clinique Saint Vincent, Toulon - France ASCRS 2009 NO FINANCIAL INTEREST IN THIS STUDY

Purpose To analyse clinical results of 350 cases: Implantation of Akreos AO microincision Incision size = 1.7mm ASCRS 2009

METHODS Prospective study on 350 eyes Single centre, one surgeon Biaxial surgical technique : two 1.3mm incisions (main one then enlarged to 1.7mm for Akreos MI60 injection). Stellaris Phacoemulsification system ASCRS 2009

METHODS Follow-up: Preoperatively , post-op at 10 days, 1 month, 2 years OUTCOMES : BCVA UCVA Astigmatism Endothelial cell count Stability in capsular bag Yag laser capsulotomy rate - ASCRS 2009

Akreos MI60 Bausch & Lomb Acrylic Hydrophilic 26% (foldability) Aspheric: aberration free concept Anti-PCO features (square edge, surrounding, angulation ...) 3D stability Haptics Optic  : 6mm & total  : 11mm Angulation: 10° Power: 0 to 30D ASCRS 2009

VISUAL ACUITY 0.4 0.92 0.93 0.96 0.65 0.67 0.7 Visual acuity BCVA preop 1M 3M 12M UCVA MI60 (n=350) 0.4 0.92 0.93 0.96 0.65 0.67 0.7 ASCRS 2009

ASTIGMATISM ASTIGMATISM PREOP POSTOP 1M 3M 12M MI60 0.79 0.82 0.8 0.74 (n=350) 0.79 0.82 0.8 0.74 ASCRS 2009

ENDOTHELIAL CELL COUNT PRE-OP POST-OP MI60 (n=350) 2263 2126 Which represents a loss of 6.1% ASCRS 2009

RESULTS - Good stability over time with excellent post-op BCVA & UCVA - Low level of induced astigmatism & no change in axis - Low endothelial cell loss - 15 capsulotomy (PCO) since beginning of study (sept 06) - 2 Rhexis phimosis - 8 Fibrosis of posterior capsular bag surface without loss of visual acuity

CONCLUSION After two years working with Akreos AO micro-incision MI60, clinical outcomes are excellent and post-operative complications rate is very low. We succeed in our challenge to implant an aspheric microincision IOL through 1.7mm without induced astigmatism, in a reproducible and safe manner. ASCRS 2009