Aspheric IOLs Comparative Study of Acri.Smart 46S*

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Presentation transcript:

Aspheric IOLs Comparative Study of Acri.Smart 46S* to its identical aspheric sister-IOL 46LC* NO FINANCIAL INTEREST * NOT FDA APPROVED J. Reiter, B. Kölbl Eye Clinic Landshut, Bavaria, Germany

acrylat – 25 % water content, no angulation Comparative Study of Acri.Smart 46S to its identical aspheric sister-IOL 46LC Acri.Smart 46S Acri.Smart 46LC IOL-Design foldable single-piece posterior chamber IOL for MICS, ø 6.0 mm, plate haptic, overall length 11.5 mm acrylat – 25 % water content, no angulation Optics Spheric Lens Corrected J. Reiter, B. Kölbl

Comparative Study of Acri Comparative Study of Acri.Smart 46S to its identical aspheric sister-IOL 46LC Study Design Patients (eyes) prospective, randomized implantation of 46S and 46LC in left or right eye two surgeons coaxial mini phaco 2.3 mm temporal stab. incision intra-individual comparison 2 mo's post-op clin. outcome, BCVA, wavefront analysis (WaveScan), contrast sens. (contrast sensitivity tester Model 1800) patient questionnaire 46S / 46LC n 32 age 76.41 (53 – 90) sex 12 m, 20 f D. M. 14 D. R. OAG (comp.) 4 AMD (mild) 12 J. Reiter, B. Kölbl

Randomized Intra-Individual Comparison of Acri.Smart 46S vs. 46LC Eyes: pre-op. parameters Eyes: intra-op. parameters 46S 46LC IOP 16.31 (± 3.27) 16.16 (± 2.97) Ref. sph. +0.84 (± 1.55) +0.98 (± 1.43) Ref. cyl. -0.56 (± 0.63) -0.55 (± 0.44) Ref. axis 52.84 (± 51.48) 73.91 (± 56.95) BCVA 0.36 (± 0.16) 0.38 (± 0.14) Axial length 23.08 (± 0.57) 23.11 (± 0.56) 46S 46LC IOL-power (dpt) 21.02 (± 1.43) 18 – 24 21.13 (± 1.43) PC-fibrosis 1 PC-rupture Impl. / un-fold. comp. Mac. edema resolved Endophtalm. Eyes: post-op. parameters J. Reiter, B. Kölbl

Randomized Intra-Individual Comparison Visual Acuity - BCVA J. Reiter, B. Kölbl

Wavefront Analysis (WaveScan) *p < 0.001 *p < 0.00001 J. Reiter, B. Kölbl

Contrast Sensitivity-Scoring Sheet Example (Contrast Sensitivity Tester Model 1800) cpd: 1 2 3 4 5 6 7 8 9 Score A (1.5) L U R B (3) C (6) D (12) E (18) J. Reiter, B. Kölbl

Contrast Sensitivity (photopic: 85 cd/m²) J. Reiter, B. Kölbl

Contrast Sensitivity (mesopic: 6 cd/m²) J. Reiter, B. Kölbl

Contrast Sensitivity-Photopic Intra-Individual Comparison J. Reiter, B. Kölbl

Contrast Sensitivity-Mesopic Intra-Individual Comparison J. Reiter, B. Kölbl

Summary Intra-Individual Comparison J. Reiter, B. Kölbl