Presentation is loading. Please wait.

Presentation is loading. Please wait.

Advanced Preloaded IOL System A Visco-free Preloaded Injector Kimiya Shimizu MD Professor & Chairman, Department of Ophthalmology Kitasato University,

Published byOswin Norris Modified over 9 years ago

Similar presentations

Presentation on theme: "Advanced Preloaded IOL System A Visco-free Preloaded Injector Kimiya Shimizu MD Professor & Chairman, Department of Ophthalmology Kitasato University,"— Presentation transcript:

1 Advanced Preloaded IOL System A Visco-free Preloaded Injector Kimiya Shimizu MD Professor & Chairman, Department of Ophthalmology Kitasato University, School of Medicine Kanagawa, Japan ASCRS in Chicago 2008

2 To report the development of a new preloaded IOL injector: Visco-free Preloaded Injector, which requires no Ophthalmic Viscosurgical Device (OVD) either for loading an IOL or for forming and maintaining an anterior chamber and a capsular bag. Purpose Connect to irrigation tube BSS BSS flow IOL preloaded Specification of Visco-free Injector

3 Basic Experiment Performances of Visco-free Injector 1. IOL Ejection Time 2. Maximum Resistance Force during IOL Ejection Space Formation in a Porcine Eye 3. IOP Measurement during Irrigation 4. Slit Lamp Examination Clinical Experiment 11 eyes of 11 patients (including a glaucoma eye)

4 1. IOL Ejection Time  Injector plunger was advanced automatically at 1.3 mm/sec  Ejection time was estimated from sequence of photographs (15 frames/sec) 2. Maximum Resistance Force  Advanced the plunger automatically at 0.25mm/sec  Measured a resistance force by the material tester (MT-RQ®) Basic Experiment IOL ejection process Methods

5 Basic Experiment 3. IOP Measurement during Irrigation  After PEA, bottle height: 50cm (I/A tube)  IOP measurement (Shiötz tonometer)  Compared with the Healon ® (0.3mL) 4. Slit Lamp Examination  After PEA, filled a porcine eye with BSS or OVD (tinted by NaFlu)  Observed by a slit lamp Methods

6 Clinical Experiment  11 eyes of 11 patients / 67.8±10.0 yo.  3.2mm clear corneal incision  Measurements IOP ： Pre, Post 1D Corneal endothelium cell density: Pre, Post 6M Methods

7 Clinical Experiment 1. Connect to irrigation tube. 2. Irrigate with BSS using foot pedal. 4. Create space in capsular bag by BSS irrigation only. 3. Insert tip into incision while irrigating with BSS.

8 Basic Experiment: Performance of Visco-free Injector Visco-free3.0±0.4 sec169.1±39.8 g With Healon ® 2.2±0.6 sec173.8±24.9 g (n=10) Max resistance IOL ejection Displacement (mm) Resistance force (g) Ejection time Resistance force Results N.S.

9 Basic Experiment: Space Formation With BSS, higher IOP and larger space formation. Results * p<0.0001 mmHg

10 Clinical Experiment An IOL was implanted in the bag in all cases. No significant IOP rising in all cases. Corneal endothelium cell did not decrease. Pre-op (n=11)Post 6M (n=7) 2753±3092552±215 (-7%) Results (cells/mm 2 ) N.S.

11 Advantages of Visco-free Injector Requires no OVD for  Loading an IOL  Space formation in anterior chamber & capsular bag  Not necessary to wash out OVD after implantation  Reduction of postoperative high IOP risk due to residual OVD Simpler & Safer for Surgery Conclusion

12 Visco-free Preloaded Disposable Injector Preloaded Speedy & Safe  Preloaded Speedy & Safe No OVD Shortens surgical procedure  No OVD Shortens surgical procedure & reduces risk of post-op high IOP & reduces risk of post-op high IOP Conclusion

Download ppt "Advanced Preloaded IOL System A Visco-free Preloaded Injector Kimiya Shimizu MD Professor & Chairman, Department of Ophthalmology Kitasato University,"

Similar presentations

TESTUPLOAD. TORSIONAL PHACOEMULSIFICATION In January 2006 Alcon Surgical incorporated Ozil torsional into the Infiniti Vision System. Unlike the conventional.

TESTUPLOAD. TORSIONAL PHACOEMULSIFICATION In January 2006 Alcon Surgical incorporated Ozil torsional into the Infiniti Vision System. Unlike the conventional.
OHM Comparative quantification of ingress of trypan blue into anterior chamber following microcoaxial phacoemulsification with torsional or longitudinal.

OHM Comparative quantification of ingress of trypan blue into anterior chamber following microcoaxial phacoemulsification with torsional or longitudinal.
EX-PRESS® Device in Clinical Practice New York September, 2011 Marlene R. Moster MD Professor of Ophthalmology Thomas Jefferson School of Medicine Wills.

EX-PRESS® Device in Clinical Practice New York September, 2011 Marlene R. Moster MD Professor of Ophthalmology Thomas Jefferson School of Medicine Wills.
Multicenter evaluation of the safety and efficacy of an ocular sealant after cataract surgery with a premium intraocular lens Y. Ralph Chu 1 Steven J.

Multicenter evaluation of the safety and efficacy of an ocular sealant after cataract surgery with a premium intraocular lens Y. Ralph Chu 1 Steven J.
بسم الله الرحمن الرحيم IN THE NAME OF GOD. Implantation of an Artisan phakic intraocular lens for the correction of high myopia, high hyperopia, aphakia.

بسم الله الرحمن الرحيم IN THE NAME OF GOD. Implantation of an Artisan phakic intraocular lens for the correction of high myopia, high hyperopia, aphakia.
Katsuya Yamazoe, MD, Takefumi Yamaguchi, MD, Kazuki Hotta, MD, Yoshiyuki Satake, MD, Kenji Konomi, MD, Seika Den, MD, Jun Shimazaki, MD Presented by: Abdulrahman.

Katsuya Yamazoe, MD, Takefumi Yamaguchi, MD, Kazuki Hotta, MD, Yoshiyuki Satake, MD, Kenji Konomi, MD, Seika Den, MD, Jun Shimazaki, MD Presented by: Abdulrahman.
Yüksel Totan, Ramazan Yaĝcı, Zeynel Arslanyılmaz, Uĝurcan Keskin The authors have no financial interest.

Yüksel Totan, Ramazan Yaĝcı, Zeynel Arslanyılmaz, Uĝurcan Keskin The authors have no financial interest.
Astigmatism Following 2 IOL Injection Techniques: Wound Assisted Versus Wound Directed Jay J. Meyer, MD Hart B. Moss, MD Kenneth L. Cohen, MD University.

Astigmatism Following 2 IOL Injection Techniques: Wound Assisted Versus Wound Directed Jay J. Meyer, MD Hart B. Moss, MD Kenneth L. Cohen, MD University.
SPINNING THE WHEEL- STABILITY OF COMMONLY USED IOL IN-THE-BAG DR ARUP BHAUMIK DISHA EYE HOSPITALS AND RESEARCH CENTRE BARRACKPORE, WEST BEGAL, INDIA

SPINNING THE WHEEL- STABILITY OF COMMONLY USED IOL IN-THE-BAG DR ARUP BHAUMIK DISHA EYE HOSPITALS AND RESEARCH CENTRE BARRACKPORE, WEST BEGAL, INDIA
Clinical evaluation of foldable acrylic phakic IOL (fP) implantation ASCRS, San Diego, 2011 A.John Kanellopoulos, MD Professor NYU Medical School, NY Director,

Clinical evaluation of foldable acrylic phakic IOL (fP) implantation ASCRS, San Diego, 2011 A.John Kanellopoulos, MD Professor NYU Medical School, NY Director,
Phaco-drainage Phacosection Amporn technique

Phaco-drainage Phacosection Amporn technique
Implantation of a single-piece acrylic intraocular lens using an anterior chamber maintainer Tomoyuki Kunishige, Hisaharu Suzuki, Toshihiko Shiwa, Hiroshi.

Implantation of a single-piece acrylic intraocular lens using an anterior chamber maintainer Tomoyuki Kunishige, Hisaharu Suzuki, Toshihiko Shiwa, Hiroshi.
So-Hyang Chung, MD, PhD, Choun-Ki Joo, MD, PhD Department of Ophthalmology and Visual Science, College of Medicine, The Catholic University of Korea, Seoul,

So-Hyang Chung, MD, PhD, Choun-Ki Joo, MD, PhD Department of Ophthalmology and Visual Science, College of Medicine, The Catholic University of Korea, Seoul,
Transparency of Transition from 2.75 mm to 1.8 mm Microincision Surgery Jay McDonald II, MD Adjunct Clinical Professor University of Arkansas School of.

Transparency of Transition from 2.75 mm to 1.8 mm Microincision Surgery Jay McDonald II, MD Adjunct Clinical Professor University of Arkansas School of.
Pop and Pre-Chop A Safe Supracapsular Phacoemulsification Technique

Pop and Pre-Chop A Safe Supracapsular Phacoemulsification Technique
Phacoemulsification in eyes with previous anterior chamber phakic IOL surgery Walton Nosé, MD, PhD 1,2 Adriana dos Santos Forseto, MD 1 Mariana Ávila,

Phacoemulsification in eyes with previous anterior chamber phakic IOL surgery Walton Nosé, MD, PhD 1,2 Adriana dos Santos Forseto, MD 1 Mariana Ávila,
1.8 mm Cataract Surgery: Clinical Results 6 Months after Coaxial and Biaxial MICS and Implantation of a New Micro- incision IOL Rosa Braga-Mele, M. Ed,

1.8 mm Cataract Surgery: Clinical Results 6 Months after Coaxial and Biaxial MICS and Implantation of a New Micro- incision IOL Rosa Braga-Mele, M. Ed,
Occlusion Controlled Phaco and Shallow Anterior Chamber Dr. Bekir Sıtkı Aslan TOBB ETU Hospital Ankara Turkey Financial Interest-Alcon Speakers Bureau.

Occlusion Controlled Phaco and Shallow Anterior Chamber Dr. Bekir Sıtkı Aslan TOBB ETU Hospital Ankara Turkey Financial Interest-Alcon Speakers Bureau.
Y. Kondratenko. Professor, A. Novytskyi. PhD, E. Grebinnyk, A. Mishenin Our experience of using silicon glaucoma valve Ahmed in reconstructive surgery.

Y. Kondratenko. Professor, A. Novytskyi. PhD, E. Grebinnyk, A. Mishenin Our experience of using silicon glaucoma valve Ahmed in reconstructive surgery.
Purpose: Introduction:  At initial evaluation: For post-op day # 0 patients: Pre-op VA was 20/50.6 (0.395 ± 0.198); Post-op VA was 20/102.0 (0.196 ± 0.162);

Purpose: Introduction:  At initial evaluation: For post-op day # 0 patients: Pre-op VA was 20/50.6 (0.395 ± 0.198); Post-op VA was 20/102.0 (0.196 ± 0.162);

Similar presentations

Ads by Google