Abstract

DO.12.05

First results after implantation of a Bifocal, Toric, Aberration Correcting MICS IOL (ACRI.LISA TD) through a 1.8mm incision

Breyer D. R. H.
Augenheilkunde an den Schadow Arkaden

Objective: Until now patients with an astigmatism above 0.75 D were not the ideal candidates for bifocal IOL implantation due to postoperative visual side effects or the reduced predictability of surgical correction of corneal astigmatism. We investigated the predictability of lens positioning, postoperative refraction and side effects after implantation of a bifocal, toric MICS IOL.
Methods: During a European prospective multicenter clinical trial with 27 study centers about 10 – 20 Patients with a preoperative astigmatism above 1D and the wish to be spectacle independent after cataract surgery underwent implantation of the ACRI.LISA TD through a 1.8mm incision after Coaxial Microincision Cataract Surgery (CO-MICS). Follow-up at 1, 7, 30, 90, 180 days: UCVA and BCVA at distance, intermediate and near, refraction, defocus curve and contrast sensitivity at mesopic and photopic conditions are documented.
Results: First results show a very high predictability of lens stability and postoperative refraction and very few side effects combined with a spectacle free vision in over 90 % of daily life.
Conclusions: CO-MICS and the implantation of bifocal, toric MICS IOL offer a excellent visual outcome for patients who suffer from higher astigmatism and want to become spectacle independent in over 90% of their live. CO-MICS and the ACRI.LISA TD seem to be ideal partners concerning predictability in phacorefractive surgrey.

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