Systems S and T each had 1 occurrence of a trapped trailing haptic during IOL delivery. Furthermore, in more than 50% of deliveries with system T, the IOL remained adhered to the plunger tip after exiting the nozzle ( P < .05). ![]() An associated split in the nozzle tip was observed for system S devices ( P < .05). System U had the least corneal incision enlargement (mean 0.07 mm ± 0.05 ) and the smallest final incision size (mean 2.31 ± 0.06 mm) ( P < .05). Statistical analysis was performed to determine the significance of differences between groups.Īll systems successfully placed the IOL in the capsular bag. The rate of successful in-the-bag IOL delivery, IOL adherence to the plunger tip, trapped trailing haptic, and presence of nozzle tip splitting were assessed. Corneal incision size was measured before and after delivery. To compare the delivery performance of a new preloaded intraocular lens (IOL) delivery system (Ultrasert ) with that of 2 commercially available preloaded systems (iSert and Tecnis iTec ), and a manual system (Monarch III D).Īlcon Laboratories, Fort Worth, Texas, USA.įreshly excised porcine eyes were randomly assigned to 5 groups of 10 eyes each as follows: preloaded systems U, S, T 2.2 mm incision, T 2.4 mm incision, and manual system. Hagan10 found similarly good results with a 5.5 mm acrylic IOL implanted with a There were no cases of optic damage or haptic deformation. Olson et al.9 report using the Unfolder system and silicone lenses. Even with minor complications related to the system, all patients had a visual acuity of 20/20 or better. Ng and coauthors8 describe using the Unfolder system for silicone IOLs with good results. This is the first report of a 6.0 mm optic acrylic IOL implanted with a cartridge system. A new lens was placed in the cartridge by the operating surgeon under the Discussion ![]() As soon as the surgeon realized there was no leading haptic, the insertion was stopped before the lens was extruded into the eye. Advancing the IOL caused resistance and tearing of the haptic from the optic. In these cases, the leading haptic was pinched between the 2 flanges of the Unfolder cartridge. ![]() There were 3 complications using the Unfolder system that were related to the inexperience of the assisting nurse. The eyes were dilated with phenylephrine 2.5%, cyclopentolate 1%, and diclofenac 1 drop in the operative eye 3 times 5 minutes apart. The patients were treated 1 day preoperatively with ketorolac tromethamine (Acular®) 1 drop 4 times a day and ofloxacin ophthalmic solution 0.3% (Ocuflox®) every 2 hours when awake in the operative eye. All rights reserved.The charts and administrative records of 202 consecutive eyes that had cataract surgery with implantation of a Sensar AR40 IOL (Allergan) were examined. ![]() Privacy | Terms & Conditions Ⓒ 2023 Beye, LLC. Inclusion of advertising materials on the website thereof, does not constitute and representation or guarantee by Beye LLC of the quality of such products, or of the claims made. References made in article may indicate usage of medical equipment or drugs at dosages, for periods of time, and in combination not included in the current prescribing information. Although great care is taken to ensure that all information is accurate, it is recommended that readers seek independent verification of advice on drugs and other product usage, surgical techniques and clinical processes prior to their use. Beye LLC, via its Editors and Publisher, accepts no responsibility for any injury or damage to persons or property occasioned through the implementation of any ideas or use of any product described herein. The information contained on, including text, graphics, images, and interactive activities, is for informational purposes only, and is not intended to be a substitute for professional medical advice. This content is intended for health care professionals and providers only.
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