Video analysis of optic-haptic-interaction during hydrophobic acrylic intraocular lens implantation using preloaded injectors

Objective: To compare the optic-haptic interaction of different hydrophobic acrylic IOLs after using six preloaded injectors.Methods: We reviewed the video-recordings of procedures on a total of 388 eyes that underwent phacoemulsification and intraocular lens (IOL) implantation. For six preloaded in...

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Hauptverfasser: Yan, Weijia (VerfasserIn) , Borkenstein, Andreas (VerfasserIn) , Khoramnia, Ramin (VerfasserIn) , Borkenstein, Eva-Maria (VerfasserIn) , Auffarth, Gerd U. (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 19 December 2023
In: BMC ophthalmology
Year: 2023, Jahrgang: 23, Pages: 1-8
ISSN:1471-2415
DOI:10.1186/s12886-023-03216-5
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.1186/s12886-023-03216-5
Verlag, kostenfrei, Volltext: https://bmcophthalmol.biomedcentral.com/articles/10.1186/s12886-023-03216-5
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Verfasserangaben:Weijia Yan, Andreas F. Borkenstein, Ramin Khoramnia, Eva-Maria Borkenstein and Gerd U. Auffarth

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520 |a Objective: To compare the optic-haptic interaction of different hydrophobic acrylic IOLs after using six preloaded injectors.Methods: We reviewed the video-recordings of procedures on a total of 388 eyes that underwent phacoemulsification and intraocular lens (IOL) implantation. For six preloaded injectors: multiSert (Hoya Surgical Optics) [System 1], TECNIS Simplicity (Johnson & Johnson Vision) [System 2], TECNIS iTec (Johnson & Johnson Vision) [System 3], AutonoMe (Alcon, Laboratories) [System 4], Bluesert (Carl Zeiss Meditec) [System 5], and Prosert (OphthalmoPro GmbH) [System 6], we noted in each case the time of IOL delivery and made a descriptive observation of IOL insertion and optic-haptic-interaction.Results: We defined standard haptic behavior where the haptics emerged "folded" from the injector and quickly recovered their pre-implantation appearance. The incidence where the leading haptic emerged in a deformed way for System 1 was 20%, System 2: 19%, System 3: 14%, System 4: 56%, System 5: 24% and System 6: 5%. For trailing haptic deformed behavior, the incidence was 36%, 6%, 4%, 8%, 18% and 2%, respectively for Systems 1 to 6. Optic-haptic adhesion occurred in 2% of cases for System 1, 44% for System 2, 52% for System 3, 48% for System 4, and 11% for System 6 (P < 0.05). Adhesion was not found with System 5.Conclusions: We observed different deformed behavior for leading and trailing haptics in the six preloaded systems, some systems had as much as 52% optic-haptic adhesion. 
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