New Technologies in Intraocular Correction of Aphakia: Assessment of the Long-Term Results

The aim of the study was to assess the long-term results of aphakia correction by implantation of ultra thin intraocular lenses using bimanual phacoaspiration technique.

Materials and Methods. Bimanual phacoaspiration was performed on 16 eyes in 16 patients with intumescent age-related cataracts (maximal follow-up period 5 years). Eleven patients were implanted UltraChoice lenses (ThinOptX, USA), and artificial Incise crystalline lenses (B&L, USA) were used in the rest five patients.

Results. High stable functional results were noted in the long-term period, vision acuity was 1.0 and higher. All patients had no postoperative complications including induced postoperative astigmatism.

Conclusion. Implantation of ultra thin intraocular lenses in combination with bimanual cataract phacoaspiration may be recommended for a wide clinical application.

1. Cataract surgery: maximizing outcomes through research. Bissen-Miyajima H., Koch D.D., Weikert M.P. (editors). Springer Japan 2017, https://doi.org/10.1007/978-4-431-54538-5.
2. Mamalis N. Femtosecond laser: the future of cataract surgery? J Cataract Refract Surg 2011; 37(7): 1177–1178, https://doi.org/10.1016/j.jcrs.2011.05.017.
3. Cavallini G.M., Verdina T., De Maria M., Fornasari E., Torlai G., Volante V., Donati S., Cagini C. Bimanual microincision cataract surgery with implantation of the new Incise MJ14 intraocular lens through a 1.4 mm incision. Int J Ophthalmol 2017; 10(11): 1710–1715, https://doi.org/10.18240/ijo.2017.11.12.
4. Wang L., Wolfe P., Chernosky A., Paliwal S., Tjia K., Lane S. In vitro delivery performance assessment of a new preloaded intraocular lens delivery system. J Cataract Refract Surg 2016; 42(12): 1814–1820, https://doi.org/10.1016/j.jcrs.2016.10.014.
5. Smetankin I.G. Method of surgical management of cataract. Patent RU 2411023. 2011.
6. Smetankin I.G. New technologies of a lens refractive substitution with a use of microincisions. Sovremennye tehnologii v medicine 2010; 1: 26–30.

Vasilyeva А.E., Smetankin I.G. New Technologies in Intraocular Correction of Aphakia: Assessment of the Long-Term Results. Sovremennye tehnologii v medicine 2018; 10(4): 138, https://doi.org/10.17691/stm2018.10.4.16