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Second generation: Collamer ™ (?) Fyodorov lens. Third generation: Staar ICL. -Material: Hydrophilic collagen polymer (63% hydroxy-ethyl-methyl-acrylate; 0.2% porcine collagen; 3.4% benzofenone for UV absorption) -Water content: 34% -Refractive index: 1.45 -Optical zone: 4.5-5.5 mm
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Second generation: Collamer™ (?) Fyodorov lens
Third generation: Staar ICL -Material: Hydrophilic collagen polymer (63% hydroxy-ethyl-methyl-acrylate; 0.2% porcine collagen; 3.4% benzofenone for UV absorption) -Water content: 34% -Refractive index: 1.45 -Optical zone: 4.5-5.5 mm -11.0-13.0 mm long; 7.0 mm wide -Thickness: 50 mm at the optic zone; 500-600 mm at the haptic zone; 100 mm at the haptic footplates
Third generation: Staar ICL
Third generation: Medennium PRL -Material: Highly purified silicone -Refractive index: 1.46 -Optical diameter: 4.5-5.0 mm -10.8 or 11.3 mm long -6.0 mm wide -“One-size-fits-all” design -Not fixed in the ciliary sulcus; “floating” on the natural crystalline lens
Third generation: Medennium PRL
Phakic posterior chamber IOLs • Cells involved in crystalline lens and capsular bag opacification • Evolution of designs of PPCIOLs • Relevant aspects of fixation and sizing • Sizing issue: New studies • Surgical implantation • Relationship between cataract and myopia • Cataractogenesis • Specimens analyzed in our Center • Mechanisms • Review of the literature • Classification of cataracts after phakic IOL implantation?
Second generation: Chiron-Adatomed silicone lens
Second generation: Chiron-Adatomed silicone lens
Third generation: Staar ICL -Consecutive “V” models with different vaulting characteristics in order to reduce the possibility of cataractogenesis -Correct lens sizing is important: too large excessive vaulting too small instability/decentration
Third generation: Staar ICL Oversized ICL F. Trindade, MD, PhD, “Proper size, positioning of ICL are crucial”, Ophthalmology Times, October 15, 2000; 106.
Third generation: Staar ICL Central vault/ midperipheral contact F. Trindade, MD, PhD, “Proper size, positioning of ICL are crucial”, Ophthalmology Times, October 15, 2000; 106.
Third generation: Staar ICL Undersized ICL F. Trindade, MD, PhD, “Proper size, positioning of ICL are crucial”, Ophthalmology Times, October 15, 2000; 106.
Third generation: Staar ICL (Composite UBM) Trindade F, Pereira F. Exchange of a posterior chamber phakic intraocular lens in a higly myopic eye. J Cataract Refract Surg 2000; 26:773-776