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Reliable Presbyopia Surgery With a Toric Bifocal MICS IOL: 2 Years and 70 Eyes

Reliable Presbyopia Surgery With a Toric Bifocal MICS IOL: 2 Years and 70 Eyes. D. Breyer, H. Kaymak, K. Klabe Düsseldorf, Germany ASCRS 2010, Boston D.Breyer is a paid consultant to: Carl Zeiss Meditec, Oertli, Rayner, ICL/Domilens, Oculentis. Background - Acri.LISA TD: Toric MICS MIOL.

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Reliable Presbyopia Surgery With a Toric Bifocal MICS IOL: 2 Years and 70 Eyes

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  1. Reliable Presbyopia Surgery With a Toric Bifocal MICS IOL: 2 Years and 70 Eyes D. Breyer, H. Kaymak, K. Klabe Düsseldorf, Germany ASCRS 2010, Boston D.Breyer is a paid consultant to: Carl Zeiss Meditec, Oertli, Rayner, ICL/Domilens, Oculentis

  2. Background - Acri.LISA TD: Toric MICS MIOL Front face toric Back surface bifocal Pupil independence Light allocation 65:35 Light intensity refractive distant focus 65%, Light intensity diffractive near focus 35% Near addition: + 3,75 dpt MICS-Technology: an incisionwidth of only 1,5 mm allows an astigmatism neutral operation

  3. Method – Marking the Eye With Gerten Plumb Marker - ON 05/08 • „...the plumb marker is a precise and reliable surgical tool...“ Original photographs courtesy to Dr. Gerten

  4. Method - Screen Transparency for Orientation of Toric IOL • Emmel, Breyer DOC 2006

  5. Method - Monomanual Coaxial Microincision Cataract Surgery • Graphics courtesy of Oertli

  6. Results - Videokeratography No surgically induced astigmatism with CO-MICS (see studies by R. Menapace)

  7. Results - Preop. Vs. Postop Refraction Sphere All very first IOL implanted are included

  8. Results - Preop. Vs. Postop. Cylinder The residual -2.25 D result is after PKL, all very first IOL implanted are included

  9. Results - Spherical Equivalent

  10. Results - Visual Acuity, n = 78 Slightly amblyopic eyes and one eye after PKL are included

  11. Results - Mean Subjektive Refraction, n = 78

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