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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 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 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
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
Method - Screen Transparency for Orientation of Toric IOL • Emmel, Breyer DOC 2006
Method - Monomanual Coaxial Microincision Cataract Surgery • Graphics courtesy of Oertli
Results - Videokeratography No surgically induced astigmatism with CO-MICS (see studies by R. Menapace)
Results - Preop. Vs. Postop Refraction Sphere All very first IOL implanted are included
Results - Preop. Vs. Postop. Cylinder The residual -2.25 D result is after PKL, all very first IOL implanted are included
Results - Visual Acuity, n = 78 Slightly amblyopic eyes and one eye after PKL are included