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

• Verfasst von: Yan, Weijia [VerfasserIn]
• Verfasst von: Borkenstein, Andreas [VerfasserIn]
• Verfasst von: Khoramnia, Ramin [VerfasserIn]
• Verfasst von: Borkenstein, Eva-Maria [VerfasserIn]
• Verfasst von: Auffarth, Gerd U. [VerfasserIn]
• Titel: Video analysis of optic-haptic-interaction during hydrophobic acrylic intraocular lens implantation using preloaded injectors
• Verf.angabe: Weijia Yan, Andreas F. Borkenstein, Ramin Khoramnia, Eva-Maria Borkenstein and Gerd U. Auffarth
• E-Jahr: 2023
• Jahr: 19 December 2023
• Umfang: 8 S.
• Illustrationen: Illustrationen
• Fussnoten: Gesehen am 07.05.2024
• Titel Quelle: Enthalten in: BMC ophthalmology
• Ort Quelle: London : BioMed Central, 2001
• Jahr Quelle: 2023
• Band/Heft Quelle: 23(2023), Artikel-ID 515, Seite 1-8
• ISSN Quelle: 1471-2415
• DOI: doi:10.1186/s12886-023-03216-5
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: DELIVERY-SYSTEM
• Sach-SW: Intraocular lens
• Sach-SW: Optic-haptic-interaction
• Sach-SW: Preloaded injector
• K10plus-PPN: 1888009799

Abstract

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.