1. Comparison of a new IOL injector system against 3 standard IOL injector systems with different incision sizes: Miyake-Apple view experimental laboratory study
- Author
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Lu Zhang, Florian Auerbach, Sonja K. Schickhardt, Patrick R Merz, Gerd U. Auffarth, Hui Fang, and Perfecto Cagampang
- Subjects
Lenses, Intraocular ,medicine.medical_specialty ,Phacoemulsification ,Swine ,business.industry ,Experimental laboratory ,Intraocular lens injector ,University hospital ,Sensory Systems ,Ophthalmology ,Lens Implantation, Intraocular ,Malus ,medicine ,Animals ,Humans ,Surgery ,Laboratories ,business ,Dioptre - Abstract
Purpose To compare 1 new intraocular lens injector system against 3 standard injector systems in porcine eyes. Setting David J Apple Center for Vision Research, Department of Ophthalmology, University Hospital Heidelberg, Heidelberg, Germany. Design In vitro laboratory study. Methods In 70 porcine eyes, +20.0 diopter IOLs were implanted with the following systems: multiSert, UltraSert, iTec and RayOne, i.e., S1.8 (incision size: 1.8mm), S2.0 (2.0mm), S2.2P (2.2mm, push-mode), S2.2S (2.2mm, screw-mode), U2.2 (2.2mm), iT2.2 (2.2mm) and R2.0 (2.0mm). Corneal incision sizes were measured before and after implantation with a incision gauge set. Ease of use was evaluated using a Likert scale. IOL delivery time and performance were determined based on Miyake-Apple view videos. Results The incision enlargements were 0.36 ± 0.08mm (S1.8), 0.15 ± 0.07mm (S2.0), 0.17 ± 0.12mm (S2.2P), 0.28 ± 0.10mm (S2.2S), 0.32 ± 0.09mm (U2.2), 0.30 ± 0.08mm (iT2.2) and 0.35 ± 0.11mm (R2.0). Total scores of ease of use were 23.00 (S1.8), 25.00 (S2.0), 29.00 (S2.2P), 26.00 (S2.2S), 26.00 (U2.2), 25.00 (iT2.2) and 24.00 (R2.0). As for the mean delivery time, iT2.2 took the longest time (13.20 ± 3.29 seconds), while S2.2S took the shortest time (4.50 ± 0.71 seconds). Haptic-optic adhesion was observed in S1.8 (4, 40%), S2.2P (2, 20%), U2.2 (5, 50%) and iT2.2 (5, 50%). Conclusions Injector S, with the appropriate incision size and implantation method, could achieve better results regarding incision enlargement, ease of use, delivery time and performance than other injector systems. There was an indirect relationship between incision size and inadvertent events.
- Published
- 2022
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