98th Annual Meeting DOG 2000

V 190

Foldable acrygel or acrylic intraocular lens for combined cataract and vitreoretinal surgery

J. Weindler, R. Amiri, J. Failer-Neuhauser, N. Schäferhoff, A. Reuscher

The purpose of this study is to evaluate the safety of a foldable acrygel (ACR6D, Corneal) and acrylic (AcrySof, Alcon) intraocular Lens (IOL) used for combined cataract and vitreoretinal surgery.

Methods: For combined cataract and vitreoretinal surgery the foldable IOL was implanted through a 3.5 mm scleral tunnelincision. Surgery was performed as followed: 1.phacoemulsification 2.pars-plana- vitrectomy 3.implan-tation of IOL 4. instillation of gas. Up to now the results of 24 patients in group 1 (ACR6D, Corneal) and 22 patients in group 2 (AcrySof, Alcon) can be recorded.

Results: In no patient it was necessary to suture the 3.5 mm tunnelincision intra- or postoperatively. 1!4 of the patients developed posterior synechia and 40% posterior capsule opacification in group 1 and 20% in group 2 after 6 months. There was no decentration of the IOL or any iris capture in group 1, but 20% of the patients had iris capture in group 2.

Conclusion: Implantation of a foldable lens through a 3.5 mm tunnelincision doesn't increase complications. The design of the ACR6D as one-piece IOL seems to minimize the risk of iris capture.

Augenärzte-Gemeinschaftspraxis, Neckarstr. 71, D-73728 Esslingen