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¹Ank. Atatürk Eğitim ve Araştırma Hastanesi 2. Göz Kliniği Şefi, Ankara, Doç. Dr.
²Ank. Atatürk Eğitim ve Araştırma Hastanesi 2. Göz Kliniği Başasistanı, Ankara, Op. Dr.
³Ank. Atatürk Eğitim ve Araştırma Hastanesi 2. Göz Kliniği, Ankara, Asist. Dr. Purpose: To evaluate the efficacy and reliability of Akreos MI- 60 intra ocular lenses (IOL) which may be implanted with biaxial microincisional cataract surgery
Materials and Methods: Akreos MI-60 (Bausch & Lomb) IOLs were implanted in 21 eyes of 18 patients using the biaxial microincisional cataract surgery (B-MICS) technique. Mean age of the patients was 55.4±14.1 years and mean follow - up time was 9.61±1.46 months. For the postopertative assessment of the patients; anterior segment responses, postoperative visual acuities, contrast sensitivities and surgically induced astigmatism (SIA) measurements were accomplished and evaluated.
Results: There was no intraoperative complication, except one case in which the IOL could be implanted in the bag, in spite of posterior capsular rupture. Mean best corrected visual acuity was established as 0.94±0.11 (decimal), 0.029±0.059 (log-MAR). Mean contrast sensitivity values were 1.62±0.18, 1.94±0.22, 1.61±0.24 and 1.16±0.28 without glare and 1.59±0.18, 1.84±0.19, 1.54±0.19 and 1.16±0.26 with glare for 3, 6, 12 and 18 cpd respectively at the 90th postoperative day. The post operatively measured average incision width was 1,8±0,09 mm (1.7- 2.0 mm), and SIA was calculated as 0.14 @ 68º with the vectorial analysis method. In two cases, anterior chamber membranes were defined, one of them was severe, but both could be cured completely and the IOLs were perfectly centralized in all cases.
Conclusion: With the hydrophilic acrylate material and four haptics design Acreos MI-60 IOL enables us to take advantage of B-MICS technique implanting through 1.8 mm and smaller incision widths. We deduced with these affirmative results that this lens would be a new promising option in the small incision surgery area. Keywords : Biaxial microincisional cataract surgery, microincision intra ocular lenses