Abstract

FR.23.11

The evolution from custom made toric IOL via coaxial microincision cataract surgery (CO-MICS) to custom made toric, bifocal IOL.

Detlev Breyer1, Karsten Klabe2, Raimund Remmel3
1Marien Hospital Düsseldorf, Breyer Augenchirurgie, Düsseldorf; 2Augenheilkunde, Marien Hospital Düsseldorf, Düsseldorf; 3Augenklinik Dardenne, Bonn-Bad Godesberg

Objective
The video shows the development of custom made toric IOL and their surgical techniques, CO-MICS and first toric, bifocal MICS IOL.
Methods
Chronological demonstration of the development of custom made toric IOL, a plumb marker, a screen transparency for orientation of toric IOL, CO-MICS and the first custom made toric, bifocal MICS IOL.
Results
By the co-development of these different material and surgical technique  even highly astigmatic eyes  are now compatible for bifocal IOL.
Conclusions
A high precision and predictability in phacorefractive surgery is achieved by the first toric, bifocal MICS IOL (Acri.LISA TD by CarlZeissMeditec). Only in very few cases a bioptic procedure is unevitable.

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