May 24, 2010
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New IOLs are an advance in safe microincision surgery, surgeon says

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ROME — The Hoya iSert and iMics1 systems are innovative, safe and effective tools for microincision cataract surgery, according to one speaker at the annual joint meeting of Ocular Surgery News and the Italian Society of Ophthalmology.

The iSert is a closed single-use system for IOL insertion. The injector contains a preloaded three-piece foldable, aspheric IOL with a 6-mm hydrophobic acrylic optic and PMMA haptics.

"It is a very user-friendly system that saves the IOL from breakage and contamination. It only requires the addition of a small amount of viscoelastic, allowing implantation through a 2.4-mm incision. It is likely to reduce the rate of endophthalmitis and toxic anterior segment syndrome," Kenneth R. Kenyon, MD, said.

The iMics1 has an acrylic optic, with blue-tinted PMMA tips on the haptics that improve visibility and allow the lens to spontaneously unfold in the capsular bag upon insertion.

"With other lenses, the haptics tend to become adherent to the optic and require more manipulation," Dr. Kenyon said.

This lens can be inserted through a less than 2-mm incision and is available in preloaded and loadable configurations.

Unlike the iSert system, the iMics1 IOL has not yet obtained approval in the United States.

Dr. Kenyon has implanted about 300 iSert IOLs in the U.S. and about 50 iMics1 IOLs in his practice in Munich, Germany.

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