September 15, 2008
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Pilot study finds lens, phaco system achieved good MICS results

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BERLIN — A new microincisional lens showed promising results when used with a new phacoemulsification system optimized for biaxial and coaxial microincisional cataract surgery, a surgeon said here.

Rosa Braga-Mele, MD, FRCSC
Rosa Braga-Mele

"The MI60 was inserted through a 1.8 mm incision with minimal or little difficulty," Rosa Braga-Mele, MD, FRCSC, said. "There was gentle insertion and no tissue damage."

The MI60 acrylic microincisional IOL from Bausch & Lomb had good centration and contrast sensitivity following phaco by the Stellaris Vision Enhancement System (Bausch & Lomb), a pilot study by Dr. Braga-Mele found. She presented results of the study at the European Society of Cataract and Refractive Surgeons annual meeting.

The study examined 40 patients with senile cataract who underwent either biaxial or coaxial microincisional surgery with the Stellaris system in two groups of 20. The groups had similar visual outcomes, with corneal clarity and all eyes with best corrected visual acuity of at least 20/20 at 6 months postop, Dr. Braga-Mele said.

PERSPECTIVE

Microincisional cataract surgery is ready to be implemented in the daily routine with an effective phacoemulsification machine, ready-to-use instrumentation and IOLs that fit through these small 1.8-mm incisions. Obviously both biaxial, as well as coaxial, microincisional surgery with the Stellaris system produced satisfactory clinical outcomes. There is a need for follow-up for a longer period of time to investigate the incidence of posterior capsular opacification after implantation of this one-piece IOL, although it has a 360° sharp edge at the backside of the optic.

– H. Burkhard Dick, MD, PhD
Professor and Chairman, Director, Center for Vision Science, Ruhr University Eye Hospital