Precision with the VisTor IOL Prof. Med. Manfred Tetz ESCRS 2015 Barcelona.

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Presentation transcript:

Precision with the VisTor IOL Prof. Med. Manfred Tetz ESCRS 2015 Barcelona

Marking the eye technique

IOL positioning Corneal mark IOL mark 180º Lens can be easily placed under a semi dilated pupil due to lens axis markings

Cornea marking

8 Golden rules Do not implant in case of instable bag / PXF / instable anterior chamber Proper Capsulorhexis (5-5.5mm) Put capsular tension ring to stabilize the bag (asymmetry might cause rotation), if necessary. Remove all viscoelastic to increase friction. Push the IOL a little backwards. Put bubble of air instead of BSS. Make sure the wound is not leaking. Do not implant in case of instable bag / PXF / instable anterior chamber Proper Capsulorhexis (5-5.5mm) Put capsular tension ring to stabilize the bag (asymmetry might cause rotation), if necessary. Remove all viscoelastic to increase friction. Push the IOL a little backwards. Put bubble of air instead of BSS. Make sure the wound is not leaking.

VisTor specifications Optic design:Asymmetric Bi-convex aspheric lens with toric surface on anterior plane Geometry: Optic Diameter: 6.0 mm Square edge with stepped barrier Plate haptic, 11mm diameter Material BENZ IOL25 NATURAL YELLOW Refractive index: (35º c) Compatible with YAG laser Power range Power range (SE): +10 to +40 (0.5D increments) Cylinder range: +1 to +10 (0.5D increments) * Standard range: 10D to 34.5D, Cylinder 1D to 6D. The rest of the range is defined as premium range. Injector size:1.8mm Placement:Capsular bag

Rotational stability Deviation between 2/3 months post-op IOL axis from intended IOL axis: Average deviation from intended axis: 2.5 ± 2.3⁰

Correction of refractive cylinder

Refraction predictability

Take home *Follow up your results! *Check your SIA separately for RE and separately for LE (with same incision location). * Use Baylor correction. * Thank you.