1. Aspheric IOLs Comparative Study of Acri.Smart 46S*
to its identical aspheric sister-IOL 46LC*
NO FINANCIAL INTEREST
* NOT FDA APPROVED
J. Reiter, B. Kölbl
Eye Clinic Landshut, Bavaria, Germany

2. acrylat – 25 % water content, no angulation
Comparative Study of Acri.Smart 46S to its identical aspheric sister-IOL 46LC
Acri.Smart 46S
Acri.Smart 46LC
IOL-Design
foldable single-piece posterior chamber IOL for MICS, ø 6.0 mm, plate haptic, overall length 11.5 mm
acrylat – 25 % water content, no angulation
Optics
Spheric
Lens Corrected
J. Reiter, B. Kölbl

3. Comparative Study of Acri
Comparative Study of Acri.Smart 46S to its identical aspheric sister-IOL 46LC
Study Design
Patients (eyes)
prospective, randomized implantation of 46S and 46LC in left or right eye
two surgeons
coaxial mini phaco 2.3 mm temporal stab. incision
intra-individual comparison
2 mo's post-op clin. outcome, BCVA, wavefront analysis (WaveScan), contrast sens. (contrast sensitivity tester Model 1800)
patient questionnaire
46S / 46LC n 32
age
76.41 (53 – 90)
sex
12 m, 20 f
D. M. 14
D. R.
OAG (comp.) 4
AMD (mild) 12
J. Reiter, B. Kölbl

4. Randomized Intra-Individual Comparison of Acri.Smart 46S vs. 46LC
Eyes: pre-op. parameters
Eyes: intra-op. parameters
46S
46LC
IOP
(± 3.27)
(± 2.97)
Ref. sph.
(± 1.55)
(± 1.43)
Ref. cyl.
(± 0.63)
(± 0.44)
Ref. axis
52.84
(± 51.48)
73.91
(± 56.95)
BCVA
0.36 (± 0.16)
0.38 (± 0.14)
Axial length
23.08
(± 0.57)
23.11
(± 0.56)
46S
46LC
IOL-power (dpt)
21.02 (± 1.43)
18 – 24
21.13 (± 1.43)
PC-fibrosis 1
PC-rupture
Impl. / un-fold. comp.
Mac. edema
resolved
Endophtalm.
Eyes: post-op. parameters
J. Reiter, B. Kölbl

5. Randomized Intra-Individual Comparison Visual Acuity - BCVA
J. Reiter, B. Kölbl

6. Wavefront Analysis (WaveScan)
*p < 0.001
*p <
J. Reiter, B. Kölbl

7. Contrast Sensitivity-Scoring Sheet Example (Contrast Sensitivity Tester Model 1800)
cpd: 1 2 3 4 5 6 7 8 9
Score A
(1.5) L U R B
(3) C
(6) D
(12) E
(18)
J. Reiter, B. Kölbl

8. Contrast Sensitivity (photopic: 85 cd/m²)
J. Reiter, B. Kölbl

9. Contrast Sensitivity (mesopic: 6 cd/m²)
J. Reiter, B. Kölbl

10. Contrast Sensitivity-Photopic Intra-Individual Comparison
J. Reiter, B. Kölbl

11. Contrast Sensitivity-Mesopic Intra-Individual Comparison
J. Reiter, B. Kölbl

12. Summary Intra-Individual Comparison
J. Reiter, B. Kölbl