1. One-year multicenter evaluation of a new hydrophobic acrylic intraocular lens with hydroxyethyl methacrylate in an automated preloaded delivery system
- Author
-
Delivery System, Tetsuro Oshika, and Noriyuki Sasaki
- Subjects
Adult ,medicine.medical_specialty ,Refractive error ,Distance visual acuity ,genetic structures ,medicine.medical_treatment ,Intraocular lens ,(Hydroxyethyl)methacrylate ,Prosthesis Design ,chemistry.chemical_compound ,Lens Implantation, Intraocular ,Ophthalmology ,medicine ,Humans ,In patient ,Dioptre ,Aged ,Aged, 80 and over ,Lenses, Intraocular ,Phacoemulsification ,business.industry ,Middle Aged ,medicine.disease ,eye diseases ,Sensory Systems ,chemistry ,Methacrylates ,Surgery ,Delivery system ,business - Abstract
Purpose To assess a single-piece monofocal hydrophobic acrylic intraocular lens (IOL) with hydroxyethyl methacrylate (HEMA) (Clareon, Alcon Laboratories, Inc.) contained in automated preloaded delivery system (AutonoMe, Alcon Laboratories, Inc.). Setting Eighteen surgical sites in Japan. Design Observational study. Methods In patients undergoing phacoemulsification and IOL implantation of a new hydrophobic acrylic IOL using an automated injector, clinical data were collected preoperatively and at 1 day, 1 week, and 1, 6, and 12 months postoperatively. The degree of glistenings was graded on a four-point scale. The surgeons rated usability and performance of the IOL delivery system on a five-point scale. Results The study enrolled 384 eyes of 384 patients, ranging in age from 41 to 93 (73.8 ± 8.2, mean ± standard deviation) years old. The percentage of eyes with corrected distance visual acuity of 20/25 or better at 1 day, 1week, and 1, 6, and 12 months postoperatively was 82.6%, 91.9%, 92.8%, 96.6%, and 95.2%, respectively. Refractive error was within 1.0 diopter in approximately 90% of cases. No glistenings were found in all cases throughout the study period. The rate of Nd:YAG laser posterior capsulotomy was 0.9 % at 1 year. The IOL delivery system received high ratings on its usability and performance by the surgeons. Conclusions The new hydrophobic acrylic IOL with HEMA showed excellent visual and refractive outcomes without developing glistenings throughout the 1-year study period. The surgeons gave high marks for usability and performance of the automated preloaded delivery system.
- Published
- 2022
- Full Text
- View/download PDF