First Experience of Glistening-Free Hydrophobic Acrylic IOL
Narrative Responses:
Purpose
To assess the effectiveness of pre-hydrated hydrophobic acrylic IOL enVista (Bausch + Lomb) in the standard cataract surgery.
Methods
The first 11 patients (11 eyes), aged from 48 to 67 years, which was implanted IOL EnVista, were examined the next day and 1 month after surgery. Visual acuity with and without correction (phoropter Topcon), the position of the IOL in the capsular bag (UBM - Hi-scan Opticon), spatial contrast sensitivity (phase grates) and subjective satisfaction with visual quality (tests VF-14 on a 5-point scale) were assessed. Routine phacoemulsification was performed through a standard 2.2-mm incision. IOL was implanted with an injector Medicel, using the method into incision.
Results
Peculiarity of this model is slow unfolding of IOL in anterior chamber. Primary posterior capsulorhexis was made for fibrosis of lens posterior capsule in 6 cases. Visual acuity was 0.9±0.02 the next day after surgery, in 1 month - 0.94±0.06. IOL position was stable. Uniform tension of capsular bag in all patients and absence of folds on posterior lens capsule in patients without posterior capsulorhexis were noted. The total values of visocontrastometry indices in 1 month after surgery were 27.5±1.8 units. Subjective satisfaction with visual quality was equal to 4.75±0.05 points. When examining in 5 months glistening effect didn’t noted.
Conclusion
Use of glistening-Free Hydrophobic Acrylic IOL enVista (Bausch + Lomb) in cataract surgery allows achieving the predictable functional results and providing a high visual quality.