Final clear corneal incision size for AcrySof intraocular lenses

To evaluate clear corneal incision size variation in phacoemulsification surgery after the implantation of 2 models of AcrySof intraocular lenses (IOLs).

Departamento de Oftalmología, Clínica Universitaria de Navarra, Universidad de Navarra, Pamplona, Spain.

This prospective study comprised 108 eyes that had phacoemulsification and implantation of an Acrysof IOL model MA60BM (56 eyes) or MA30BA (52 eyes). Wound incision size was quantified using the Nordan incision size measurer. The incision size for each IOL model was evaluated before and after implantation and its relationship with the complications during implantation analyzed.

Mean incision size varied from 3.7 mm +/- 0.14 (SD) before implantation to 3.9 +/- 0.11 mm after implantation for the MA60BM model (P = .001) and from 3.3 +/- 0.15 mm to 3.4 +/- 0.13 mm for the MA30BA model (P = .001). Intraoperative complications occurred in 14 eyes, and difficulty during IOL implantation, in 23 eyes. There was no association between final incision size and complications.

Incision size increased after the implantation of the 2 AcrySof IOL models used in this study. Modifications to model MA30BA have led to an average decrease in wound size of 0.5 mm with respect to the MA60BM model. Most difficulties encountered were attributable to improper IOL unfolding.