Related Experiment Video
Updated: Jul 6, 2026

Rotating the Intraocular Lens to Prevent Posterior Capsular Opacification in Cataract Surgeries
Published on: July 7, 2023
[Early clinical study of bimanual microphacoemulsification with rollable intraocular lens]
Bo-jie Hu1, Xiao-rong Li, Jia-qin Yuan
1Eye Center, Tianjin Medical University, Tianjin 300070, China. hbj151617@yahoo.com.cn
Objective:
To analyze the results of bimanual microphacoemulsification combined with rollable intraocular lens (IOL), to evaluate the feasibility and safety of this procedure and to compare the clinical results of two different types of rollable intraocular lens.
Methods:
Thirty-five cases (35 eyes) were divided into 2 groups. Group 1 included 15 eyes used Thinoptx IOL, Group 2 included 20 eyes used Acri. Smart IOL. The data included best corrected visual acuity (BCVA) and intraocular pressure (IOP) (pre-, 1 day, 1 week and 1 month post-operatively); corneal curvature (pre- and 1 month post-operatively); target refraction and post-operation refraction (1 month after the operation).
Results:
A significant difference was found between pre-operative and 1 month post-operative BCVA (P<0.01). No significant different was found between pre-operative and post-operative IOP, astigmatism, target refraction and refraction. There was no significant difference in pre-operative and post-operative astigmatism, target refraction and post-operation 1-month refraction between these two groups.
Conclusions:
Bimanual microphacoemulsification with rollable intraocular lens (IOL) is a feasible and safe procedure for the cataract surgery.
Insights
Bimanual microphacoemulsification with rollable intraocular lenses (IOLs) is a safe and feasible cataract surgery. This study compared two types of rollable IOLs, finding no significant differences in outcomes.
Area of Science:
- Ophthalmology
- Surgical Techniques
- Intraocular Lenses
Background:
- Cataract surgery is a common procedure to restore vision.
- Rollable intraocular lenses (IOLs) offer potential advantages in insertion and accommodation.
- Bimanual microphacoemulsification is a minimally invasive surgical approach.
Purpose of the Study:
- To evaluate the feasibility and safety of bimanual microphacoemulsification with rollable IOLs.
- To compare the clinical outcomes of two distinct rollable IOL models: Thinoptx and Acri.Smart.
- To assess visual acuity, intraocular pressure, and refractive outcomes post-surgery.
Main Methods:
- A comparative study involving 35 eyes undergoing bimanual microphacoemulsification.
- Eyes were divided into two groups: 15 with Thinoptx IOL and 20 with Acri.Smart IOL.
- Key metrics included best corrected visual acuity (BCVA), intraocular pressure (IOP), corneal curvature, and refractive error, measured pre- and post-operatively.
Main Results:
- A statistically significant improvement in BCVA was observed post-surgery (P<0.01).
- No significant differences were found in IOP, astigmatism, or refractive outcomes between pre- and post-operative measurements.
- Both IOL types demonstrated comparable safety and efficacy, with no significant differences between the groups.
Conclusions:
- Bimanual microphacoemulsification combined with rollable IOL implantation is a safe and feasible surgical option for cataract treatment.
- The study supports the use of both Thinoptx and Acri.Smart rollable IOLs, showing similar clinical results.
- This technique offers a viable alternative for cataract surgery with good visual outcomes.

