Comparison of Phaconit Rollable IOL with Acrylic Foldable IOL.
Jks Parihar1, D P Vats2, R P Gupta3
1Senior Advisor (Ophthalmology), Army Hospital (R&R), Delhi Cantt.
Medical Journal, Armed Forces India
|July 14, 2016
Summary
Phaconit cataract surgery using a rollable intraocular lens (IOL) results in minimal astigmatism and rapid visual recovery. This ultra-micro incision technique offers excellent outcomes compared to traditional foldable IOLs.
Area of Science:
- Ophthalmology
- Surgical Innovation
- Cataract Surgery
Background:
- Phaconit surgery utilizes a 0.9 mm incision for cataract removal and intraocular lens (IOL) implantation.
- This ultra-micro incision technique aims for reduced astigmatism and faster visual recovery.
Purpose of the Study:
- To compare the efficacy and outcomes of phaconit surgery with rollable IOLs versus acrylic foldable IOLs.
- To evaluate induced astigmatism and visual rehabilitation following these procedures.
Main Methods:
- A prospective study involving 80 patients undergoing phaconit surgery.
- 40 patients received rollable IOLs, and 40 received acrylic foldable IOLs.
- Evaluation included operative parameters, complications, astigmatism, and visual outcomes.
Main Results:
- Induced astigmatism was ≤ ±0.25 D with rollable IOLs and ±0.5 D to ±0.75 D with acrylic IOLs.
- All patients achieved best-corrected visual acuity of 6/6 by postoperative day three.
- Intraoperative complications included chamber collapse (20%), iris chaffing (1 case), and corneal burns (2 cases).
Conclusions:
- Phaconit surgery combined with rollable IOLs represents an effective surgical approach.
- This technique integrates surgical skill, advanced technology, and ultra-thin IOLs for optimal patient outcomes.
