Article

Technique enables excellent outcomes with dual accommodating IOL

The unique, three-dimensional configuration of a dual accommodating IOL (Synchrony, Visiogen) mandates careful surgical technique to ensure optimal implantation and postoperative results. Based on experience in more than 100 eyes, Victor Bohorquez, MD, outlines some of the important considerations.

Key Points

"This implant is the next generation in presbyopia-correcting lenses and the first IOL that completely fills the bag without stretching. It is easy to deliver with a preloaded, disposable injector but has a 3-D configuration that demands a perfect surgical plan," said Dr. Bohorquez, Department of Ophthalmology, ServiOftalmos, Bogota, Colombia.

"The goal is to create a round, intact, symmetrical opening about 4.5 to 5 mm in diameter," he said.

"Polishing or vacuuming of the underside of the anterior lens capsule is recommended to prevent anterior capsule opacification," Dr. Bohorquez said. "For that, I recommend bimanual irrigation and aspiration (I/A) using high flow and high vacuum."

Newsletter

Don’t miss out—get Ophthalmology Times updates on the latest clinical advancements and expert interviews, straight to your inbox.

Related Videos
John Tan talks about an emergency triage framework for retinal artery occlusion at the 2025 Association for Research in Vision and Ophthalmology (ARVO) meeting.
Dr Robert Maloney at the 2025 Controversies in Modern Eye Care meeting
Wendy Lee, MD, MS, at Controversies in Modern Eye Care 2025.
I. Paul Singh, MD, speaks about glaucoma treatment and successful ophthalmic / optometric comanagement at the 19th Annual Controversies in Modern Eye Care meeting
(Image credit: Ophthalmology Times)  ASCRS 2025: Joaquin De Rojas, MD, leverages machine learning model to predict arcuate outcomes
(Image credit: Ophthalmology Times) ASCRS 2025: AnnMarie Hipsley, DPT, PhD, presents VESA for biomechanical simulation of presbyopia progression
Shehzad Batliwala, DO, aka Dr. Shehz, discussed humanitarian ophthalmology and performing refractive surgery in low-resource, high-risk areas at the ASCRS Foundation Symposium.
© 2025 MJH Life Sciences

All rights reserved.