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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.
"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."