Official ESCRS | European Society of Cataract & Refractive Surgeons
Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance

10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits


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IOL design influence in Nd:YAG laser rates for a large series of MICS IOL implantations

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Session Details

Session Title: Posterior Capsule Opacification

Session Date/Time: Sunday 11/09/2016 | 08:30-10:00

Paper Time: 09:18

Venue: Hall C2

First Author: : G.Lesieur FRANCE

Co Author(s): :                        

Abstract Details


To study the cumulative neodymium: YAG (Nd: Yag) laser rate after 5824 implantations during cataract surgery of 5 different hydrophilic acrylic MICS lens and 1 hydrophobic and evaluate influence of material and design.


Centre Ophtalmologique IRIDIS, Albi, France.


This retrospective study comprises all patients who were implanted between 2006 and the end of 2015 with one of the after 6 micro-incision IOLs: Akreos MICS and INCISE (Bausch and Lomb), CT Asphina (Zeiss), MicroSlim, Micro AY (PhysIOL) and MicroPure (PhysIOL). The postoperative follow-up ranges from 1 to 120 months. The cumulative Nd:Yag laser frequency rates in all groups were calculated, and the cumulative incidence rates were defined by Kaplan-Meier survival analysis and Mann-Withney test with a significance threshold of 0.05.


100% of survival rate for the INCISE and MicroPure (no yag so far). The 6-year survival percentage was 27.70% for the Akreos MICS (95% CI :22-34) ; 50.20% for the CT Asphina (95% CI :44-57) ; 66.20% for the MicroSlim (95% CI :61-72) ; 50.50% for the Micro AY (95% CI:47-54). At 6 years the survival rate is lower for Akreos MICS in comparison of 3 others groups p<0.001. The survival rate for MicroSlim is higher than other groups p<0.001 and the survival rate for CT Asphina is not statistically different than Micro AY p<0.8171.


The Akreos MICS lens shows the highest ND: Yag rate. The CT Asphina plate haptic design with square edge on periphery shows a low Nd: Yag rate at 3 years but increases dramatically after with a tendency to join the Micro AY curve at 6 years. MicroSlim gives the best Nd: Yag survival rate due to turning operation. The INCISE with is sharper barrier edge could give a lower PCO rate in the future but some instability will be shown. Impacts of the IOL design will be discuss.

Financial Disclosure:

... receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented

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