Bimanual microincision cataract surgery with implantation of an Akreos MI60 lens – one year follow-up

Purpose: To evaluate visual outcome and complications after bimanual microincision cataract surgery (MICS) with implantation

of an Akreos MI60 intraocular lens (IOL).

Material and method: This study comprised 40 eyes of 22 patients after MICS. The IOL was implanted through a 1.9 mm or

smaller clear corneal incision. One year after operation, uncorrected and best corrected distance visual acuity, best corrected

near visual acuity (logMAR), contrast sensitivities (CS) (CSV-1000), induce astigmatism, complications and patient satisfaction

were analyzed.

Results: The Akreos lens was implanted through mean incision of 1.8 ± 0.01 mm. One year after surgery the mean uncorrected

and the best corrected distance visual acuity (UDVA, BCDVA) and the best corrected near visual acuity (BCNVA) significantly

improved (UDVA: preoperatively – 0.7 ± 0.6; postoperatively – 0.04 ± 0.17; p <0.005; BCDVA: preoperatively 0.61 ± 0.6;

postoperatively – 0.01 ± 0.12; p< 0.001; BCNVA: preoperatively – 0.56 ± 0.42; postoperatively – 0.0 ± 0; p<0.005). CS

in photopic adaptation were within normal age-matched limits. One year after surgery, there was not significant induced astigmatism measured by vector analysis. There were no serious postoperative complications. Visual significant PCO was observed

in 1 patient. All the patients were highly satisfied with the quality of the vision.

Conclusions: Our results show that MICS with Akreos MI60 lens implantation is a procedure which let receive very good visual

function results, fast visual rehabilitation as well as high patients’ satisfaction.