Microincision cataract surgery with implantation of an Acri.Smart 48S lens

Purpose
To evaluate visual and refractive outcome and complications after microincision cataract surgery (MICS) with implantation of an Acri.Smart 48S intraocular lens (IOL).

Material and methods
This study comprised 22 eyes of 11 patients having bilateral microincision cataract surgery. MICS was performed through a 1.4 mm clear corneal incision using the MacKool System and low ultrasound power. The IOL was implanted through a 1.7 or smaller clear corneal incision with a Acri.Smart Glide System. The final size of the clear corneal incision, postoperative uncorrected and best corrected distance visual acuity, best corrected near visual acuity (Snellen, Jaeger Table), astigmatism, pseudoaccommodation possibility of Acri.Smart 48S IOL, complications and patient satisfaction were analyzed. The follow up was 1 month.

Results
The Acri.Smart 48S lens was implanted through mean incision of 1.56 ± 0.07 mm. One month after surgery the mean uncorrected distance visual acuity (UCVA) and the best corrected visual acuity (BCVA) significantly improved (UCVA: preoperatively – 0.49 ± 0.33; postoperatively – 0.97 ± 0.11; p <0.001; BCVA: preoperatively 0.68 ± 0.3; postoperatively – 1.0; p<0.001) as well as BCVA for near (BCVA: preoperatively – 5.27 ± 3.30; postoperatively – 2.91 ± 1.48; p=0.002). One month after surgery, there was not significant increase of astigmatism and the pseudoaccommodative ability of Acri.Smart 48S was not observed. There were no serious intraoperative and postoperative complications. All the patients were highly satisfied with the quality of the vision.

Conclusions
Our preliminary results show that MICS with Acri.Smart 48S lens implantation is safe and effective procedure. This conclusion has to be confirmed by studies with longer follow up period and larger series of patients.