PowerPoint-presentatie

Global Experience with Evo Visian ICL and EVO+ Visian ICL

Financial disclosure : consultant Staar Surgical, Bausch+Lomb, PhysIOL, Ophtec, Rayner

ERIK L. MERTENS MD, FEBOphth.

Physician CEO and Medical DirectorEye SurgeonChief Medical Editor JCRSTodaySTAAR Surgical EVO Visian ICL BoothChicago, USA, October 2016

Former Indications

thin cornea dry eye forme fruste keratoconus myopia > - 6 D hyperopes

Indications every eye suitable for ICL unless there is a contra-indication LASIK and dry eye = dramatic

ICL-T ICL

AGE

3050

0Diopters

+20-30-20-6+2+10LASIK

90

Femto IOL

Decision TreeFemtoIOL40Femto IOL+200-30

FOCUS ON QUALITY AND COMFORT smaller wound : 2.6 mm laser : 8.5 mm = 26.5 mm circumference less-no dry eye super HD visual quality less regression faster recovery

WHAT MADE THAT ALL POSSIBLE ?

VISIAN ICL EVO CentraFLOW Design Modifications

Penetrating holes + Aquaport in center Extended Toric alignment markings

Centraflow

Results

1469 EVO implants306 with F-U > 4 years ParameterMeanSD (range)Age (years)31.87.6 (19 to 45)Sphere (D)-5.972.82 (-0.75 to -14.75)Cylinder (D)-0.940.87 (0 to -4.25)ACD (mm)3.240.20 (2.80 to 3.71)WTW (mm)11.930.36 (11.00 to 12.70)Scotopic Pupil (mm)6.300.66 (4.5 to 7.75)ECC (cell/mm2)2421.2271.2 (2235 to 2690)IOP (mmHg)13.843.38 (8 to 22)

Attempted spherical Equivalent (D) Achieved Spherical Equivalent (D)N=306Predictability

10

N=306Safety

Safety

11

N=306StabilityFollow-up periods (years)

12

Evolution towards EVO+ Visian ICL

V4c

EVO+

Larger Optical Zone in Most Diopters while maintaining the same overall height

5.8 mm6.1 mm

V4c -9.0 DV5 -9.0 D

height

Increased Optical ZoneIncreased Optical Zone

In daily life

pupillometry magnifies pupil by 13% corneal OZ = 1.24 x optical Evo+ diameter -6.0 D EVO+ ICL with 6.1 mm optic covers 6.9 mm pupil 6.1 mm optical diameter = 7.56 mm corneal OZ

HD Quality Evo+ ICL

Cornea and crystalline lens remain untouchedRelated issues only for LVCDry eyeEctasiaIOL calculationHOA and premium IOL implantation

LASIKICL

Courtesy Dr. R. Zaldivar

ConclusionsThe EVO+ Visian ICL is safe, effective, and predictable in correcting low to moderate degrees of myopiaSuperior HD quality visionNo dry eye issuesCornea and lens unaltered for future optionsPotential complications low in incidence

Thank you