Surgical

The Akreos MI-60 lens completes the Bausch & Lomb MICS platform, part of Bausch & Lomb’s continuing strategy to provide a total solution to safe and effective 1.8 mm phaco surgery.

Achieving the true 1.8 mm MICS™

The Akreos MI-60 lens can be implanted through a 1.8 mm incision using a wound-assisted injection technique where the injection cartridge is prevented from entering the anterior chamber. Minimal corneal stress is caused by using this linear injection technique, as the incision diameter equals the internal diameter of the cartridge.

Lens Design

• The Akreos MI-60 lens is 30% thinner than its parent design to allow the implantation through a sub 2 mm incision.

Novel haptic design for 3-dimensional stability.

• The haptic design is slender, but ensures excellent stability of the implant. The design is based upon the 4-point haptic design of the Akreos AO with a novel haptic shape to compensate for the reduction in the thickness of the lens.The external portions of the haptics, known as the absorption zone, undergo deformation in 3 dimensions in order to limit any pressure which may be exerted on the optic. The base of the haptics is rigid and thicker, and together with the optic, forms the foundation zone.

 

Inheriting the Best

Advanced Optics

• Like its predecessor, the Akreos AO, the Akreos MI-60 lens uses an aberration-free optic. This leaves the eye with its natural degree of corneal positive spherical aberrations.

Akreos Acrylic Material

• This biocompatible material has a proven long-term record of safety, used in over 1.5 million implants since its introduction in 1998.

360° Anti PCO Barrier

• The Akreos MI-60 incorporates the same 360° barrier and square edge technology to minimzing cell migration as the Akreos predecessors. The haptics are angled at 10° to improve the contact with the posterior capsule to reinforce the barrier properties.

 

 

In Practice

Loading steps

The loading chamber is coated with an HPMC viscoelastic: a small amount in the opening of the cartridge tunnel, two lines in the lateral grooves (1).
The lens is removed from its holder by grasping the full optic with the forceps. The lens must be positioned at the top of the holder, anterior face up (2).
The position of the lens is checked before loading: the haptics must be oriented upwards(3).
The lens is placed in the centre of the loading chamber and the haptics are pushed down inside the lateral grooves(4).
The cartridge is closed and locked after having checked that no lens material is trapped between the wings(5).
The cartridge is placed in the injector and the plunger is advanced slowly until the silicone cushion has reached the tunnel opening. The lens is ready for injection(6).