Intraocular ( Artificial ) Lens Implantation

Once the cataract [diseased lens] is removed, there is no focusing ability of the eye as there is no lens in the eye. So, one has to use an artificial lens to get the object focused onto the retina. This can be either in the form of a spectacle, contact lens or an Intraocular lens. The problem in spectacles and contact lenses is that they have to be removed at night and without them the patient cannot see. The advantage of the Intraocular lenses or IOLs is that they are permanently placed in the eye and need not ever be removed. They permanently remain in place. Normally, the Intraocular lenses used are rigid and cannot be folded. The problem by this is that one has to make a large cut or incision in the eye to implant these lenses. Normally, the cataract is removed through a 10-12 mm cut. Today, we remove them by a new technique through a 3 mm cut or incision. The problem is, that the Intraocular lenses are about 6 mm in diameter. So, the incision has to be increased from 3mm to 6mm to fix these lenses inside the eye. To solve this problem, the latest development in intraocular lenses is the Foldable intraocular lens. These are special lenses, which come from USA. These can be folded. Once they are folded, they are placed in a special cartridge and then the cartridge is placed in a special injector. The injector is passed into the eye and the lens also gradually passed into the eye. The lens unfolds in the eye. These lenses can be passed into the eye through a very small cut of 3 mm, though these lenses are actually very large. Thus, this foldable Intraocular lens helps make the incision very small. Putting large lenses in large incisions is bucking the tide of history

Selecting the Best Implant For Your Needs The implant provides clearest vision at a single focal distance. This means that an eye focused for distance will have sharpest vision for distance activities such as driving, but would still require glasses for reading. Conversely, an eye focused for close range activities such as reading, will see best close-up rather than at a distance. Most patients undergoing cataract surgery on their first eye receive an implant that provides distance to intermediate vision. If surgery is required on the second eye, the patient can elect to have better distance or near vision in that eye depending on their needs. Patients can reduce their need for glasses by electing to have what is called "monovision". With monovision, one eye is focused for near vision and the other for distance to intermediate vision. Over time, the brain gets used to "looking through" whichever eye is necessary, and therefore eliminates the need for glasses.

Cataract surgery Quality of life Many types of lenses are used; most are made of either hard plastic or soft, foldable silicone. Patients will receive the lens best suited for them. The AKKOMMODATIVE 1CU represents the latest development in artificial lenses and can provide patients with a better quality of life. The lens is designed to change shape providing similar functions to a natural healthy lens. The AKKOMMODATIVE 1CU gives most patients the ability to perform normal daily life activities without the need for glasses or contact lenses. Unlike traditional artificial lenses, distance and near objects can both be seen in focus without spectacles. The AKKOMMODATIVE 1CU intraocular lens meets the European requirements for implantable medical devices and is a CE approved product. See and experience a better quality of life. The accommodative artificial lens. For near and distance visual acuity. We can determine if the AKKOMMODATIVE 1CU is suitable for you. The principle A healthy natural lens is able to accommodate (change shape), so that objects at various distances can be seen in focus. Most artificial lenses are rigid and cannot change shape, therefore patients will generally need to wear eyeglasses after cataract surgery. During accommodation (contracted ciliary muscle) the Akkommodative 1CU provides a clear image for most near objects. Without accommodation (relaxed ciliary muscle) the Akkommodative 1CU provides a clear image for distant objects.

Small incisions offer the best choice for most-rapid, stable visual rehabilitation of the cataract patient at the least cost, including the time of impaired vision following surgery, the need for follow up care, the attendance of relatives to take them to the doctor and the like. The advantages of using a Foldable Intraocular lens due to the very small size of the cut made in the eye is that -
1. The patients are not admitted in the hospital
2. The patients come for the surgery and go back immediately after a few hours in the hospital.
3. There are no stitch used
4. The patient gets back to his or her normal routine the next day.

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