Spotlight Ocular Surgery News | july 10, 2009 | OSNSuperSite.

com

Spotlight on IOLs

Guide to IOLs and Injectors

Abbott Medical Optics Inc. c 1700 E. St. Andrew Place c Santa Ana, CA 92799-5162 c 714-247-8200 c Fax: 714-247-8682 c www.abbottmedicaloptics.com
Model name ReZoom (multifocal) Sensar with OptiEdge (foldable)
Dimensions 6 mm optic, 13 mm overall length (OAL) 6 mm optic, 13 mm OAL (+6 D to +30 D) and 13.5 mm (–10 D to +5.5 D)
Optic material Hydrophobic acrylic UV blocking hydrophobic acrylic
Optic design Three-piece Biconvex (+2 D to +30 D), meniscus (–10 D to +1.5 D)
Available powers +6 D to +30 D (in 0.5 D increments); near add power at IOL plane; +3.5 D –10 D to +30 D (in 0.5 increments)
Haptic material, design, angulation PMMA, modified C, 5° angulation 60% blue core PMMA monofilament, modified C, 5° angulation
Suggested A constant 118.4 118
Features Second-generation balanced view optics technology is an optimized multifocal OptiEdge design, featuring squared posterior edge to facilitate 360° contact
design that reduces the amount of light that goes to the near foci in low light with capsular bag, rounded anterior edge designed to scatter light and
conditions (larger pupils) and redistributes it to distance, thus reducing the out of reduce internal reflections, and sloped side edge to minimize edge glare.
focus light on the retina. Less out of focus light on the retina in low light conditions Full visible light transmission.
leads to less halos and glare. Balanced view optics technology delivers distance,
intermediate and near vision. OptiEdge design: Squared posterior edge facilitates
360° contact with capsular bag. Rounded anterior edge designed to scatter light
and reduce internal reflections. Sloped side edge minimizes edge glare.
Model name Tecnis Multifocal IOL (ZMA00) (multifocal, foldable) Tecnis 1-Piece IOL (ZCB00) (monofocal, foldable)
Dimensions 6 mm optic, 13 mm OAL 6 mm optic, 13 mm OAL
Optic material UV-blocking hydrophobic acrylic UV-blocking hydrophobic acrylic
Optic design Biconvex, aspheric, wave-front designed anterior surface, diffractive posterior Single piece, biconvex, aspheric anterior surface
surface, OptiEdge technology
Available powers +5 D to +34 D in 0.5 D increments. Near vision add to +4 D +6 D through +30 D in 0.5 D increments
Haptic material, design, angulation 60% Blue-core PMMA monofilament, modified C, 5° angulation Hydrophobic acrylic, C, offset from optic
Suggested A constant 119.1 118.8
Features The first and only pupil-independent, non-apodized fully diffractive aspheric Innovative ProTec 360° edge design has an uninterrupted barrier edge
lens designed to correct the two highest order aberrations, spherical and designed to minimize cell migration onto the posterior capsule. There is
chromatic, in all light conditions. Hydrophobic acrylic improves visual acuity no interruption at the haptic-optic junction. The lens has a frosted edge
and allows transmission of healthy blue light. OptiEdge design reduces internal designed to minimize edge glare. The Tecnis IOL Tri-Fix design provides
reflection, minimizes potential for edge glare, and facilitates 360° capsular three-point fixation for exceptional stability. The Tecnis 1-piece transmits
contact. Studies show high patient satisfaction and spectacle independence at the healthy blue light needed for improved scotopic vision and healthy
all distances. circadian rhythms. The IOL has been designated as a new technology
intraocular lens (NTIOL) by the Centers for Medicare and Medicaid Services
(CMS). CMS recognizes the Tecnis 1-Piece IOL as a member of the reduced
spherical aberration ITIOL subset and approved the lens for reimbursement
status that provides for additional Medicare reimbursement of $50 per lens
for ambulatory surgical centers.
Model name Tecnis CL IOL (Z9002) (aspheric, foldable) Tecnis Acrylic Aspheric IOL (ZA9003) with OptiEdge (foldable)
Dimensions 6 mm optic, 13 mm OAL 6 mm optic, 13 mm OAL
Optic material UV blocking SLM-2 silicone UV blocking hydrophobic acrylic
Optic design Biconvex, modified prolate anterior surface Biconvex, modified prolate anterior surface
Available powers +5 D to +30 D (in 0.5 D increments) +10 D to +30 D (in 0.5 D increments)
Haptic material, design, angulation 60% blue core PMMA monofilament, 5° angulation 60% blue core PMMA monofilament, modified C, 5° angulation
Suggested A constant 118.7 119.1
Features The first and only wavefront designed IOLs that have been shown to improve The first and only wavefront designed IOLs that have been shown to
functional vision in clinical trials. In a night driving simulation, the Tecnis IOL im- improve functional vision in clinical trials. In a night driving simulation, the
proved identification distance by 45 feet and provided an additional 0.5 seconds Tecnis IOL improved identification distance by 45 feet and provided an ad-
(at 55 mph) to react to a driving hazard as compared to a standard spherical IOL. ditional 0.5 seconds (at 55 mph) to react to a driving hazard as compared to
Tecnis lenses are designated for NTIOL reimbursement status, which allows ASCs a standard spherical IOL. Tecnis lenses are designated for NTIOL reimburse-
an additional $50 reimbursement. ment status, which allows ASCs an additional $50 reimbursement.
Alcon Laboratories Inc. c 6201 South Freeway c Fort Worth, TX 76134-2099 c 817-551-4393 c Fax: 817-551-4316 c www.alconlabs.com
Model name AcrySert Delivery System with AcrySof IQ Aspheric IOL (SN60WS) AcrySof IQ Aspheric IOL (SN60WF) (foldable)
Dimensions 6 mm 6 mm
Optic material Acrylic foldable material Acrylic foldable material
Optic design Aspheric single piece design Aspheric single piece design
Available powers +6 D to +30 D; 0.5 D increments +6 D to +30 D; 0.5 D increments
Suggested A constant 118.7 118.7
Features Posterior aspheric surface, filters UV and blue light, AcrySert Delivery System Posterior aspheric surface, filters UV and blue light
Model name AcrySof IQ ReSTOR +3 D IOL (SN6AD1) (multifocal) AcrySof IQ ReSTOR +4 D IOL (SN6AD3) (multifocal)
Dimensions 6 mm 6 mm
Optic material Acrylic foldable material Acrylic foldable material
Optic design Single piece design Single piece design
Available powers +10 D to +30 D; 0.5 D increments and +31 D to 34 D; 1 D increments +10 D to +30 D; 0.5 D increments and +31 D to 34 D, 1 D increments
Suggested A constant 118.9 118.9
Features Apodized diffractive aspheric IOL that filters UV and blue light Apodized diffractive aspheric IOL that filters UV and blue light
Ocular Surgery News | july 10, 2009 | OSNSuperSite.com
Spotlight

Spotlight on IOLs

Guide to IOLs and Injectors

Model name AcrySof ReSTOR Apodized Diffractive IOL (MN60D3) (multifocal) AcrySof Single-Piece IOL (SN60AT) (foldable)
Dimensions 6 mm 6 mm
Optic material Acrylic foldable material Acrylic foldable material
Optic design Multi-piece design Single piece design
Available powers +6 D to +30 D; 0.5 D increments +6 D to +30 D in 0.5 D increments and +31 D to +40 D in 1 D increments
Suggested A constant 118.3 118.4
Features Apodized diffractive IOL that filters UV and blue light Anterior asymmetric bioconvex, filters UV and blue light
Model name AcrySof IQ Toric Astigmatism IOL (SN6AT3/SN6AT4/SN6AT5) (foldable) AcrySof Toric Single-Piece Natural IOL (SN60T3/SN60T4/SN60T5) (foldable)
Dimensions 6 mm 6 mm
Optic material Acrylic foldable material Acrylic foldable material
Optic design Single piece design Single piece design
Available powers Spherical equivalent +6 D to +30 D (0.5 D increments) and +31 D to 34 D Spherical equivalent +6 D to +30 D; 0.5 D increments and cylinder power of
(1 D increments) and cylinder power of 1.5 D (SN6AT3); 2.25 D (SN6AT4); 3 D 1.5 D (SN60T3); 2.25 D (SN60T4); 3 D (SN60T5)
(SN6AT5)
Haptic material, design, angulation 0° Not supplied
Suggested A constant 119.0 118.4
Features Bioconvex toric aspheric, filters UV and blue light Bioconvex toric, filters UV and blue light
Injector model name Monarch IOL Delivery System (Monarch II IOL Injector, Monarch III IOL Injector, Monarch Cartridges)
Features The Monarch IOL Delivery System combines a reusable titanium hand piece and a sterile single-use cartridge for enhanced implantation of the AcrySof IOL. Ad-
vanced design enables the surgeon to view and verify lens orientation throughout the implantation process. Simplified loading, controlled consistent delivery
and ease of implantation are the benefits that Monarch IOL Delivery System can provide.
Bausch & Lomb Surgical c 26970 Aliso Viejo Parkway, Suite 100 c Aliso Viejo, CA 92656 c 800-531-2020 c Fax: 909-971-5115 c www.bauschsurgical.com
Model name Akreos Advanced Optics Aspheric Lens AO60 Akreos AO Microincision Lens “Akreos MICS” MI60
Minimum incision 2.8 mm 1.8 mm
Dimensions 6 mm optic 6 mm optic
Optic design Asymmetrical biconvex Not supplied
Haptic material, design, angulation Hydrophilic acrylic (26% water content), 4 haptics, 0° Hydrophilic acrylic (26% water content), 4 haptics, angulated
Available powers 0 D to 9 D in 1 D increments, 10 D to 30 D in 0.5 D increments 0 D to 9 D in 1 D increments, 10 D to 30 D in 0.5 D increments
Placement in the eye Capsular bag Capsular bag
Suggested A constant Not supplied 118 (ACD = 4.96)
Features Aspheric optics, designed to be free of spherical aberrations, 4-point fixed hap- The only lens uniquely designed to maximize the benefits achieved through
tics, 360° barrier edge Bausch & Lomb’s 1.8 mm MICS Platform. Aspheric optic, designed to be free of
spherical aberrations, award-winning 4-point haptic design, 360° barrier edge.
Model name Crystalens HD/Crystalens Five-0 LI61SE
Dimensions 5 mm optic 6 mm optic
Optic design Monofocal, biconvex Equiconvex
Haptic material, design, angulation Silicone/polyimide, hinged plate, 0° angulation Blue extruded PMMA, modified C, 5° angulation
Available powers Crystalens HD 10 D to 33 D in 0.5 D increments; Crystalens Five-0 4 D to 9 D in 0 D to 30 D
1 D increments, 10 D to 16 D in 0.5 D increments, 16.25 D to 26.75 D in 0.25 D
increments, 27 D to 33 D in 0.5 D increments
Placement in the eye Capsular bag
Suggested A constant 119 (ACD = 5.55) 118
Features Only FDA approved accommodating lens. 360° anterior/posterior square-edge optic design minimizes reflections and
unwanted optical images with an Equiconvex IOL design and lower-refrac-
tive index silicone.
Model name LI61AO
Dimensions 6 mm optic
Optic design Asymmetrical biconvex
Haptic material, design, angulation Blue extruded PMMA, modified C, 5° angulation
Available powers 0 D to 30 D
Suggested A constant 118
Features 360° anterior/posterior square-edge, aspheric optic design is without inherent spherical aberration; uniform center-to-edge power; implantation with the Easy-
Load Lens Delivery System
LCA Pharmaceutical c 9, Allée Prométhée c 28000 Chartres, France c 33-237-333933 c Fax: 33-237-333939
Model name Genium AFI (foldable, PCL) Istacryl AFP 5.7 (foldable, PCL)
Dimensions 5.5 mm or 6 mm optic, 11 mm OAL 5.7 mm, 11.7 mm OAL
Optic material Acrylic hydrophilic Acrylic hydrophilic
Optic design Single piece design Single piece design
Haptic material, design, angulation 2° angulation 5° angulation
 Spotlight Ocular Surgery News | july 10, 2009 | OSNSuperSite.com

Spotlight on IOLs

Guide to IOLs and Injectors

Available powers +14 D to +26 D by 0.5 D +10 D to +27 D (0.5 D between +16 D to +25 D)
Suggested A Constant 118 118.3
Features Preloaded ready to use injector Optimized biconvex, UV filter
Model name Istacryl AFP 5.8 (foldable, PCL) Istacryl AFP 6.2 (foldable, PCL)
Dimensions 5.8 mm, 10.5 mm OAL 6.2 mm, 11 mm OAL
Optic material Acrylic hydrophilic Acrylic hydrophilic
Optic design Single piece design Single piece design
Haptic material, design, angulation 0° angulation 5° angulation
Available powers +10 D to +27 D (0.5 D between +16 D to +25 D) +1 D to +27 D (0.5 D between +16 D to +25 D)
Suggested A constant 118.3 118.3
Features Optimized biconvex, UV filter Optimized biconvex, UV filter
Model name Istacryl HD CLOOP (foldable, PCL) Istacryl HD QUAD (foldable, PCL)
Dimensions 6 mm optic, 11.5 mm OAL 6 mm optic, 10.5 mm OAL
Optic material Acrylic hydrophilic Acrylic hydrophilic
Optic design Single piece design Single piece design
Haptic material, design, angulation 5° angulation 5° angulation
Available powers +13 D to +28 D (0.5 D between +16 D to +26 D) +13 D to +28 D (0.5 D between +16 D to +26 D)
Suggested A constant 118 118
Features Bi-aspheric IOL with UV filter Bi-aspheric IOL with UV filter
HexaVision c 3 rue du Colonel Moll c 75017 Paris, France c 33-1-4256-1037 c Fax: 33-1-4256-1037 c www.hexavision-iol.com
Model name Hexa-1 (foldable, PCL) HexaFast 2Y (foldable, PCL)
Dimensions 13 mm; 6 mm optic 13 mm; 6 mm optic
Optic material Hydrophobic acrylic with UV absorber Yellow hydrophobic acrylic with UV absorber
Optic design One-piece, biconvex Three-piece, biconvex
Haptic material, design, angulation Hydrophobic acrylic, one piece, C, 5° angulation PVDF (PolyVinylDene Fluoride), modified C, 5° angulation
Available powers +4 D to +34 D +4 D to +26 D
Suggested A constant 118.1 118.2
Features Made from ultra-high purity hydrophobic acrylic polymer; refractive index of Preloaded for easier folding and injecting: features a square-edge design
1.49 to reduce unwanted glare; double-square edge around entire optic periph- made from ultra-high purity yellow hydrophobic acrylic polymer; refractive
ery to help prevent PCO; designed to eliminate capsular bag stretching. index of 1.49 to reduce unwanted glare.
Model name HQ-201 XO (foldable, PCL)
Dimensions 12.5 mm; 6 mm optic
Optic material Hydrophilic acrylic with UV absorber
Optic design One piece, biconvex, aspheric
Haptic material, design, angulation Hydrophilic acrylic, one piece, 5° angulation
Available powers +4 D to +30 D
Suggested A constant 118.2
Features Aspheric optic is designed to compensate for aberrations of the human eye to achieve exceptional optical performance – even in instances of naturally occur-
ring IOL misalignment.
Mediphacos c Av. Deputado Cristovam Chiaradia, 777 c Belo Horizonte – Minas Gerais, Brazil c 55-31-2102-2211 c Fax: 55-31-2102-2212 c www.mediphacos.com
Model name Ioflex (foldable, PCL) Miniflex Microincision IOL (foldable, PCL)
Dimensions 5.7 mm optic, 12.5 mm OAL 6 mm optic, 13 mm OAL
Optic material Hydrophilic acrylic UV blocking hydrophobic and hydrophilic acrylic
Optic design Single piece, biconvex, ultra-thin square edges Single piece, biconvex, 360º square edge
Haptic material, design, angulation Hydrophilic acrylic, exclusive “centercap” haptics design, 3° Hydrophobic and hydrophilic acrylic, 9°
Available powers +5 D to +15 D (in 1 D increments), +15 D to +26 D (in 0.5 D increments), +5 D to + 15 D (in 1 D increments), +15 D to +26 D (in 0.5 D increments),
+26 D to + 30 D (in 1 D increments) +26 D to +30 D (in 1 D increments)
Suggested A constant 118 119
Features Ioflex is a foldable acrylic IOL for posterior chamber implantation. Its unique Miniflex is result of three years of R&D and extensive discussions with world-
design provides excellent implant stability and superior optical quality through renowned experts in cataract surgery. This innovative IOL incorporates revo-
an incision of 2.8 mm or less. lutionary concepts in its material, design, performance and clinical safety.
Ophthalmic Innovations International Inc. c 4290 East Brickell St., Bldg. A c Ontario, CA 91761 c 909-937-1033 c Fax: 909-937-1088
Model name EC-1Y (foldable PCL) EC-3LP+ (foldable PCL)
Dimensions 13 mm; 6 mm optic 13 mm; 6 mm optic

Optic material Hydrophobic acrylic with UV absorber Hydrophobic acrylic with UV absorber
Optic design One piece, biconvex Three-piece, biconvex
Ocular Surgery News | july 10, 2009 | OSNSuperSite.com
Spotlight

Spotlight on IOLs

Guide to IOLs and Injectors

Haptic material, design, angulation Yellow hydrophobic acrylic, one piece, C, 5° angulation PVDF (PolyVinylDene Fluoride), modified C, 5° angulation
Available powers +4 D to +34 D +4 D to +26 D
Suggested A constant 118.1 118.2
Features Made from ultra-high purity yellow hydrophobic acrylic polymer; refractive index Preloaded for easier folding and injecting: features a square-edge design
equal to PMMA to minimize unwanted images and glare; double-square edge made from ultra-high purity hydrophobic acrylic polymer; refractive index
around entire optic periphery; designed to eliminate capsular bag stretching. equal to PMMA to minimize unwanted images and glare.
Model name OptiVis (foldable multifocal PCL)
Dimensions 11 mm; 6 mm
Optic material Hydrophilic acrylic with UV absorber
Optic design One piece, biconvex
Haptic material, design, angulation Hydrophilic acrylic, one piece, 5° angulation
Available powers +16 D to +25.5 D
Suggested A constant 118.1 (formula required)
Features Multifocal. Diffractive-refractive posterior surface design. Diffractive optics allow for distance and near vision for full range of pupil diameter. Refractive optics
allow for optimum vision at all distances. Progressive power zone. Apodization to reduce halos with large pupils occurring in low light.
STAAR Surgical Company c 1911 Walker Ave. c Monrovia, CA 91016 c 626-303-7902 c Fax: 626-358-9187 c www.staar.com
Model name AA4203TL – Toric Lens AQ2015A Elastimide Silicone Aspheric 3-Piece (foldable PCL)
Dimensions 10.8 mm or 11.2 mm length 13 mm length
Optic material Silicone Silicone
Optic design Biconvex, sphero-cylindrical optic, 6 mm diameter Posterior aspheric surface, 6 mm diameter
Haptic material, design, angulation Silicone single-piece with 1.15 mm diameter fenestration Polyimide haptics, excellent memory for centration and lens fixation. Modi-
fied C-loop, 10° angulation
Available powers +9.5 D to +23.5 D (11.2 mm length); +24 D to +28.5 D (10.8 mm length); +10.5 D to +30.5 D (in 0.5 D increments)
available in 2 D and 3.5 D cylinder powers
Suggested A constant 118.5 118.8
Features IOL to reduce pre-existing astigmatism, improves uncorrected vision and is CMS Elastimide offers exceptional quality of vision in a silicone aspheric IOL. The
approved. aspheric lens design induces fewer spherical aberrations than a tradi-
tional lens. The lens has been optimized to simulate in situ conditions. The
AQ2015A IOL offers optimal control of PCO with a “continuous contact edge.”
This lens is NTIOL approved.
Model name AQ5010V Low Diopter 3-Piece Lens CC4204A – NanoFlex Single-Piece (foldable PCL)
Dimensions 14 mm length 10.8 mm length
Optic material Silicone Collagen-copolymer
Optic design Convex/plano (+1 D to +4 D); plano/plano (0.0 D); plano/concave (–4 D to –1 D); 6.3 Collamer biconvex, aspheric surface, 6 mm diameter
mm diameter optic designed to minimize edge glare
Haptic material, design, angulation Polyimide, modified C-loop with 10° angulation Collamer single-piece lens with two 0.9 mm fenestrations
Available powers –4 D to + 4 D (in full diopters increments) +10.5 D to +30.5 D (in 0.5 D increments)
Suggested A constant 119 119
Features Designed to correct very high levels of myopia. The collamer material is a proprietary collagen-copolymer that is highly bio-
compatible. It has unique properties providing superior optical performance
minimizing higher order aberrations. The newly launched sterile, single-use
nanoPOINT Injector System is a device to implant the CC4204A IOL through
a 2.2 mm incision. This lens is NTIOL approved.
Model name CQ2015A – Afinity Collamer Aspheric 3-piece (foldable PCL) Visian ICL Phakic Foldable IOL
Dimensions 13 mm length 12.1 mm to 13.7 mm
Optic material Collagen-copolymer Collagen-copolymer (Collamer)
Optic design Collamer biconvex, aspheric surface, 6 mm diameter 4.9 mm to 5.8 mm convex/concave
Haptic material, design, angulation Polyimide haptics, excellent memory for centration and lens fixation. Modified Collamer plate with orientation marks
C-loop, 5° angulation
Available powers +10.5 D to +30.5 D (in 0.5 D increments) –16 D to –3 D
Suggested A constant 118.4 Not available
Features The collamer material is a proprietary collagen-copolymer that is highly biocom- The collamer material is a proprietary collagen-copolymer that is highly bio-
patible. It has unique properties providing superior optical performance minimiz- compatible. It has unique properties providing superior optical performance
ing higher order aberrations. The Afinity 3-piece IOL edge has a square posterior minimizing higher order aberrations.
edge and rounded anterior edge. This lens is NTIOL approved.

Ocular Surgery News presents this guide to IOLs and injectors as a service to our readers. All manufacturers were asked to supply information for this guide. Those who
provided information are listed. All claims are those of the manufacturers and appear here as received from the manufacturers. A listing in this guide does not constitute an endorse-
ment by the publisher or editors of Ocular Surgery News. We regret any omissions.