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Tobias H. Neuhann, MD
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After 16 years, the space between the crystalline lens and a V4 ICL (STAAR) implanted for myopic correction has disappeared. Tobias H. Neuhann, MD, demonstrates the exchange of this ICL for the new toric EVO+ Visian ICL (STAAR). The EVO+ Visian ICL creates a perfect distance between the two lenses, enhances the uncorrected vision to 20/10, as well as reduces halos and glare at night due the larger optic.
Posted: 6/21/2016
Tobias H. Neuhann, MD
After 16 years, the space between the crystalline lens and a V4 ICL (STAAR) implanted for myopic correction has disappeared. Tobias H. Neuhann, MD, demonstrates the exchange of this ICL for the new toric EVO+ Visian ICL (STAAR). The EVO+ Visian ICL creates a perfect distance between the two lenses, enhances the uncorrected vision to 20/10, as well as reduces halos and glare at night due the larger optic.
Posted: 6/21/2016
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Vadim Mitroshin
8 years ago
Many thanks for your answers, Dr Neuhann.
Tobias Neuhann
8 years ago
Great question. Nevertheless the work on the quality of ICLs goes on. One reason for exchanging the ICLs was the new model called EVO+. There is not only a larger optic which reduces halo & glare at night but also - more important - a central hole. It is called central flow and reduces statistical significant the risk of an ICL induced cataract. Even if this ICL sits on the surface of the crystalline lens there is no or only very little risk of an induced cataract. EVO+ ICLs are not available in the USA due to the long-term FDA approval but Europe and Asia has it.
Vadim Mitroshin
8 years ago
Many thanks! But I still do not understand: if even the FDA study presents ICLs as permanent solution, why would you on earth have to interfere with ANOTHER refractive surgery in the same couple of eyes? I am somewhat hesitant having -12D -13D to do ICL, which makes me really sad, as I conclude it means 10 years later By Default i will have to replace my crystalline lenses with 3-fcus IOLs. The compromise on my side: keeping on with my dry eyes and contacts or have ICL. Money does not matter. What would you recommend? I have no astigmatism. No need for toric. My real question is: if your nurse's eye could no longer accept the previos set of ICLs why woud you think the new ones would be sufficient for vaulting? Kind of of a hanging question for me. I would highly appreciate you answer. Many thanks in advance.
Vadim Mitroshin
8 years ago
Dear Dr Neuhann, great video, many thanks! Two questions if I may: 1. Does the Visian ICL tend to flatten over time in a patient's eye which was the actual reason for this surgery (aviod cataract formation and touch of the crystalline lense)? 2. What about ECD reduction after ICL replacement? Does it still leave room for a cataract surgery for this patient 5-15 years later if needed? 2.
Tobias Neuhann
8 years ago
Hi Vadim, thanks for your interest in the video. ad1: the ICL keeps her shape over the years. Only the cristalline lens becomes thicker over the years & therefore the distance between the lenses becomes smaller. The reason for changing the ICL was that the patient had astigmatism which was at the time of implantation (year 2000) not as toric implant available and the distance between the lenses was meanwhile very small 16 years after implantation (it's the ICL of my head nurse). ad2: cataract surgery even after 21 years which I recently performed is easy to perform even with MIOL because biometry is not compromised like after Lasik.
Tobias Neuhann
8 years ago
The explanted ICL had 5.2 and the new one has 6.1mm optical zone
CASTELO MELISA
8 years ago
Hello! I would like to know the size of the optical zone of de lens. Thank you