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How to Evaluate Pseudophacic Accommodation ?
1Auffarth G. U., 1Becker K. A., 1Martin M., 1Rabsilber T. M., 2Schmidbauer J., 2Apple D. J., 1Völcker H. E.,
1Ruprecht-Karls-Universität Heidelberg, Universitäts-Augenklinik (Heidelberg)
2Magill Research Center for Vision Correction, Storm Eye Institute, Medical University of South Carolina (Charleston)
We evaluated the new accommodative 1CU IOL from Humanoptics Inc. Six IOLs were implanted in 5 patients. Uncorrected near acuity ranged from 0.2 to 0.6, uncorrected distance acuity from 0.3 to 1.0 during the first 6 months follow up. Laserinterferenz biometry measurements (IOL-Master) showed anterior chamber depths changes after application of Pilocarpin eyedrops of 0.4 to 1.2mm. Ultrasound biomicroscopy measurments revealed smaller IOL-forward-movement. Wave front analysis demonstrated potential dynamic accommodation amplitudes up to 1 diopter. Miyake/Apple-Video-Technik gives insight into the IOL movement in a autopsy eye set up. This new lens has some promising potential, at least at the short term follow up. However, methods to evaluate such a lens are limitid in its validity.