The new Monarch will have a thicker thread system compared to the previous edition. The second delivery system Alcon will introduce in 2006 is a new Monarch handpiece, to be used with the rest of the company's IOLs. I think it will save a lot of time in the operating room compared to traditional loading that technicians or physicians have had to do in the past, and it will also avoid any scratching or damage to the IOL that could occur with traditional loading." The AcrySert is made to insert the AcrySof IQ through a 3.1-mm incision. "There's no handling of the IOL involved. "Essentially all you have to do is insert viscoelastic, pull a stopper that holds the lens in place and inject the lens," explains Alcon's Rustin Floyd. The AcrySert is a plunger-style inserter that will come preloaded with the aspheric AcrySof IQ lens. The first is the AcrySert, due to arrive in the second quarter of the year. The AMO Emerald XL (top) has a larger knob than the older T model (bottom).Īlcon is introducing two new delivery systems in 2006. "At first I thought the slower delivery of the screw mechanism would be awkward or cumbersome in the OR, but instead I've found it to be an intuitive and smooth delivery overall." You also need to give the optic time to unfold after placement in the eye before trying to place the trailing haptic. This entrapment doesn't happen frequently, but it can damage the haptic if you don't recognize it in time. "You have to be careful that the lead haptic goes down the lumen of the cartridge, and avoid trapping the lead haptic when the cartridge is closed. "The actual loading of the lens into the cartridge is fairly straightforward," he says. Dewey says that working with the Emerald XL system in a number of surgeries has given him insights on how to use it more effectively and efficiently. The threads of its screw mechanism are narrower and allow you to apply a more even mechanical force as the lens is delivered through the cartridge."ĭr. "It has a large turning knob that facilitates a better grasp and point of leverage for advancing the lens through the cartridge. "It's a nice improvement over the original Emerald T unfolder," says Colorado Springs, Colo., surgeon Steven Dewey. In this article, the first in a year-long series on the clinical impact of technology, technique and ocular disease states, Review gives you a look at the key features of the latest lens insertion systems.Īdvanced Medical Optics' Emerald XL unfolder system is designed for use with AMO's acrylic lenses on the OptiEdge platform: the Tecnis acrylic the ReZoom and the Sensar. There are many intraocular lenses with great new features, but they're useless if the surgeon can't get them into the eye safely and efficiently.
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