1. Intraocular Lenses and AC stabilisation
Transcription
1. Intraocular Lenses and AC stabilisation
1 3 1 Intraocular Lens & AC StabilisAtion 2 1 Intraocular Lens & AC StabilisAtion Rayner IOLs Aspheric, Toric, Multifocal, Multifocal Toric & Sulcoflex Intraocular Lenses In 1948, Mr Harold Ridley, consultant ophthalmologist at St Thomas’ Hospital and Moorfields Hospital, London, together with John Pike of the Rayner Company met privately to discuss a new project. Ridley called this project the ‘artificial lenticulus project’ and asked Pike for Rayner’s help in the design and manufacture of an implantable lens. Perspex was chosen as the preferred material for its good optical properties and because it had been shown to be inert within body tissues. On the 29th of November 1949 at St Thomas’ Hospital, Ridley performed the first IOL operation on the eye of a 45-year-old female patient. The operation was done in two stages with the artificial lens permanently implanted three months later. With the help of prominent ophthalmic surgeons from around the world, Rayner has continued to innovate and manufacture new IOL designs. New materials, lens packaging and delivery injector systems offer improved ease of use, reduced need for manipulation and better post-operative results. Today, Rayner lenses are used globally, including some of the poorest countries on earth. Rayner remains inspired by Ridley’s original decision, taken with John Pike, to make the IOL widely available to all of humanity. 1910 1951 In 1910, J B Reiner and C D Keeler founded the Rayner Company in London, England, manufacturing spectacles. 1949 Harold Ridley, together with John Pike of Rayner and John Holt of ICI, designed the first IOL. 1966 1952 - 1958 Ridley presented his first paper on IOLs at the Oxford Congress in England on 9 July. The reaction from his professional colleagues was hostile. Rayner began work with Strampelli, Epstein, Joaquin Barraquer, and Dannheim on their designs of posterior and anterior chamber lenses. First refractive IOL for high myopia introduced. 1956 Rayner introduced the Choyce MkI, Peter Choyce’s modification of Strampelli’s anterior chamber lens design. 1979 The pioneering surgeons formed the Intraocular Implant Club (IIC) with Ridley and Pike. 1962 Work began with Binkhorst on his four-loop iris fixation design. Fyodorov’s modification and Binkhorst’s two-loop design followed Choyce MkVIII and MkVIX anterior chamber designs became the first lenses to be approved by FDA. 1975 The first, modern, posterior chamber lens design was developed with John L. Pearce. An agreement with Coburn allowed USA to manufacture lenses. 1986 - 1999 Rayner moves to new custom built laboratory in Hove, East Sussex. All Rayner products receive CE mark authorisation 1 Intraocular Lens & AC StabilisAtion 3 Rayner has been at the forefront of advances in IOL design that have involved the application of wavefront technology to improve optical efficiency and visual function. The ability to measure Higher Order Aberrations has led to a better understanding of the eye as an optical system and the development of a new category of IOLs – aspherics – which are capable of providing an excellent quality of vision. Rayner IOLs are manufactured with AVH Technology for centration and stability and the Amon-Apple enhanced square edge for reduced PCO. C-flex Advance Aspheric RAYNER C-flex Advance Preloaded ® Mini Incision Preloaded IOL Injection System ® Aspheric Preloaded IOL System The C-flex Advance Aspheric (ADV970) is Rayner’s first preloaded IOL delivery system. C-flex Advance Aspheric offers the monofocal cataract surgeon the reassurance of a minimal touch delivery system, via a mini incision, and combines the benefits and superior, clinically proven patient outcomes of the aberration neutral C-flex Aspheric IOL. The C-flex Advance Aspheric provides simple and controlled IOL delivery by a singlehanded technique. The IOL can be delivered through a 2.2mm clear corneal wound mini incision or a 2.4mm clear corneal incision direct into the capsular bag. C-flex Advance rayner C-flex 970C Aspheric Single-piece hydrophilic acrylic intraocular lens The Rayner C-flex range of hydrophilic acrylic injectable IOLs feature increased depth of field compared with designs corrected for corneal spherical aberration, such as negative aberration designs. Increased contrast sensitivity and increased functional visual acuity. Key Features: • Increased depth of field compared with other designs • Patented AVH Technology® for perfect centration and stability • Unique Amon-Apple Enhanced Square Edge for reduced PCO Model Specification Material Optics diameter Overall length Power range Estimated A-constant IOL Master Constant • Manufactured from Rayacryl® hydrophilic acrylic co-polymer for: - High biocompatibility - Low PCO - Optical purity – no vacuoles or glistenings - Low Silicone Oil adherence - Superb handling characteristics. C-flex 970C Aspheric Rayacryl™ hydrophilic acrylic co-polymer 5.75mm 12.0mm +22.5D to +29.5D (in 0.5D increments) +30.0D to +34.0D (in 1.0D increments) 118.0 118.5 C-flex 970C rayner Superflex 920H Aspheric Single-piece hydrophilic acrylic intraocular lens The Rayner Superflex range combines all the features of the C-flex platform with a larger optic and a lower range of powers. Model Specification Material Optics diameter Overall length Power range Estimated A-constant IOL Master Constant Super-flex 920H Aspheric Rayacryl™ hydrophilic acrylic co-polymer 6.25mm 12.5mm -10.0D to +22.0D (in 0.5D increments) 118.0 118.5 Superflex 920H 4 2 1 Intraocular Lens & AC StabilisAtion rayner T-flex 573T/623T Toric Aspheric Single-piece hydrophilic acrylic intraocular lens Rayner T-flex® Toric IOLs (573T and 623T) are a superior alternative to toric IOLs with a restricted range of torus and offer a precise, superior alternative to incisional keratotomy and Limbal Relaxing Incisions (LRIs) for the treatment of pre-existing corneal astigmatism. Key Features: • Exceptional rotational stability Accurate, predictable and sustainable visual outcome with superior astigmatic correction • Patented AVH Technology® for perfect centration, anterior / posterior and torsional stability • Unique Amon-Apple Enhanced Square Edge for reduced PCO T-flex 573T/623T Model Specification Material Optics diameter Overall length Power range • Good range of spherical and cylindrical correction available. • Manufactured from Rayacryl® hydrophilic acrylic co-polymer for: - High biocompatibility - Low PCO - Optical purity – no vacuoles or glistenings - Low Silicone Oil adherence - Superb handling characteristics. T-flex 573T T-flex 623T Toric Rayacryl™ hydrophilic acrylic co-polymer 5.75mm 6.25mm 12.0mm 12.5mm Spheres: +6.0D to +30.0D in 0.5D increments Cylinders: +1.0D to +6.0D in 0.5D increments Alternative Toric powers also available within the range: Spheres: -10.0D to +35.0D maximum (sphere + cylinder) in 0.5D increments Cylinders: +1.0D to +11.0D in 0.5D increments. 118.0 118.5 Estimated A-constant IOL Master Constant http://www.rayner.com/raytrace Online Premium IOL Calculator For the Rayner T-flex® Toric, M-flex® T Multifocal Toric and Sulcoflex® Toric IOLs Rayner’s new Raytrace® system offers surgeons an online IOL power calculator which is quick and easy to use, providing clear and accurate power recommendations for Rayner’s complete range of premium lenses. Quick and easy power calculations • Open access with no login required • Clear and intuitive user interface • Biometry; including SIA and incision location Clear and accurate results • IOL power recommendations with estimated • post-operative outcomes • Print options including Theatre View Complete all-in-one calculator Access all of Rayner’s Premium IOLS • T-flex® Aspheric Toric • M-flex® Multifocal & M-flex® T Multifocal Toric • Sulcoflex® Pseudophakic Supplementary IOLs Join the Raytrace® Club and register for a Raytrace login to access even more functions. Contact DFV for Username and password 1 Intraocular Lens & AC StabilisAtion 5 rayner M-flex 580F/630F Multifocal Single-piece hydrophilic acrylic intraocular lens Rayner M-flex® Multifocal IOLs are based on a multi-zoned refractive aspheric optic technology, with either 4 or 5 annular zones (depending on IOL base power). M-flex provide a degree of pseudoaccommodation, lessening the need for additional correction by spectacles or contact lenses. Key Features: • Reduced incidence of halo and glare • Manufactured from Rayacryl® hydrophilic acrylic co-polymer for: • Superior contrast sensitivity - High biocompatibility • The only multifocal IOL with - Low PCO the benefits of patented AVH Optical purity – no vacuoles or glistenings ® Technology for perfect centration, Low Silicone Oil adherence anterior/posterior and torsional stability - Superb handling characteristics. • Unique Amon-Apple Enhanced Square Edge for reduced PCO Model Specification Material Optics diameter Overall length Power range M-flex 580F M-flex 630F Multifocal Rayacryl™ hydrophilic acrylic co-polymer 5.75mm 6.25mm 12.0mm 12.5mm (+4D Far dominant) (+3D Far dominant) +25.5D to +30.0D in 0.5D +14.0D to +25.0D in 1.0D increments increments +18.5D to +23.5D in 0.5D increments (+4D Far dominant) +10.0D to + 25.0D in 0.5D increments 118.0 118.5 Estimated A-constant IOL Master Constant M-flex 580F/630F rayner M-flexT 588F/638F Multifocal Toric Single-piece hydrophilic acrylic intraocular lens With Rayner M-flex® T Multifocal Toric IOLs, the combination of multifocal and toric optical components allows the potential benefit of reduced spectacle dependence to be extended to patients with significant corneal astigmatism. Key Features: • Exceptional rotational stability • Unique Amon-Apple Enhanced Square Edge • Reduced incidence of halo and glare • Superior contrast sensitivity • Good range of spherical and cylindrical correction available. • Patented AVH Technology® • Manufactured from Rayacryl® Model Specification Material Optics diameter Overall length Power range: Standard Premium Estimated A-constant IOL Master Constant M-flexT 588F M-flexT 638F Multifocal Toric Rayacryl™ hydrophilic acrylic co-polymer 5.75mm 6.25mm 12.0mm 12.5mm Spherical equivalent: +14.0D to +32.0D in 0.5D increments Cylinder: 2.0D Addition: +3.0D & +4.0D Spherical equivalent: +14.0D to +32.0D in 0.5D increments Cylinder: 1.0D to 1.5D and 2.5D to 6.0D in 0.5D increments Addition: +3.0D or +4.0D 118.0 118.5 M-flexT 588F/638F 6 2 1 Intraocular Lens & AC StabilisAtion rayner Sulcoflex 653L Aspheric Single-piece hydrophilic acrylic pseudophakic supplementary IOL Rayner Sulcoflex® Pseudophakic Supplementary IOLs are designed to correct post-surgical or residual ametropia, without the trauma or increased surgical risk of an IOL exchange. Key Features: • Unique design reduces potential for contact between implants • Large optic diameter reduces risk of optic-iris capture • Round optic edge contributes to low rates of dysphotopsia • large diameter “undulating” haptics for IOL centration & rotational stability Sulcoflex 653L Model Specification Material Optics diameter Overall length Haptic angulation Optic configuration Power range Standard range Premium range* (* Manufactured specifically to order) • Manufactured from Rayacryl® hydrophilic acrylic co-polymer for: - High biocompatibility - Low PCO - Optical purity – no vacuoles or glistenings - Low Silicone Oil adherence - Superb handling characteristics. Sulcoflex 635L Pseudophakic Supplementary IOL Rayacryl™ hydrophilic acrylic co-polymer 6.5mm 14mm 10º Anterior Convex, Posterior Concave -5.0D to +5.0D in 0.5D increments -10.0D to -5.5D in 0.5D increments* +5.5D to +10.0D in 0.5D increments* rayner Sulcoflex 653F Multifocal Single-piece hydrophilic acrylic pseudophakic supplementary IOL Sulcoflex 653F Model Specification Material Optics diameter Overall length Haptic angulation Optic configuration Near Addition Power range Standard range Premium range Sulcoflex 635F Pseudophakic Supplementary IOL Rayacryl™ hydrophilic acrylic co-polymer 6.5mm 14mm 10º Anterior Convex, Posterior Concave +3.5D -3.0D to +3.0D in 0.5D increments with +3.5D add. -7.0D to -3.5D and +3.5D to +7.0D in 0.5D increments 1 Intraocular Lens & AC StabilisAtion 7 rayner Sulcoflex 653T Toric Single-piece hydrophilic acrylic pseudophakic supplementary IOL Model Sulcoflex 635T Specification Pseudophakic Supplementary IOL Material Rayacryl™ hydrophilic acrylic co-polymer Optics diameter 6.5mm Overall length 14mm Haptic angulation 10º Optic configuration Anterior Convex, Posterior Concave Power range: Standard Spherical Equivalent: –3.0 D +3.0 D in 0.5 D increments, Cylinder +1.0 D, +2.0 D, +3.0 D Premium Spherical Equivalent: –7.0 D to +7.0 D in 0.5 D increments, ( Made to order) Cylinder: +1.0 D to +6.0 D in 0.5 D increments. Sulcoflex 653T rayner Sulcoflex 653Z Multifocal Toric Single-piece hydrophilic acrylic pseudophakic supplementary IOL Model Sulcoflex 635Z Specification Pseudophakic Supplementary IOL Material Rayacryl™ hydrophilic acrylic co-polymer Optics diameter 6.5mm Overall length 14mm Haptic angulation 10º Optic configuration Anterior Convex, Posterior Concave Near Addition +3.5D Power range: Standard Spherical Equivalent: –3.0 D +3.0 D in 0.5 D increments, Cylinder +1.0 D, +2.0 D, +3.0 D Premium Spherical Equivalent: –7.0 D to +7.0 D in 0.5 D increments, ( Made to order) Cylinder: +1.0 D to +6.0 D in 0.5 D increments. Sulcoflex 653Z 8 2 Intraocular Lens & AC StabilisAtion 1 HOYA IOLs Pre-Loaded Aspheric, Toric, Multifocal Intraocular Lenses For more than 65 years, Hoya corporation has been deeply committed to the development of superior precision optics. HOYA provide ophthalmologists with advanced products and services to help deliver optimal visual results to patients. “For I dipped into the future, far as the human eye could see, The HOYA Group leverages optics research from diverse industries, encompassing expertise in electro-optics, photonics, vision care, healthcare and aerospace: • Over 60 consolidated subsidiaries • 4 affiliated companies • 28 countries and regions • More than US$5Billion in annual revenue saw a vision of the world, and the wonder that would be.” – Alfred Lord Tennyson HOYA Founded - Japan’s first specialty optical glass manufacturer HOYA Lens Australia established Development of yellow -tinted IOL begins One-piece yellow-tinted PMMA IOL launched 1972 1975 1988 1994 1941 1967 1974 1987 Progressive multifocal spectacle lens launched Intraocular (IOL) and Production of Mask aspherical moulded blank substrates for IC semiconductor chips. glass lens debut Introduction of online eyeglass lens ordering system. Lens Australia tablished Manufactur intraocular le 200 1991 2000 Three piece yellow-tinted PMMA IOL unveiled HOYA expands lens processing operations in U.S.A. Development of yellow -tinted IOL begins One-piece yellow-tinted PMMA IOL launched Manufacturing of soft intraocular lens begins iSert launches in Australia & New Zealand 1988 1994 2001 2007 1975 ps. e ystem. Soft contact lenses introduced One-piece acrylic IOL launched in the U.S. afterFDA approval 2009 1987 1991 2000 2003 2008 Intraocular (IOL) and aspherical moulded glass lens debut Three piece yellow-tinted PMMA IOL unveiled HOYA expands lens processing operations in U.S.A. One-piece acrylic IOL launched in Europe after receiving CE mark HOYA and Pentax merge 1 Intraocular Lens & AC StabilisAtion 9 HOYA Vivinex iSert Model XY1 -piece aspheric lens with new hydrophobic acrylic material Vivinex™ 1 The Vivinex iSert Model XY1 is a single piece IOL with an optic manufactured from the new hydrophobic material Vivinex™ It has an aspheric profile and is tinted yellow to inhibit UV retinal damage. Vivinex iSert Model XY1 can be implanted into the eye through a small 2.0mm incision. Key Features: • New Hydrophobic Acrylic material • Outstanding performance • Improved Square Edge helps to prevent PCO • For long-lasting ophthalmic surgical outcomes Model Specification Optic & Haptic Material Optics diameter Overall length Power range IOL Master Constant Recommended Incision Size Incision Size • Textured-rough Haptic for better grip onto capsular surface • Optic Edge Texturing Finish to reduce Dysphotopsia Vivinex iSert Model XY1 VivinexTM iSert® XY1 Aspheric ABC Design with sharp textured optic edge Hydrophobic acrylic Vivinex™ with blue light filtering 6.0mm 13.0mm +6.00D to +30.00D (in 0.5D increments) 118.9 2.0mm HOYAAF-1 iSert (251) ingle-piece hydrophobic acrylic aspheric intraocular lens S The iMics1 (251) IOL is a single piece IOL with a hydrophobic acrylic optic and partial PMMA haptics made by chemically bonding blue PMMA to a yellow hydrophobic acrylic material and then employing a lathe-cutting and refining process. It has an aspheric profile and is tinted with a higher concentration of yellow to inhibit retinal damage. iMics1 can be implanted into the eye through a small 2.2mm incision. Key Features: • MICS compatible - 2.0mm sclerocorneal incision - 2.2mm corneal incision • Square edge design • Without wound-assisted technique (one-step implantation) • Aspheric Balanced Curve (ABC) design (protects from spherical aberration due to lens movement) Model Specification Optic Material Haptic Material Optics diameter Overall length Power range Estimated A-constant IOL Master Constant Recommended Incision Size Incision Size • Stiffer haptics (made from PMMA and soft acrylic) provide firm fixation in the lens capsule 251 Aspheric blue filtering Hydrophobic acrylic Hydrophobic acrylic & PMMA 6.0mm 12.5mm +6.00D to +30.00D (in 0.5D increments) 118.4 118.6 Sclerocorneal Corneal 2.0mm 2.2mm AF-1 251 10 2 1 Intraocular Lens & AC StabilisAtion HOYAAF-1 iSert 351 Toric Single-piece aspheric toric hydrophobic acrylic intraocular lens The AF-1 351 Toric IOL is a single piece IOL with a hydrophobic acrylic optic and partial PMMA haptics . It is manufactured on the iMics platform. The 351 Toric IOL is preloaded and injectable through a 2.2mm corneal incision. Calculate IOL powers online at www.hoyatoric.com Key Features: • 2.2mm incision. AF-1 351 Toric • Aspheric Balanced Curve (ABC) technology - provides protection • Blue tipped PMMA (non-sticky) haptics from high order spherical aberrations facilitate rotation and placement in correct axis caused by lens movement • Stiffer haptics provide firm fixation in the lens capsule, minimising rotation and movement Model Specification Optic Material Haptics Material Haptics Configuration Optics diameter Overall length IOL Powers IOL cylinder Power 351 T3 to T9 Aspheric Toric optics Hydrophobic acrylic resin Acrylic resin & PMMA Modified C-loop 6.0mm 12.5mm +10.00D to +30.00D (in 0.5D increments) 1.50D 2.25D 3.00D 3.75D 4.5D 5.25D 6.0D (351T3) (351T4) (351T5) (351T6) (351T7) (351T8) (351T9) 118.4 118.6 Estimated A-constant IOL Master Constant HOYA iSert Preloaded AF-1 PY-60AD ™ Three-piece hydrophobic acrylic aspheric intraocular lens The iSert system is a reliable and easy preloaded IOL experience that saves time for surgeon and staff. The AF-1 PY-60AD is a high quality 3-piece aspheric intraocular lens with an extremely smooth aspheric surface. This IOL uses hydrophobic material for the optics and PMMA chemically bonded for the haptics. IOL Features: • Blue light blocker for macula protection • Aspheric Balanced Curve (ABC) design progressive combination of optical balance from spherical and aspherical design • Thinner optic increases flexibilty • Excellent centration minimises influence of an off-set pupil or capsular bag AF-1 PY-60AD PY-60 Pre-loaded injector • Better image quality and contrast sensitivity Model Specification Optic Material Optic Design Haptic Material Haptic Configuration Optics diameter Overall length Power range Estimated A-constant IOL Master Constant iSert Features: • Mini incision delivery • “One-step” technology • Safe, reliable and easy to use PY-60AD Aspheric blue Blocker Hydrophobic acrylic Aspheric PMMA chemically bonded Round loop design 6.0mm 12.5mm +6.00D – +30.00D (in 0.5D increments) 118.4 118.6 1 Intraocular Lens & AC StabilisAtion HOYA Toric Calculator The Hoya Toric Calculator (HTC) is a resource to aid in proper IOL cylinder power selection for cataract patients with corneal astigmatism. The HTC requires the user to input patient biometric data and planned surgery information that is part of an ophthalmic work up prior to toric IOL (TIOL) implantation. The HTC will suggest several Hoya toric IOLs from which the surgeon may choose to treat a patient’s refractive cylinder resulting from corneal astigmatism. The HTC will also provide suggested intra-operative axial placement of the IOL that is intended to minimize post-operative astigmatism based on the information provided. The HTC is openly accessible on the internet for all users. After the complete data set is entered, the graphic image of the eye will update to show the entered data values. The calculator will also automatically generate three toric lens options of different cylinder power for the user to consider. Astigmatic correction will be calculated for all toric lens powers and a non toric lens as well. The HTC will also inform the user of the recommended axis for toric IOL placement and will include an image of the eye with the incision location, steep and flat corneal axes, and the axis of placement for the toric IOL. 11 12 2 1 Intraocular Lens & AC StabilisAtion morcher Aniridia IOLs Aniridia Intraocular Lenses By implanting an aniridia IOL, a controlled amount of light enters the eye. With product diversity, custom-made designs are available in a standard dioptre range, Morcher provide the most comprehensive range for aniridia treatment available. All Morcher Aniridia IOL’s require pre-registration with TGA before implantation. Contact us for a Category B S.A.S. form. Key Features: • Product diversity • Custom-made designs • Individual dioptre range Order # Description Qty/Box Aniridia IOLs Type 67B Type 68 67B 68 67F 67G 67L 94A Type 67F Type 67L Type 67G Type 94A 67 67D 67A 68C 67E 94 94C Pupil-Iris = 3-10mm, Overall Length 13mm, Angulation 0° Pupil-Iris = 4.5-10mm, Overall Length 13.5mm, Angulation 0° Pupil-Iris = 5-10mm, Overall Length 13.5mm, Angulation 0° Pupil-Iris = 5-10mm, Overall Length 12.5mm, Angulation 0° Most frequently used implant Pupil-Iris = 5-10mm, Overall Length 13.5mm, Angulation 0° Special IOL with opening in diaphragm 1.5-3mm Pupil-Iris = 6.5-10mm, Overall Length 13mm, Angulation 0° Special Diaphragm only, no optical power 1 1 1 1 1 1 Partial Aniridia IOLs Pupil-Iris = 3.5-7/10mm, Overall Length 12.5mm, Angulation 10° Pupil-Iris = 3.5-7/10mm, Overall Length 13.5mm, Angulation 5° Allows scleral fi xation Pupil-Iris = 3.5-7/10mm, Overall Length 14mm, Angulation 10° Pupil-Iris = 3.5-7/10mm, Overall Length 14mm, Angulation 5° Allows double scleral fi xation Pupil-Iris = 4-8mm, Overall Length 13.5mm, Angulation 5° Allows scleral fi xation Pupil-Iris = 4-8mm, Overall Length 13.5mm, Angulation 10° Pupil-Iris = 4-8mm, Overall Length 13.5mm, Angulation 10° Allows scleral fixation 1 1 1 1 1 1 1 morcher Aniridia Rings Type 50C Type 50E In each case, two of these aniridia rings are implanted into the capsular bag and dialed against each other to form a closed diaphragm. Rings are implanted before IOL. Order # Description Qty/Box Aniridia Rings Type 50F Type 96F Type 96E Type 96C Type 96G Type 94G MORCHER-102 Type 50C Aniridia Ring, >6mm pupil / 2 required for 360º coverage MORCHER-106 Type 50E Aniridia Ring, >3.5mm pupil / 2 required for 360º coverage MORCHER-103 Type 50F Aniridia Ring, >4mm pupil / 2 required for 360º coverage MORCHER-1003 Type 96C Sulcus Ring, Partial, >4mm pupil / 180º coverage 1 1 1 1 Capsular tension ring with a diaphragm to dim a coloboma in the eye not larger than three hours. If the coloboma is three to six hours, two rings can be implanted. MORCHER-920 MORC-96G MORCHER-891 MORC-94G Partial Aniridia Rings Type 96F Partial Aniridia Ring, 90º coverage Type 96G Partial Aniridia Ring, 90º coverage Type 96E Partial Aniridia Ring, 90º coverage Type 94G Partial Aniridia Ring, 90º coverage 1 1 1 1 1 Intraocular Lens & AC StabilisAtion 13 morcher Capsular Tension Rings Implantable capsular tension rings A necessity to have available for modern cataract surgery, Morcher CTR’s are manufactured from one-piece PMMA and stabilise the capsule in the case of damaged or missing zonules. Easily implantable with all available injector systems or forceps and now with the new PRE-LOADED SYSTEM on a DISPOSABLE INJECTOR, Morcher offer the most comprehensive range for capsular bag stabilization. Order # Description MORCHER-190 MORCHER-198 MORCHER-194 MORCHER-060 MORCHER-064 MORCHER-068 Qty/Box Pre-Loaded CTR’s EyeJet Preloaded Type R14 CTR, 10mm EyeJet Preloaded Type R14C CTR, 11mm EyeJet Preloaded Type R14A CTR, 12mm EyeJet Preloaded Type R13 CTR, 10mm EyeJet Preloaded Type R13A CTR, 11mm EyeJet Preloaded Type R13B CTR, 12mm 1 1 1 1 1 1 Type 13 Type 14 Standard CTR’s MORCHER-202 MORCHER-206 MORCHER-204 MORCHER-050 MORCHER-052 MORCHER-054 Type 14 CTR, 10mm Type 14C CTR, 11mm Type 14A CTR, 12mm Type 13 CTR. 10mm Type 13A CTR. 11mm Type 13B CTR. 12mm 1 1 1 1 1 1 Cionni Type 1L Scleral Fixation CTRs MORCHER-220 Type 1L Cionni Ring with Single Scleral Fixation MORCHER-223 Type 2S Cionni Ring with Double Scleral Fixation MORCHER-165 6D Ahmed CTR Segment 1 1 1 Ahmed 6D MORC-10GR MORC-10LR Preloaded Cionni CTR’s Preloaded single Cionni ring TYPE10G for Trauma Preloaded single Cionni ring TYPE10L for Marfans Cionni Type 10L/10G Duckworth & Kent CTR Injection System DK-7-810 Injector to insert the capsular tension ring. Bayonet fitting allows easy separation of main body and centre rod. Overall length without cartridge 135.0mm 1 Cionni Type 2S 14 2 1 Intraocular Lens & AC StabilisAtion Injector Systems medicel Accuject™ IOL injector Micro-incision IOL injector Over the last 10 years, Medicel has significantly contributed to the development of microsurgical techniques, including lens injection systems. Over 1 million IOLs are implanted every year with Medicel injection systems. Accuject™ enables safe and efficient injection of 1- and 3-piece hydrophilic and hydrophobic lenses of any size and design through incisions of sub 2.8mm to sub 2.0mm. The all-in-one concept and an extra large loading chamber enables an easy and precise loading of any lens. Accuject™ range LP604500 LP604530 LP604510 LP604520 ACCUJECT 2.6-1P for 1-piece lenses inc. size sub 2.8mm, box of 10 ACCUJECT 2.2-1P for 1-piece lenses inc. size sub 2.5mm, box of 10 ACCUJECT 2.0-1P for 1-piece lenses inc. size sub 2.2mm, box of 10 ACCUJECT 2.5-3P for 3-piece lenses inc. size sub 2.8mm, box of 10