Bimanual microincision cataract surgery with implantation of an Akreos MI6O lens--one year follow-up.

PURPOSE: To evaluate visual outcome and complications after bimanual microincision cataract surgery (MICS) with implantation of an Akreos MI60 intraocular lens (IOL). MATERIAL AND METHOD: This study comprised 40 eyes of 22 patients after MICS. The IOL was implanted through a 1.9 mm or smaller clear corneal incision. One year after operation, uncorrected and best corrected distance visual acuity, best corrected near visual acuity (logMAR), contrast sensitivities (CS) (CSV-1000), induce astigmatism, complications and patient satisfaction were analyzed. RESULTS: The Akreos lens was implanted through mean incision of 1.8 + 0.01 mm. One year after surgery the mean uncorrected and the best corrected distance visual acuity (UDVA, BCDVA) and the best corrected near visual acuity (BCNVA) significantly improved (UDVA: preoperatively--0.7 +/- 0.6; postoperatively--0.04 +/- 0.17; p < 0.005; BCDVA: preoperatively 0.61 +/- 0.6; postoperatively--0.01 +/- 0.12; p < 0.001; BCNVA: preoperatively--0.56 +/- 0.42; postoperatively--0.0 +/- 0; p < 0.005). CS in photopic adaptation were within normal age-matched limits. One year after surgery, there was not significant induced astigmatism measured by vector analysis. There were no serious postoperative complications. Visual significant PCO was observed in 1 patient. All the patients were highly satisfied with the quality of the vision. CONCLUSIONS: Our results show that MICS with Akreos MI60 lens implantation is a procedure which let receive very good visual function results, fast visual rehabilitation as well as high patients' satisfaction.