ESCRS - PP13.02 - Implantation Of Sing Imt (Small Incision New Generation Implantable Miniaturized Telescope) With Flacs (Femto-Second Laser Assisted Cataract Surgery) Technique In Patients With Age-Related Macular Degeneration And Low Vision

Implantation Of Sing Imt (Small Incision New Generation Implantable Miniaturized Telescope) With Flacs (Femto-Second Laser Assisted Cataract Surgery) Technique In Patients With Age-Related Macular Degeneration And Low Vision

Published 2023 - 41st Congress of the ESCRS

Reference: PP13.02 | Type: Free paper | DOI: 10.82333/kjnv-8g03

Authors: Pantelis Papadopoulos* 1 , Dimitrios Panagiotidis 2 , Konstantina Athanasiou 3 , Konstantinos Kakoulidis 4 , Alexandros Papadopoulos 5 , Efterpi Chatzispasou 5 , Efstathios Georgopoulos 5

11st Ophthalmology Clinic,Athens Metropolitan Hospital,Athens,Greece;Ophthalmo Check Eye Centre ,Athens,Greece, 2Macula Center,Athens,Greece, 31st Ophthalmology Clinic,Athens Metropolitan Hospital,Athens,Greece, 4Private Practice,Sitia,Greece, 5Ophthalmo Check Eye Centre ,Athens,Greece

Purpose

To present the first results of the implantation of SING IMT (Small Incision New Generation Implantable Miniaturized Telescope) with the FLACS (Femtosecond Laser-Assisted Cataract Surgery) technique in patients with cataract and late-stage AMD.

Setting

All surgical operations took place in a private clinic in Athens, Greece, using exclusively the FLACS technique.

Methods

Five patients with late-stage dry AMD and cataract were operated with the FLACS technique. A new low-vision device (SING IMT - Small Incision New Generation Implantable Miniaturized Telescope) was implanted unilaterally in the bag. Four patients completed a 6-month follow-up period. The SING-IMT was removed from the eye of a patient and was exchanged with a PC IOL.

Results

All surgical operations were uneventful. The SING IMT was implanted unilaterally in the bag in all cases. The visual acuity was improved in all patients in the operated eye. (Patient 1: from 20/400 to 20/125, Patient 2: from 20/200 to 20/ 80, Patient 3: from 20/400 to 20/100, Patient 4: from 20/80 to 20/50). The SING IMT was removed in one patient who could not tolerate the constriction of the peripheral vision in the eye with the IMT, although her VA had improved (20/200 to 20/80) after 3 months. It was replaced with a one-piece PC IOL that was implanted in the posterior capsule without complications.

Conclusions

The SING IMT has improved the visual acuity in all cases of this small series of patients with low vision and late-stage AMD. The patients had at least a one-month period to learn how to use the IMT. Patient satisfaction was strongly related to the quality of peripheral vision of the fellow eye. This was the first time worldwide that the FLACS technique was utilized in SING IMT implantation.