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IMPLANTS FOR CHILDREN
Version: 2015-08/BAR
background of the bil
The bag-in-the-lens was initially designed and patented as “intraocular lens and method for preventing secondary opacification”.
US Patent Number 6,027,531 EP Patent Number 0916320A2
The clinical study on the bag-in-the-lens started in 2000 after approval by the ethical committee of the Antwerp University Hospital (1/47/136) and got the approval of the Belgian Social Security in 2004.
how to become bil-user
Those surgeons, who are interested in implanting the BIL, can become certified after having performed any of the following training:
1. Wetlab and Instructional Course at the Annual ESCRS meeting on PPCCC. This is a prerequisite requirement in order to partake at the wetlab with the following faculty members: Marie-José Tassignon, Robert Stegmann, Tobias Neuhann, Abhay Vasavada, Rupert Menapace
2. Observership at the Antwerp University Hospital, Department of Ophthalmology
Director Prof. Dr. Marie-José Tassignon
Faculty BIL users Prof. Dr. Marie-José Tassignon, Prof. Dr. Veva De Groot , Dr. Jan Van Looveren, Dr. Stefan Kiekens
Scientific coordinator Danny Mathysen ([email protected])
3. Observership at any centers with certified instructors (see list instructors http://www.morcher.com/produkte/bag-in-the-lens.html)
OPHTHALMIC IMPLANTS FOR CHILDREN
MORCHER® GmbH
Kapuzinerweg 12 70374 StuttgartGERMANY
Phone +49 (0) 711 / 95 320 - 0 E-Mail [email protected] +49 (0) 711 / 95 320 - 80 Web www.morcher.com
FOLDABLE HYDROPHILIC IOLS CAPSULAR RINGSSPECIAL PMMA IOLNo PCO!
BAG-IN-THE-LENS SERIES
TYPE 89A TYPE 89A TORIC TYPE 89D
Indication Adults / Children Adults / Children Children
Total Diameter 7.5 mm 7.5 mm 6.5 mm
Optic Diameter 5.0 mm 5.0 mm | toric 4.5 mm
Standard-Diopter-Range 10.0 – 30.0 D. (0.5 inc.) 10.0 – 30.0 D. (0.5 inc.) 10.0 – 30.0 D. (0.5 inc.)
On-Request-Range*1 8.5 – 9.5 D. (0.5 inc.)30.5 – 35.0 D. (0.5 inc.)
8.5 – 9.5 D. (0.5 inc.) 8.5 – 9.5 D. (0.5 inc.)30.5 – 35.0 D. (0.5 inc.)
Theoretical Standard Power 23.0 D. 23.0 D. 23.0 D.
Cylindrical Power - 0.5 – 8.0 D. (0.5 inc.) -
Theoretical A-Con. (optical) 118.2 118.2 118.2
Theoretical ACD (optical) 5.08 mm 5.08 mm 5.08 mm
Material Hydrophilic Acrylic
Water Content 28.0 %
Filter UV-Filter
Refractive Index 1.46
Injector (recommendation) Up to +20.0 diopters: Medicel NAVIJECTTM 2.2-1P (LP604425W) For all diopters: Medicel NAVIJECTTM 2.8-1P (LP604410W)
Recommended Caliper Ring*3 for ACCC*2
TYPE 5 TYPE 5 TYPE 4L
Feature No PCO in visual field!
Note Surgeons must partake in prerequiste course before implantation!
Advantages ■ experience in IOLs since 1990
■ MORCHER® material development and production
■ excellent optical properties due to high purity materials and perfect surface finish
■ slow and controlled unfolding in the capsular bag
■ hydrophilic property (absorbs water), hence better biocompatibility
■ excellent long-term stability
■ good YAG laster resistance (water content absorbs laser energy)
■ little adhesion of silicon oil after silicon oil surgery
■ no postoperative stimuli
■ no synechiae
■ no PCO (ideal IOL for diabetics)
■ full pupil range
■ no negativ Dysphotopsia
MICROPHTHALMUS
TYPE 27D
Total Diameter 12.0 mm
Optic Diameter 5.0 mm
Position Capsular Bag
Haptic C-Loop | 6°
Standard-Diopter-Range 10.0 – 30.0 D. (0.5 inc.)
On-Request-Range*1 5.0 – 9.5 D. (0.5 inc.)30.5 – 75.0 D. (0.5 inc.)
Theoretical Standard Power 22.0 D.
Theoretical A-Con. (optical) 118.7
Theoretical ACD (optical) 5.37 mm
Material PMMA (Compression molded)
Filter UV-Filter
Refractive Index 1.49
Incision > 5.0 mm
Advantages ■ experience in IOLs since 1949
■ excellent optical properties
■ excellent long-term stability
■ Compression Forged Method (C-F-M) makes the material break proof
CAPSULAR TENSION RING CIONNI RING FOR SCLERAL FIXATION
TYPE 13S TYPE 1S
Size (open) 10.5 mm 10.66 mm
Size (compressed) 9.0 mm 8.5 mm
Zonular Damage up to 4 hours (120°) > 4 hours (120°)
Bulbus Length < 24.0 mm < 24.0 mm
ACCC*2 - 6.0 mm
Suturable arms - one
Injector (recommendation) GEUDER G-32965 Cannot be implanted with an injector!
Material CLEAR PMMA (Compression molded)
Fixation - We recommend the use of 9-0 double armed Prolene sutures
with spatula needles
Advantages ■ expands and stabilizes the capsular bag
■ distributes the pressure to all zonular fibers and prevents one-sided pressure to single zonular fibers
■ centers the IOL more efficiently, even with subsequent capsular bag shrinkage
■ diminishes risk of capsular bag or zonular damage during the surgery
■ facilitates phacoemulsification, cortical aspiration and IOL implantation
■ replaces the need for a scleral IOL
■ simplifies IOL explantation
■ reduces folds of capsule
■ the capsular tension rings have eyelets at both ends to facilitate insertion
■ Compression Forged Method (C-F-M) makes the material break proof
■ expands and stabilizes the capsular bag
■ distributes the pressure to all zonular fibers and prevents one-sided pressure to single zonular fibers
■ centers the IOL more efficiently, even with subsequent capsular bag shrinkage
■ diminishes risk of capsular bag or zonular damage during the surgery
■ facilitates phacoemulsification, cortical aspiration and IOL implantation
■ replaces the need for a scleral IOL
■ simplifies IOL explantation
■ reduces folds of capsule
■ is a secure alternative to capsule supporting hooks
■ Compression Forged Method (C-F-M) makes the material break proof
*1 Other D. on request │ *2 Anterior Continuous Curvolinear Capsulorhexis │ *3 Gauge for Capsulorhexis
IMPLANTS FOR CHILDREN
Version: 2015-08/BAR
background of the bil
The bag-in-the-lens was initially designed and patented as “intraocular lens and method for preventing secondary opacification”.
US Patent Number 6,027,531 EP Patent Number 0916320A2
The clinical study on the bag-in-the-lens started in 2000 after approval by the ethical committee of the Antwerp University Hospital (1/47/136) and got the approval of the Belgian Social Security in 2004.
how to become bil-user
Those surgeons, who are interested in implanting the BIL, can become certified after having performed any of the following training:
1. Wetlab and Instructional Course at the Annual ESCRS meeting on PPCCC. This is a prerequisite requirement in order to partake at the wetlab with the following faculty members: Marie-José Tassignon, Robert Stegmann, Tobias Neuhann, Abhay Vasavada, Rupert Menapace
2. Observership at the Antwerp University Hospital, Department of Ophthalmology
Director Prof. Dr. Marie-José Tassignon
Faculty BIL users Prof. Dr. Marie-José Tassignon, Prof. Dr. Veva De Groot , Dr. Jan Van Looveren, Dr. Stefan Kiekens
Scientific coordinator Danny Mathysen ([email protected])
3. Observership at any centers with certified instructors (see list instructors http://www.morcher.com/produkte/bag-in-the-lens.html)
OPHTHALMIC IMPLANTS FOR CHILDREN
MORCHER® GmbH
Kapuzinerweg 12 70374 StuttgartGERMANY
Phone +49 (0) 711 / 95 320 - 0 E-Mail [email protected] +49 (0) 711 / 95 320 - 80 Web www.morcher.com
FOLDABLE HYDROPHILIC IOLS CAPSULAR RINGSSPECIAL PMMA IOLNo PCO!
BAG-IN-THE-LENS SERIES
TYPE 89A TYPE 89A TORIC TYPE 89D
Indication Adults / Children Adults / Children Children
Total Diameter 7.5 mm 7.5 mm 6.5 mm
Optic Diameter 5.0 mm 5.0 mm | toric 4.5 mm
Standard-Diopter-Range 10.0 – 30.0 D. (0.5 inc.) 10.0 – 30.0 D. (0.5 inc.) 10.0 – 30.0 D. (0.5 inc.)
On-Request-Range*1 8.5 – 9.5 D. (0.5 inc.)30.5 – 35.0 D. (0.5 inc.)
8.5 – 9.5 D. (0.5 inc.) 8.5 – 9.5 D. (0.5 inc.)30.5 – 35.0 D. (0.5 inc.)
Theoretical Standard Power 23.0 D. 23.0 D. 23.0 D.
Cylindrical Power - 0.5 – 8.0 D. (0.5 inc.) -
Theoretical A-Con. (optical) 118.2 118.2 118.2
Theoretical ACD (optical) 5.08 mm 5.08 mm 5.08 mm
Material Hydrophilic Acrylic
Water Content 28.0 %
Filter UV-Filter
Refractive Index 1.46
Injector (recommendation) Up to +20.0 diopters: Medicel NAVIJECTTM 2.2-1P (LP604425W) For all diopters: Medicel NAVIJECTTM 2.8-1P (LP604410W)
Recommended Caliper Ring*3 for ACCC*2
TYPE 5 TYPE 5 TYPE 4L
Feature No PCO in visual field!
Note Surgeons must partake in prerequiste course before implantation!
Advantages ■ experience in IOLs since 1990
■ MORCHER® material development and production
■ excellent optical properties due to high purity materials and perfect surface finish
■ slow and controlled unfolding in the capsular bag
■ hydrophilic property (absorbs water), hence better biocompatibility
■ excellent long-term stability
■ good YAG laster resistance (water content absorbs laser energy)
■ little adhesion of silicon oil after silicon oil surgery
■ no postoperative stimuli
■ no synechiae
■ no PCO (ideal IOL for diabetics)
■ full pupil range
■ no negativ Dysphotopsia
MICROPHTHALMUS
TYPE 27D
Total Diameter 12.0 mm
Optic Diameter 5.0 mm
Position Capsular Bag
Haptic C-Loop | 6°
Standard-Diopter-Range 10.0 – 30.0 D. (0.5 inc.)
On-Request-Range*1 5.0 – 9.5 D. (0.5 inc.)30.5 – 75.0 D. (0.5 inc.)
Theoretical Standard Power 22.0 D.
Theoretical A-Con. (optical) 118.7
Theoretical ACD (optical) 5.37 mm
Material PMMA (Compression molded)
Filter UV-Filter
Refractive Index 1.49
Incision > 5.0 mm
Advantages ■ experience in IOLs since 1949
■ excellent optical properties
■ excellent long-term stability
■ Compression Forged Method (C-F-M) makes the material break proof
CAPSULAR TENSION RING CIONNI RING FOR SCLERAL FIXATION
TYPE 13S TYPE 1S
Size (open) 10.5 mm 10.66 mm
Size (compressed) 9.0 mm 8.5 mm
Zonular Damage up to 4 hours (120°) > 4 hours (120°)
Bulbus Length < 24.0 mm < 24.0 mm
ACCC*2 - 6.0 mm
Suturable arms - one
Injector (recommendation) GEUDER G-32965 Cannot be implanted with an injector!
Material CLEAR PMMA (Compression molded)
Fixation - We recommend the use of 9-0 double armed Prolene sutures
with spatula needles
Advantages ■ expands and stabilizes the capsular bag
■ distributes the pressure to all zonular fibers and prevents one-sided pressure to single zonular fibers
■ centers the IOL more efficiently, even with subsequent capsular bag shrinkage
■ diminishes risk of capsular bag or zonular damage during the surgery
■ facilitates phacoemulsification, cortical aspiration and IOL implantation
■ replaces the need for a scleral IOL
■ simplifies IOL explantation
■ reduces folds of capsule
■ the capsular tension rings have eyelets at both ends to facilitate insertion
■ Compression Forged Method (C-F-M) makes the material break proof
■ expands and stabilizes the capsular bag
■ distributes the pressure to all zonular fibers and prevents one-sided pressure to single zonular fibers
■ centers the IOL more efficiently, even with subsequent capsular bag shrinkage
■ diminishes risk of capsular bag or zonular damage during the surgery
■ facilitates phacoemulsification, cortical aspiration and IOL implantation
■ replaces the need for a scleral IOL
■ simplifies IOL explantation
■ reduces folds of capsule
■ is a secure alternative to capsule supporting hooks
■ Compression Forged Method (C-F-M) makes the material break proof
*1 Other D. on request │ *2 Anterior Continuous Curvolinear Capsulorhexis │ *3 Gauge for Capsulorhexis
FOLDABLE HYDROPHILIC IOLS CAPSULAR RINGSSPECIAL PMMA IOLNo PCO!
BAG-IN-THE-LENS SERIES
TYPE 89A TYPE 89A TORIC TYPE 89D
Indication Adults / Children Adults / Children Children
Total Diameter 7.5 mm 7.5 mm 6.5 mm
Optic Diameter 5.0 mm 5.0 mm | toric 4.5 mm
Standard-Diopter-Range 10.0 – 30.0 D. (0.5 inc.) 10.0 – 30.0 D. (0.5 inc.) 10.0 – 30.0 D. (0.5 inc.)
On-Request-Range*1 8.5 – 9.5 D. (0.5 inc.)30.5 – 35.0 D. (0.5 inc.)
8.5 – 9.5 D. (0.5 inc.) 8.5 – 9.5 D. (0.5 inc.)30.5 – 35.0 D. (0.5 inc.)
Theoretical Standard Power 23.0 D. 23.0 D. 23.0 D.
Cylindrical Power - 0.5 – 8.0 D. (0.5 inc.) -
Theoretical A-Con. (optical) 118.2 118.2 118.2
Theoretical ACD (optical) 5.08 mm 5.08 mm 5.08 mm
Material Hydrophilic Acrylic
Water Content 28.0 %
Filter UV-Filter
Refractive Index 1.46
Injector (recommendation) Up to +20.0 diopters: Medicel NAVIJECTTM 2.2-1P (LP604425W) For all diopters: Medicel NAVIJECTTM 2.8-1P (LP604410W)
Recommended Caliper Ring*3 for ACCC*2
TYPE 5 TYPE 5 TYPE 4L
Feature No PCO in visual field!
Note Surgeons must partake in prerequiste course before implantation!
Advantages ■ experience in IOLs since 1990
■ MORCHER® material development and production
■ excellent optical properties due to high purity materials and perfect surface finish
■ slow and controlled unfolding in the capsular bag
■ hydrophilic property (absorbs water), hence better biocompatibility
■ excellent long-term stability
■ good YAG laster resistance (water content absorbs laser energy)
■ little adhesion of silicon oil after silicon oil surgery
■ no postoperative stimuli
■ no synechiae
■ no PCO (ideal IOL for diabetics)
■ full pupil range
■ no negativ Dysphotopsia
MICROPHTHALMUS
TYPE 27D
Total Diameter 12.0 mm
Optic Diameter 5.0 mm
Position Capsular Bag
Haptic C-Loop | 6°
Standard-Diopter-Range 10.0 – 30.0 D. (0.5 inc.)
On-Request-Range*1 5.0 – 9.5 D. (0.5 inc.)30.5 – 75.0 D. (0.5 inc.)
Theoretical Standard Power 22.0 D.
Theoretical A-Con. (optical) 118.7
Theoretical ACD (optical) 5.37 mm
Material PMMA (Compression molded)
Filter UV-Filter
Refractive Index 1.49
Incision > 5.0 mm
Advantages ■ experience in IOLs since 1949
■ excellent optical properties
■ excellent long-term stability
■ Compression Forged Method (C-F-M) makes the material break proof
CAPSULAR TENSION RING CIONNI RING FOR SCLERAL FIXATION
TYPE 13S TYPE 1S
Size (open) 10.5 mm 10.66 mm
Size (compressed) 9.0 mm 8.5 mm
Zonular Damage up to 4 hours (120°) > 4 hours (120°)
Bulbus Length < 24.0 mm < 24.0 mm
ACCC*2 - 6.0 mm
Suturable arms - one
Injector (recommendation) GEUDER G-32965 Cannot be implanted with an injector!
Material CLEAR PMMA (Compression molded)
Fixation - We recommend the use of 9-0 double armed Prolene sutures
with spatula needles
Advantages ■ expands and stabilizes the capsular bag
■ distributes the pressure to all zonular fibers and prevents one-sided pressure to single zonular fibers
■ centers the IOL more efficiently, even with subsequent capsular bag shrinkage
■ diminishes risk of capsular bag or zonular damage during the surgery
■ facilitates phacoemulsification, cortical aspiration and IOL implantation
■ replaces the need for a scleral IOL
■ simplifies IOL explantation
■ reduces folds of capsule
■ the capsular tension rings have eyelets at both ends to facilitate insertion
■ Compression Forged Method (C-F-M) makes the material break proof
■ expands and stabilizes the capsular bag
■ distributes the pressure to all zonular fibers and prevents one-sided pressure to single zonular fibers
■ centers the IOL more efficiently, even with subsequent capsular bag shrinkage
■ diminishes risk of capsular bag or zonular damage during the surgery
■ facilitates phacoemulsification, cortical aspiration and IOL implantation
■ replaces the need for a scleral IOL
■ simplifies IOL explantation
■ reduces folds of capsule
■ is a secure alternative to capsule supporting hooks
■ Compression Forged Method (C-F-M) makes the material break proof
*1 Other D. on request │ *2 Anterior Continuous Curvolinear Capsulorhexis │ *3 Gauge for Capsulorhexis
IMPLANTS FOR CHILDRENVersion: 2015-08
/BAR
background of the bil
The bag-in-the-lens was initially designed and patented as “intraocular lens and method for preventing secondary opacification”.
US Patent Number 6,027,531 EP Patent Number 0916320A2
The clinical study on the bag-in-the-lens started in 2000 after approval by the ethical committee of the Antwerp University Hospital (1/47/136) and got the approval of the Belgian Social Security in 2004.
how to become bil-user
Those surgeons, who are interested in implanting the BIL, can become certified after having performed any of the following training:
1. Wetlab and Instructional Course at the Annual ESCRS meeting on PPCCC. This is a prerequisite requirement in order to partake at the wetlab with the following faculty members: Marie-José Tassignon, Robert Stegmann, Tobias Neuhann, Abhay Vasavada, Rupert Menapace
2. Observership at the Antwerp University Hospital, Department of Ophthalmology
Director Prof. Dr. Marie-José Tassignon
Faculty BIL users Prof. Dr. Marie-José Tassignon, Prof. Dr. Veva De Groot , Dr. Jan Van Looveren, Dr. Stefan Kiekens
Scientific coordinator Danny Mathysen ([email protected])
3. Observership at any centers with certified instructors (see list instructors http://www.morcher.com/produkte/bag-in-the-lens.html)
OPHTHALMIC IMPLANTS FOR CHILDREN
MORCHER® GmbH
Kapuzinerweg 12 70374 StuttgartGERMANY
Phone +49 (0) 711 / 95 320 - 0 E-Mail [email protected] +49 (0) 711 / 95 320 - 80 Web www.morcher.com