ophthalmic implants for children

IMPLANTS FOR CHILDREN
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.
OPHTHALMIC IMPLANTS
FOR CHILDREN
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)
MORCHER® GmbH
Phone +49 (0) 711 / 95 320 - 0
Fax +49 (0) 711 / 95 320 - 80
E-Mail [email protected]
Web
www.morcher.com
Version: 2015-08 / BAR
Kapuzinerweg 12
70374 Stuttgart
GERMANY
CO!
P
o
N
FOLDABLE HYDROPHILIC IOLS
SPECIAL PMMA IOL
BAG-IN-THE-LENS SERIES
Indication
CAPSULAR RINGS
MICROPHTHALMUS
CAPSULAR TENSION RING
TYPE 27D
TYPE 89A
TYPE 89A TORIC
TYPE 89D
Adults / Children
Adults / Children
Children
Total Diameter
12.0 mm
Size (open)
5.0 mm
Size (compressed)
Total Diameter
7.5 mm
7.5 mm
6.5 mm
Optic Diameter
Optic Diameter
5.0 mm
5.0 mm | toric
4.5 mm
Position
10.0 – 30.0 D. (0.5 inc.)
10.0 – 30.0 D. (0.5 inc.)
10.0 – 30.0 D. (0.5 inc.)
Haptic
8.5 – 9.5 D. (0.5 inc.)
30.5 – 35.0 D. (0.5 inc.)
Standard-Diopter-Range
10.0 – 30.0 D. (0.5 inc.)
ACCC*2
On-Request-Range*
5.0 – 9.5 D. (0.5 inc.)
30.5 – 75.0 D. (0.5 inc.)
Suturable arms
Standard-Diopter-Range
On-Request-Range*
1
Theoretical Standard Power
Cylindrical Power
Theoretical A-Con. (optical)
Theoretical ACD (optical)
8.5 – 9.5 D. (0.5 inc.)
23.0 D.
23.0 D.
23.0 D.
-
0.5 – 8.0 D. (0.5 inc.)
-
Theoretical Standard Power
22.0 D.
118.2
118.2
118.2
Theoretical A-Con. (optical)
118.7
5.08 mm
5.08 mm
5.08 mm
Filter
28.0 %
Filter
Refractive Index
UV-Filter
Refractive Index
Incision
1.46
Up to +20.0 diopters: Medicel NAVIJECT TM 2.2-1P (LP604425W)
For all diopters: Medicel NAVIJECT TM 2.8-1P (LP604410W)
Injector (recommendation)
TYPE 5
TYPE 5
Feature
No PCO in visual field!
Note
Surgeons must partake in prerequiste course before implantation!
Advantages
TYPE 4L
1
Theoretical ACD (optical)
Material
Hydrophilic Acrylic
Water Content
Advantages
C-Loop | 6°
8.5 – 9.5 D. (0.5 inc.)
30.5 – 35.0 D. (0.5 inc.)
Material
Recommended
Caliper Ring*3 for ACCC*2
Capsular Bag
5.37 mm
Zonular Damage
Bulbus Length
Injector (recommendation)
TYPE 13S
TYPE 1S
10.5 mm
10.66 mm
9.0 mm
8.5 mm
up to 4 hours (120°)
> 4 hours (120°)
< 24.0 mm
< 24.0 mm
-
6.0 mm
-
one
GEUDER G-32965
Material
Fixation
Cannot be implanted with an injector!
CLEAR PMMA (Compression molded)
-
PMMA (Compression molded)
UV-Filter
CIONNI RING FOR SCLERAL FIXATION
We recommend the use of 9-0 double armed Prolene
sutures
with spatula needles
■ expands and stabilizes the capsular bag
■ expands and stabilizes the capsular bag
■ distributes the pressure to all zonular fibers and prevents one-sided pressure to single zonular fibers
■ 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
■ centers the IOL more efficiently, even with
subsequent capsular bag shrinkage
■ excellent long-term stability
■ diminishes risk of capsular bag or zonular damage during the surgery
■ diminishes risk of capsular bag or zonular damage during the surgery
■ Compression Forged Method (C-F-M) makes the material break proof
■ facilitates phacoemulsification, cortical aspiration and IOL implantation
■ facilitates phacoemulsification, cortical aspiration and IOL implantation
1.49
> 5.0 mm
■ experience in IOLs since 1949
■ excellent optical properties
Advantages
■ replaces the need for a scleral IOL
■ replaces the need for a scleral IOL
■ experience in IOLs since 1990
■ simplifies IOL explantation
■ simplifies IOL explantation
■ MORCHER® material development and production
■ reduces folds of capsule
■ reduces folds of capsule
■ excellent optical properties due to high purity materials and perfect surface finish
■ the capsular tension rings have eyelets at both ends to facilitate insertion
■ is a secure alternative to capsule
supporting hooks
■ Compression Forged Method (C-F-M) makes the material break proof
■ Compression Forged Method (C-F-M) makes the material break proof
■ 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
*1 Other D. on request │ *2 Anterior Continuous Curvolinear Capsulorhexis │ *3 Gauge for Capsulorhexis
IMPLANTS FOR CHILDREN
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.
OPHTHALMIC IMPLANTS
FOR CHILDREN
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)
MORCHER® GmbH
Phone +49 (0) 711 / 95 320 - 0
Fax +49 (0) 711 / 95 320 - 80
E-Mail [email protected]
Web
www.morcher.com
Version: 2015-08 / BAR
Kapuzinerweg 12
70374 Stuttgart
GERMANY
CO!
P
o
N
FOLDABLE HYDROPHILIC IOLS
SPECIAL PMMA IOL
BAG-IN-THE-LENS SERIES
Indication
CAPSULAR RINGS
MICROPHTHALMUS
CAPSULAR TENSION RING
TYPE 27D
TYPE 89A
TYPE 89A TORIC
TYPE 89D
Adults / Children
Adults / Children
Children
Total Diameter
12.0 mm
Size (open)
5.0 mm
Size (compressed)
Total Diameter
7.5 mm
7.5 mm
6.5 mm
Optic Diameter
Optic Diameter
5.0 mm
5.0 mm | toric
4.5 mm
Position
10.0 – 30.0 D. (0.5 inc.)
10.0 – 30.0 D. (0.5 inc.)
10.0 – 30.0 D. (0.5 inc.)
Haptic
8.5 – 9.5 D. (0.5 inc.)
30.5 – 35.0 D. (0.5 inc.)
Standard-Diopter-Range
10.0 – 30.0 D. (0.5 inc.)
ACCC*2
On-Request-Range*
5.0 – 9.5 D. (0.5 inc.)
30.5 – 75.0 D. (0.5 inc.)
Suturable arms
Standard-Diopter-Range
On-Request-Range*
1
Theoretical Standard Power
Cylindrical Power
Theoretical A-Con. (optical)
Theoretical ACD (optical)
8.5 – 9.5 D. (0.5 inc.)
23.0 D.
23.0 D.
23.0 D.
-
0.5 – 8.0 D. (0.5 inc.)
-
Theoretical Standard Power
22.0 D.
118.2
118.2
118.2
Theoretical A-Con. (optical)
118.7
5.08 mm
5.08 mm
5.08 mm
Filter
28.0 %
Filter
Refractive Index
UV-Filter
Refractive Index
Incision
1.46
Up to +20.0 diopters: Medicel NAVIJECT TM 2.2-1P (LP604425W)
For all diopters: Medicel NAVIJECT TM 2.8-1P (LP604410W)
Injector (recommendation)
TYPE 5
TYPE 5
Feature
No PCO in visual field!
Note
Surgeons must partake in prerequiste course before implantation!
Advantages
TYPE 4L
1
Theoretical ACD (optical)
Material
Hydrophilic Acrylic
Water Content
Advantages
C-Loop | 6°
8.5 – 9.5 D. (0.5 inc.)
30.5 – 35.0 D. (0.5 inc.)
Material
Recommended
Caliper Ring*3 for ACCC*2
Capsular Bag
5.37 mm
Zonular Damage
Bulbus Length
Injector (recommendation)
TYPE 13S
TYPE 1S
10.5 mm
10.66 mm
9.0 mm
8.5 mm
up to 4 hours (120°)
> 4 hours (120°)
< 24.0 mm
< 24.0 mm
-
6.0 mm
-
one
GEUDER G-32965
Material
Fixation
Cannot be implanted with an injector!
CLEAR PMMA (Compression molded)
-
PMMA (Compression molded)
UV-Filter
CIONNI RING FOR SCLERAL FIXATION
We recommend the use of 9-0 double armed Prolene
sutures
with spatula needles
■ expands and stabilizes the capsular bag
■ expands and stabilizes the capsular bag
■ distributes the pressure to all zonular fibers and prevents one-sided pressure to single zonular fibers
■ 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
■ centers the IOL more efficiently, even with
subsequent capsular bag shrinkage
■ excellent long-term stability
■ diminishes risk of capsular bag or zonular damage during the surgery
■ diminishes risk of capsular bag or zonular damage during the surgery
■ Compression Forged Method (C-F-M) makes the material break proof
■ facilitates phacoemulsification, cortical aspiration and IOL implantation
■ facilitates phacoemulsification, cortical aspiration and IOL implantation
1.49
> 5.0 mm
■ experience in IOLs since 1949
■ excellent optical properties
Advantages
■ replaces the need for a scleral IOL
■ replaces the need for a scleral IOL
■ experience in IOLs since 1990
■ simplifies IOL explantation
■ simplifies IOL explantation
■ MORCHER® material development and production
■ reduces folds of capsule
■ reduces folds of capsule
■ excellent optical properties due to high purity materials and perfect surface finish
■ the capsular tension rings have eyelets at both ends to facilitate insertion
■ is a secure alternative to capsule
supporting hooks
■ Compression Forged Method (C-F-M) makes the material break proof
■ Compression Forged Method (C-F-M) makes the material break proof
■ 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
*1 Other D. on request │ *2 Anterior Continuous Curvolinear Capsulorhexis │ *3 Gauge for Capsulorhexis
CO!
P
o
N
FOLDABLE HYDROPHILIC IOLS
SPECIAL PMMA IOL
BAG-IN-THE-LENS SERIES
Indication
CAPSULAR RINGS
MICROPHTHALMUS
CAPSULAR TENSION RING
TYPE 27D
TYPE 89A
TYPE 89A TORIC
TYPE 89D
Adults / Children
Adults / Children
Children
Total Diameter
12.0 mm
Size (open)
5.0 mm
Size (compressed)
Total Diameter
7.5 mm
7.5 mm
6.5 mm
Optic Diameter
Optic Diameter
5.0 mm
5.0 mm | toric
4.5 mm
Position
10.0 – 30.0 D. (0.5 inc.)
10.0 – 30.0 D. (0.5 inc.)
10.0 – 30.0 D. (0.5 inc.)
Haptic
8.5 – 9.5 D. (0.5 inc.)
30.5 – 35.0 D. (0.5 inc.)
Standard-Diopter-Range
10.0 – 30.0 D. (0.5 inc.)
ACCC*2
On-Request-Range*
5.0 – 9.5 D. (0.5 inc.)
30.5 – 75.0 D. (0.5 inc.)
Suturable arms
Standard-Diopter-Range
On-Request-Range*
1
Theoretical Standard Power
Cylindrical Power
Theoretical A-Con. (optical)
Theoretical ACD (optical)
8.5 – 9.5 D. (0.5 inc.)
23.0 D.
23.0 D.
23.0 D.
-
0.5 – 8.0 D. (0.5 inc.)
-
Theoretical Standard Power
22.0 D.
118.2
118.2
118.2
Theoretical A-Con. (optical)
118.7
5.08 mm
5.08 mm
5.08 mm
Filter
28.0 %
Filter
Refractive Index
UV-Filter
Refractive Index
Incision
1.46
Up to +20.0 diopters: Medicel NAVIJECT TM 2.2-1P (LP604425W)
For all diopters: Medicel NAVIJECT TM 2.8-1P (LP604410W)
Injector (recommendation)
TYPE 5
TYPE 5
Feature
No PCO in visual field!
Note
Surgeons must partake in prerequiste course before implantation!
Advantages
TYPE 4L
1
Theoretical ACD (optical)
Material
Hydrophilic Acrylic
Water Content
Advantages
C-Loop | 6°
8.5 – 9.5 D. (0.5 inc.)
30.5 – 35.0 D. (0.5 inc.)
Material
Recommended
Caliper Ring*3 for ACCC*2
Capsular Bag
5.37 mm
Zonular Damage
Bulbus Length
Injector (recommendation)
TYPE 13S
TYPE 1S
10.5 mm
10.66 mm
9.0 mm
8.5 mm
up to 4 hours (120°)
> 4 hours (120°)
< 24.0 mm
< 24.0 mm
-
6.0 mm
-
one
GEUDER G-32965
Material
Fixation
Cannot be implanted with an injector!
CLEAR PMMA (Compression molded)
-
PMMA (Compression molded)
UV-Filter
CIONNI RING FOR SCLERAL FIXATION
We recommend the use of 9-0 double armed Prolene
sutures
with spatula needles
■ expands and stabilizes the capsular bag
■ expands and stabilizes the capsular bag
■ distributes the pressure to all zonular fibers and prevents one-sided pressure to single zonular fibers
■ 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
■ centers the IOL more efficiently, even with
subsequent capsular bag shrinkage
■ excellent long-term stability
■ diminishes risk of capsular bag or zonular damage during the surgery
■ diminishes risk of capsular bag or zonular damage during the surgery
■ Compression Forged Method (C-F-M) makes the material break proof
■ facilitates phacoemulsification, cortical aspiration and IOL implantation
■ facilitates phacoemulsification, cortical aspiration and IOL implantation
1.49
> 5.0 mm
■ experience in IOLs since 1949
■ excellent optical properties
Advantages
■ replaces the need for a scleral IOL
■ replaces the need for a scleral IOL
■ experience in IOLs since 1990
■ simplifies IOL explantation
■ simplifies IOL explantation
■ MORCHER® material development and production
■ reduces folds of capsule
■ reduces folds of capsule
■ excellent optical properties due to high purity materials and perfect surface finish
■ the capsular tension rings have eyelets at both ends to facilitate insertion
■ is a secure alternative to capsule
supporting hooks
■ Compression Forged Method (C-F-M) makes the material break proof
■ Compression Forged Method (C-F-M) makes the material break proof
■ 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
*1 Other D. on request │ *2 Anterior Continuous Curvolinear Capsulorhexis │ *3 Gauge for Capsulorhexis
IMPLANTS FOR CHILDREN
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.
OPHTHALMIC IMPLANTS
FOR CHILDREN
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)
MORCHER® GmbH
Phone +49 (0) 711 / 95 320 - 0
Fax +49 (0) 711 / 95 320 - 80
E-Mail [email protected]
Web
www.morcher.com
Version: 2015-08 / BAR
Kapuzinerweg 12
70374 Stuttgart
GERMANY