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IOL fixed to the capsulotomy!

Gerd Auffarth Gerd Auffarth Follow Feb 27, 2021 · 2 mins read
IOL fixed to the capsulotomy!
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Heidelberg, 28 February 2021.
Is fixation of the IOL-Optic to the capsulotomy made by Femtosecond-Laser the future of modern IOL-Fixation? We found it produced less decentration, less tilt, less rotation. We have shared the data of the European Multicenter Trial in our open access publication in The American Journal of Ophthalmology.

Our Evaluation

We set out to evaluate stability and performance of a new monofocal anterior capsulotomy–fixated intraocular lens (IOL) (FEMTIS; Teleon Surgical B.V., Spankeren, Netherlands) after femtosecond laser–assisted cataract surgery (FLACS).


Prospective, multicenter, interventional, noncomparative case series.

Our Methods

FLACS with FEMTIS IOL was performed in 336 eyes of 183 cataract patients with fixation of the IOL to the anterior capsulotomy followed up for 12 months. Examination included uncorrected distance visual acuity (UDVA), best-corrected visual acuity (CDVA), subjective refraction, IOL centration, posterior capsule opacification (PCO), and investigators’ satisfaction questionnaire.

Our Results

At 12 months, mean IOL rotation was 1.50 ± 1.76 degrees and decentration 0.14 ± 0.14 mm from baseline (day of surgery). Mean horizontal IOL tilt was 0.70 ± 0.60 degrees and vertical 1.15 ± 1.06 degrees relative to the baseline (crystalline lens). Mean distance between IOL and iris was 0.32 mm to 0.36 mm for all measured meridians. Mean UDVA was 0.12 ± 0.14 logMAR (range -0.20 to 0.54 logMAR), mean CDVA -0.01 ± 0.09 logMAR (range -0.30 to 0.20 logMAR). Mean spherical equivalent was 0.35 ± 0.53 diopter (D) and 98% of eyes (n = 235) were within ±1.0 D. Median PCO score was 1 with an Nd:YAG laser rate of 3.1% after 12 months. Most surgeons were very satisfied (median score: 1) with surgery and implanted IOL.

Our Conclusions

Implantation of FEMTIS IOL provided excellent visual and stable refractive outcomes. IOL decentration was very low compared to other published studies and showed an exceptional high in-the-bag stability over a 12-month period. This lens benefits from femtosecond laser capsulotomies. It can be positioned very predictably and offers an optimal platform for toric and multifocal IOL optics.

Download our paper

The open access link is open for everyone until April 17th.

Auffarth G U, Friedmann E, Breyer D, Kaymak H, Holland D, Dick H B, Petzold A, Shah S, Salva Ladaria L, Anderson Garcia S, Khoramnia, R Stability and Visual Outcomes of the Capsulotomy-Fixated FEMTIS-IOL After Automated Femtosecond Laser–Assisted Anterior Capsulotomy, American Journal of Ophthalmology, Volume 225, 2021, Pages 27-37.
Gerd Auffarth
Written by Gerd Auffarth Follow
Prof. Dr. med. Gerd U. Auffarth MD, FEBO is the Head of the Laboratory, Eye Department Chairman and Director of The David J Apple Center for Vision Research.