The most common method of sizing an ACIOL is by determining the white-to-white (WTW) diameter and adding 1mm; however, these estimations of angle position vary in accuracy depending on the anatomy of the patient.

Jul 5, 2016 · Determine the AC IOL diameter: Measure the limbal white to white (WTW) diameter on the axis of IOL placement. Add 1 mm to the WTW and use the AC IOL length closest to this result. For example, if the scleral tunnel will be placed temporally, measure the horizontal white-to-white corneal diameter.

ACIOL-Kelman Multiflex design • The “newer” KelmanMultiflexdesign has overcome most of the flaws of earlier designs – Open Loop design – Flexible haptics – Anterior vaulting (0.5 mm) • Reduces Pupil block • Reduces Iris chaffing and Uveitis • If properly implanted, results of KelmanMultiflex lens have been very good

Jul 28, 2021 · Anterior chamber IOLs (AC IOLs) are not often used, but there will be a time where just about every cataract surgeon will need to implant one. We have previously explained the correct orientation of AC IOLs in this post and today’s video will serve as a refresher.

Jul 29, 2021 · The physical sizing of the AC IOL is done by measuring the horizontal white-to-white and then adding 0.5 mm. The previous video featured here explained the IOL calculations and the proper orientation.

Apr 2, 2024 · White-to-white measurements become particularly important when an anterior chamber IOL (ACIOL) or an implantable collamer lens (ICL) will be planned for use. Breakdown of biometry in IOL power calculations

Oct 2, 2022 · Using the Orbscan WTW and ACD, the desired vault of 0.25 to 0.75 mm and 0.25 to 1.00 mm was achieved in 70% and 91% of eyes, respectively. Substituting caliper WTW to IOLMaster 700 or Pentacam AXL WTW increases the percentage of achieving the desired vault to 80%, similar to the Orbscan.

Nov 4, 2024 · An anterior chamber intraocular lens (ACIOL) is a type of lens implanted in the eye to replace the natural lens and correct vision. The benefits of ACIOLs include improved vision, reduced risk of complications, and suitability for patients with certain eye conditions.

A white-to-white measurement (WTW), measured using the IOL master (Zeiss, Oberkochen, Germany), was recorded in the notes for 165 patients and the average difference between ACIOL length and WTW measurement was 0.98 mm (SD 0.5).

Describe/demonstrate the technique for placement of ACIOL; Describe how to size the ACIOL to place; Describe indications and relative contraindications for ACIOL placement