Intraocular lens & ac stabIlIsatIon...1 Intraocular lens 3 & ac stabIlIsatIon Rayner has been at the...

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1Intraocular lens & ac stabIlIsatIon

22rayner Iols aspheric, toric, Multifocal, Multifocal toric & sulcoflex Intraocular lenses In 1948, Mr Harold Ridley, consultant ophthalmologist at St Thomas’ Hospital and Moorfields Hospital, London, together with John Pike of the Rayner Company met privately to discuss a new project. Ridley called this project the ‘artificial lenticulus project’ and asked Pike for Rayner’s help in the design and manufacture of an implantable lens. Perspex was chosen as the preferred material for its good optical properties and because it had been shown to be inert within body tissues. On the 29th of November 1949 at St Thomas’ Hospital, Ridley performed the first IOL operation on the eye of a 45-year-old female patient. The operation was done in two stages with the artificial lens permanently implanted three months later. With the help of prominent ophthalmic surgeons from around the world, Rayner has continued to innovate and manufacture new IOL designs. New materials, lens packaging and delivery injector systems offer improved ease of use, reduced need for manipulation and better post-operative results. Today, Rayner lenses are used globally, including some of the poorest countries on earth. Rayner remains inspired by Ridley’s original decision, taken with John Pike, to make the IOL widely available to all of humanity.

1 Intraocular lens & ac stabIlIsatIon

Ridley presented his first paper on IOLs at the Oxford Congress in England on 9 July. The reaction from his professional colleagues was hostile.

1951

Rayner introduced the Choyce MkI, Peter Choyce’s modification of Strampelli’s anterior chamber lens design.

1956

Rayner began work with Strampelli, Epstein, Joaquin Barraquer, and Dannheim on their designs of posterior and anterior chamber lenses.First refractive IOL for high myopia introduced.

1952 - 1958

Work began with Binkhorst on his four-loop iris fixation design. Fyodorov’s modification and Binkhorst’s two-loop design followed

1962

The pioneering surgeons formed the Intraocular Implant Club (IIC) with Ridley and Pike.

1966

The first, modern, posterior chamber lens design was developed with John L. Pearce. An agreement with Coburn allowed USA to manufacture lenses.

1975

Choyce MkVIII and MkVIX anterior chamber designs became the first lenses to be approved by FDA.

1979Rayner moves to new custom built laboratory in Hove, East Sussex. All Rayner products receive CE mark authorisation

1986 - 1999

Harold Ridley, together with John Pike of Rayner and John Holt of ICI, designed the first IOL.

1949

In 1910, J B Reiner and C D Keeler founded the Rayner Company in London, England, manufacturing spectacles.

1910


Rayner has been at the forefront of advances in IOL design that have involved the application of wavefront technology to improve optical efficiency and visual function. The ability to measure Higher Order Aberrations has led to a better understanding of the eye as an optical system and the development of a new category of IOLs – aspherics – which are capable of providing an excellent quality of vision. Rayner IOLs are manufactured with AVH Technology for centration and stability and the Amon-Apple enhanced square edge for reduced PCO.

raYner c-flex® advance Preloaded aspheric Preloaded Iol systemThe C-flex Advance Aspheric (ADV970) is Rayner’s first preloaded IOL delivery system. C-flex Advance Aspheric offers the monofocal cataract surgeon the reassurance of a minimal touch delivery system, via a mini incision, and combines the benefits and superior, clinically proven patient outcomes of the aberration neutral C-flex Aspheric IOL.The C-flex Advance Aspheric provides simple and controlled IOL delivery by a single-handed technique. The IOL can be delivered through a 2.2mm clear corneal wound mini incision or a 2.4mm clear corneal incision direct into the capsular bag.

raYner c-flex 970c aspheric single-piece hydrophilic acrylic intraocular lens The Rayner C-flex range of hydrophilic acrylic injectable IOLs feature increased depth of field compared with designs corrected for corneal spherical aberration, such as negative aberration designs. Increased contrast sensitivity and increased functional visual acuity.

raYner superflex 920H aspheric

single-piece hydrophilic acrylic intraocular lens The Rayner Superflex range combines all the features of the C-flex platform with a larger optic and a lower range of powers.

C-flex 970C

Superflex 920H

Model super-flex 920HSpecification AsphericMaterial Rayacryl™ hydrophilic acrylic co-polymerOptics diameter 6.25mmOverall length 12.5mmPower range -10.0D to +22.0D (in 0.5D increments)Estimated A-constant 118.0IOL Master Constant 118.5

Model c-flex 970cSpecification AsphericMaterial Rayacryl™ hydrophilic acrylic co-polymerOptics diameter 5.75mmOverall length 12.0mmPower range +22.5D to +29.5D (in 0.5D increments)

+30.0D to +34.0D (in 1.0D increments)Estimated A-constant 118.0IOL Master Constant 118.5

KeY Features:

•Increaseddepthoffieldcompared with other designs

• PatentedAVHTechnology® for perfect centration and stability

•UniqueAmon-AppleEnhancedSquareEdgefor reduced PCO

•ManufacturedfromRayacryl® hydrophilic acrylic co-polymer for: - High biocompatibility - Low PCO - Optical purity – no vacuoles or glistenings - Low Silicone Oil adherence - Superb handling characteristics.

C-flex® Advance AsphericMini Incision Preloaded IOL Injection System

C-flex Advance

24raYner t-flex 573t/623t toric aspheric single-piece hydrophilic acrylic intraocular lens Rayner T-flex® Toric IOLs (573T and 623T) are a superior alternative to toric IOLs with a restricted range of torus and offer a precise, superior alternative to incisional keratotomy and Limbal Relaxing Incisions (LRIs) for the treatment of pre-existing corneal astigmatism.

Model t-flex 573t t-flex 623tSpecification ToricMaterial Rayacryl™ hydrophilic acrylic co-polymerOptics diameter 5.75mm 6.25mmOverall length 12.0mm 12.5mmPower range Spheres: +6.0D to +30.0D in 0.5D increments

Cylinders: +1.0D to +6.0D in 0.5D incrementsAlternative Toric powers also available within the range:Spheres: -10.0D to +35.0D maximum (sphere + cylinder) in 0.5D incrementsCylinders: +1.0D to +11.0D in 0.5D increments.

Estimated A-constant 118.0IOL Master Constant 118.5

KeY Features:

• ExceptionalrotationalstabilityAccurate, predictable and sustainable visual outcome with superior astigmatic correction

• PatentedAVHTechnology® for perfect centration, anterior / posterior and torsional stability


•Goodrangeofsphericalandcylindricalcorrectionavailable.


T-flex 573T/623T

Online Premium IOL CalculatorFor the Rayner T-flex® Toric, M-flex® T Multifocal Toric and Sulcoflex® Toric IOLsRayner’s new Raytrace® system offers surgeons an online IOL power calculator which is quick and easy to use, providing clear and accurate power recommendations for Rayner’s complete range of premium lenses.

http://www.rayner.com/raytrace

Quick and easy power calculations• Openaccesswithnologinrequired• Clearandintuitiveuserinterface• Biometry;includingSIAandincision

locationClear and accurate results• IOLpowerrecommendationswith

estimated• post-operativeoutcomes• PrintoptionsincludingTheatreView

Complete all-in-one calculatorAccessallofRayner’sPremiumIOLS• T-flex®AsphericToric• M-flex® Multifocal&M-flex®T

MultifocalToric• Sulcoflex® Pseudophakic

SupplementaryIOLs

Join the Raytrace® Club and register for a Raytrace login to access even more functions.


ContactDFVforUsernameandpassword

5raYner M-flex 580F/630F Multifocal single-piece hydrophilic acrylic intraocular lens Rayner M-flex® Multifocal IOLs are based on a multi-zoned refractive aspheric optic technology, with either 4 or 5 annular zones (depending on IOL base power). M-flex provide a degree of pseudoaccommodation, lessening the need for additional correction by spectacles or contact lenses.

Model M-flex 580F M-flex 630FSpecification MultifocalMaterial Rayacryl™ hydrophilic acrylic co-polymerOptics diameter 5.75mm 6.25mmOverall length 12.0mm 12.5mmPower range (+4D Far dominant)

+25.5D to +30.0D in 0.5D increments

(+3D Far dominant)+14.0D to +25.0D in 1.0D increments+18.5D to +23.5D in 0.5D increments (+4D Far dominant)+10.0D to + 25.0D in 0.5D increments


KeY Features:

• Reducedincidenceofhaloandglare

• Superiorcontrastsensitivity

• TheonlymultifocalIOLwiththebenefitsofpatentedAVHtechnology® for perfect centration, anterior/posterior and torsional stability



M-flex 580F/630F


Model M-flext 588F M-flext 638FSpecification Multifocal ToricMaterial Rayacryl™ hydrophilic acrylic co-polymerOptics diameter 5.75mm 6.25mmOverall length 12.0mm 12.5mmPower range: Standard

Premium

Spherical equivalent: +14.0D to +32.0D in 0.5D incrementsCylinder: 2.0D Addition: +3.0D & +4.0DSpherical equivalent: +14.0D to +32.0D in 0.5D incrementsCylinder: 1.0D to 1.5D and 2.5D to 6.0D in 0.5D incrementsAddition: +3.0D or +4.0D


raYner M-flext 588F/638F Multifocal toric single-piece hydrophilic acrylic intraocular lens With Rayner M-flex® T Multifocal Toric IOLs, the combination of multifocal and toric optical components allows the potential benefit of reduced spectacle dependence to be extended to patients with significant corneal astigmatism.

KeY Features:

• Exceptionalrotationalstability

• Reducedincidenceofhaloandglare

• Superiorcontrastsensitivity

• PatentedAVHTechnology®

•UniqueAmon-AppleEnhancedSquareEdge

•Goodrangeofsphericalandcylindricalcorrectionavailable.

•ManufacturedfromRayacryl®

M-flexT 588F/638F

26raYner sulcoflex 653l aspheric single-piece hydrophilic acrylic pseudophakic supplementary Iol Rayner Sulcoflex® Pseudophakic Supplementary IOLs are designed to correct post-surgical or residual ametropia, without the trauma or increased surgical risk of an IOL exchange.

Model sulcoflex 635l Specification Pseudophakic Supplementary IOLMaterial Rayacryl™ hydrophilic acrylic co-polymerOptics diameter 6.5mmOverall length 14mmHaptic angulation 10ºOptic configuration Anterior Convex, Posterior ConcavePower range Standard range

Premium range* (* Manufactured specifically to order)

-5.0D to +5.0D in 0.5D increments

-10.0D to -5.5D in 0.5D increments*+5.5D to +10.0D in 0.5D increments*

KeY Features:• Uniquedesignreducespotentialforcontactbetweenimplants

• Largeopticdiameterreduces risk of optic-iris capture

• Roundopticedgecontributes to low rates of dysphotopsia

• largediameter“undulating”haptics for IOL centration & rotational stability


Sulcoflex 653L

Sulcoflex 653F

raYner sulcoflex 653F Multifocal single-piece hydrophilic acrylic pseudophakic supplementary Iol

Model sulcoflex 635FSpecification Pseudophakic Supplementary IOLMaterial Rayacryl™ hydrophilic acrylic co-polymerOptics diameter 6.5mmOverall length 14mmHaptic angulation 10ºOptic configuration Anterior Convex, Posterior ConcaveNear Addition +3.5DPower range Standard range Premium range

-3.0D to +3.0D in 0.5D increments with +3.5D add. -7.0D to -3.5D and +3.5D to +7.0D in 0.5D increments


7raYner sulcoflex 653t toric single-piece hydrophilic acrylic pseudophakic supplementary Iol

Model sulcoflex 635tSpecification Pseudophakic Supplementary IOLMaterial Rayacryl™ hydrophilic acrylic co-polymerOptics diameter 6.5mmOverall length 14mmHaptic angulation 10ºOptic configuration Anterior Convex, Posterior ConcavePower range: Standard Premium ( Made to order)

Spherical Equivalent: –3.0 D +3.0 D in 0.5 D increments, Cylinder +1.0 D, +2.0 D, +3.0 D

Spherical Equivalent: –7.0 D to +7.0 D in 0.5 D increments, Cylinder: +1.0 D to +6.0 D in 0.5 D increments.

Sulcoflex 653T

raYner sulcoflex 653Z Multifocal toric single-piece hydrophilic acrylic pseudophakic supplementary Iol

Model sulcoflex 635ZSpecification Pseudophakic Supplementary IOLMaterial Rayacryl™ hydrophilic acrylic co-polymerOptics diameter 6.5mmOverall length 14mmHaptic angulation 10ºOptic configuration Anterior Convex, Posterior ConcaveNear Addition +3.5DPower range: Standard Premium ( Made to order)

Spherical Equivalent: –3.0 D +3.0 D in 0.5 D increments, Cylinder +1.0 D, +2.0 D, +3.0 D

Spherical Equivalent: –7.0 D to +7.0 D in 0.5 D increments, Cylinder: +1.0 D to +6.0 D in 0.5 D increments.

Sulcoflex 653Z


28HoYa Iols Pre-loaded aspheric, toric, Multifocal Intraocular lenses For more than 65 years, Hoya corporation has been deeply committed to the development of superior precision optics. HOYA provide ophthalmologists with advanced products and services to help deliver optimal visual results to patients. The HOYA Group leverages optics research from diverse industries, encompassing expertise in electro-optics, photonics, vision care, healthcare and aerospace:• Over 60 consolidated subsidiaries• 4 affiliated companies• 28 countries and regions• More than US$5Billion in annual revenue

“For I dipped into the future,

Far as tHe HuMan eYe could see,

sawavisionoftheworld,

andthewonderthatwouldbe.”

– alfred lord tennyson

1941

HOYA Founded - Japan’s first specialty optical glass manufacturer

Progressive multifocalspectacle lens launched

Soft contact lensesintroduced

Production of Mask blank substrates for

IC semiconductor chips.Introduction of online

eyeglass lens ordering system.

HOYA Lens Australiaestablished

Intraocular (IOL) and aspherical moulded

glass lens debut

Development of yellow-tinted IOL begins

Three piece yellow-tintedPMMA IOL unveiled

One-piece yellow-tintedPMMA IOL launched

HOYA expands lensprocessing operations

in U.S.A.

Manufacturing of softintraocular lens begins

One-piece acrylic IOLlaunched in Europe

after receiving CE mark

iSert launches in Australia & New Zealand

HOYA and Pentaxmerge

One-piece acrylic IOLlaunched in the U.S. afterFDA approval

1972 1975 1988 1994 2001 2007 2009

1967 1974 1987 1991 2000 2003 2008

1941

HOYA Founded - Japan’s first specialty optical glass manufacturer

Progressive multifocalspectacle lens launched

Soft contact lensesintroduced

Production of Mask blank substrates for

IC semiconductor chips.Introduction of online

eyeglass lens ordering system.

HOYA Lens Australiaestablished

Intraocular (IOL) and aspherical moulded

glass lens debut

Development of yellow-tinted IOL begins

Three piece yellow-tintedPMMA IOL unveiled

One-piece yellow-tintedPMMA IOL launched

HOYA expands lensprocessing operations

in U.S.A.

Manufacturing of softintraocular lens begins

One-piece acrylic IOLlaunched in Europe

after receiving CE mark

iSert launches in Australia & New Zealand

HOYA and Pentaxmerge

One-piece acrylic IOLlaunched in the U.S. afterFDA approval

1972 1975 1988 1994 2001 2007 2009

1967 1974 1987 1991 2000 2003 2008


9HOYA VivinexiSertModelXY11-pieceasphericlenswithnewhydrophobicacrylicmaterialVivinex™ The Vivinex iSert Model XY1 is a single piece IOL with an optic manufactured from the new hydrophobic material Vivinex™

It has an aspheric profile and is tinted yellow to inhibit UV retinal damage. Vivinex iSert Model XY1 can be implanted into the eye through a small 2.0mm incision.

HoYa aF-1 iSert (251) Single-piecehydrophobicacrylicasphericintraocularlens The iMics1 (251) IOL is a single piece IOL with a hydrophobic acrylic optic and partial PMMA haptics made by chemically bonding blue PMMA to a yellow hydrophobic acrylic material and then employing a lathe-cutting and refining process.It has an aspheric profile and is tinted with a higher concentration of yellow to inhibit retinal damage. iMics1 can be implanted into the eye through a small 2.2mm incision.

KeY Features:

•NewHydrophobicAcrylicmaterial

•Outstandingperformance

• Forlong-lastingophthalmic surgical outcomes

KeY Features:

•MICScompatible - 2.0mm sclerocorneal incision - 2.2mm corneal incision

•Withoutwound-assistedtechnique (one-step implantation)

• Textured-roughHapticfor better grip onto capsular surface

• ImprovedSquareEdgehelps to prevent PCO

•OpticEdgeTexturingFinishto reduce Dysphotopsia

• Squareedgedesign

• Stifferhaptics(madefromPMMAandsoftacrylic)providefirmfixationinthelenscapsule

•AsphericBalancedCurve(ABC)design(protects from spherical aberration due to lens movement)

Model VivinextM isert®XY1Specification Aspheric ABC Design with sharp textured optic edgeOptic & Haptic Material Hydrophobic acrylic Vivinex™ with blue light filteringOptics diameter 6.0mmOverall length 13.0mmPower range +6.00D to +30.00D (in 0.5D increments)IOL Master Constant 118.9recommended Incision sizeIncision Size 2.0mm

Model 251Specification Aspheric blue filteringOptic Material Hydrophobic acrylicHaptic Material Hydrophobic acrylic & PMMAOptics diameter 6.0mmOverall length 12.5mmPower range +6.00D to +30.00D (in 0.5D increments)Estimated A-constant 118.4IOL Master Constant 118.6recommended Incision size

Incision Size Sclerocorneal 2.0mmCorneal 2.2mm

Vivinex iSert Model XY1

AF-1 251


210

PY-60 Pre-loaded injector


HoYa iSert™ Preloaded aF-1 PY-60adThree-piecehydrophobicacrylicasphericintraocularlens

The iSert system is a reliable and easy preloaded IOL experience that saves time for surgeon and staff. The AF-1 PY-60AD is a high quality 3-piece aspheric intraocular lens with an extremely smooth aspheric surface. This IOL uses hydrophobic material for the optics and PMMA chemically bonded for the haptics.

Model PY-60adSpecification Aspheric blue BlockerOptic Material Hydrophobic acrylicOptic Design AsphericHaptic Material PMMA chemically bondedHaptic Configuration Round loop designOptics diameter 6.0mmOverall length 12.5mmPower range +6.00D – +30.00D (in 0.5D increments)Estimated A-constant 118.4IOL Master Constant 118.6

Iol Features:

• AsphericBalancedCurve(ABC)design progressive combination of optical balance from spherical and aspherical design

• Excellentcentration minimises influence of an off-set pupil or capsular bag

• Betterimagequalityandcontrastsensitivity

• Bluelightblockerfor macula protection

• Thinneropticincreasesflexibilty

Isert Features:

•Miniincisiondelivery

• “One-step”technology

• Safe,reliableandeasytouseAF-1 PY-60AD

HoYa aF-1 iSert 351 toricSingle-pieceaspherictorichydrophobicacrylicintraocularlens

The AF-1 351 Toric IOL is a single piece IOL with a hydrophobic acrylic optic and partial PMMA haptics . It is manufactured on the iMics platform. The 351 Toric IOL is preloaded and injectable through a 2.2mm corneal incision. Calculate IOL powers online at www.hoyatoric.com

KeY Features:

• 2.2mmincision.

• BluetippedPMMA(non-sticky)hapticsfacilitate rotation and placement in correct axis

• Stifferhapticsprovide firm fixation in the lens capsule, minimising rotation and movement

•AsphericBalancedCurve(ABC)technology - provides protection from high order spherical aberrations caused by lens movement

Model 351 t3 to t9Specification Aspheric Toric opticsOptic Material Hydrophobic acrylic resinHaptics Material Acrylic resin & PMMAHaptics Configuration Modified C-loopOptics diameter 6.0mmOverall length 12.5mmIOL Powers +10.00D to +30.00D (in 0.5D increments)IOL cylinder Power 1.50D

(351T3) 2.25D (351T4)

3.00D (351T5)

3.75D (351T6)

4.5D (351T7)

5.25D (351T8)

6.0D (351T9)


AF-1 351 Toric

11 HoYa toric calculator

The Hoya Toric Calculator (HTC) is a resource to aid in proper IOL cylinder power selection for cataract patients with corneal astigmatism.

The HTC requires the user to input patient biometric data and planned surgery information that is part of an ophthalmic work up prior to toric IOL (TIOL) implantation. The HTC will suggest several Hoya toric IOLs from which the surgeon may choose to treat a patient’s refractive cylinder resulting from corneal astigmatism. The HTC will also provide suggested intra-operative axial placement of the IOL that is intended to minimize post-operative astigmatism based on the information provided.

The HTC is openly accessible on the internet for all users.

After the complete data set is entered, the graphic image of the eye will update to show the entered data values. The calculator will also automatically generate three toric lens options of different cylinder power for the user to consider. Astigmatic correction will be calculated for all toric lens powers and a non toric lens as well.

The HTC will also inform the user of the recommended axis for toric IOL placement and will include an image of the eye with the incision location, steep and flat corneal axes, and the axis of placement for the toric IOL.


212MorcHer aniridia Iols aniridia Intraocular lenses

By implanting an aniridia IOL, a controlled amount of light enters the eye. With product diversity, custom-made designs are available in a standard dioptre range, Morcher provide the most comprehensive range for aniridia treatment available. All Morcher Aniridia IOL’s require pre-registration with TGA before implantation. Contact us for a Category B S.A.S. form.

Key Features:

• Productdiversity • Custom-madedesigns • Individualdioptrerange

order # description Qty/box

aniridia Iols67B Pupil-Iris = 3-10mm, Overall Length 13mm, Angulation 0° 168 Pupil-Iris = 4.5-10mm, Overall Length 13.5mm, Angulation 0° 167F Pupil-Iris = 5-10mm, Overall Length 13.5mm, Angulation 0° 167G Pupil-Iris = 5-10mm, Overall Length 12.5mm, Angulation 0° Most frequently used implant 167L Pupil-Iris = 5-10mm, Overall Length 13.5mm, Angulation 0° Special IOL with opening in diaphragm 1.5-3mm 194A Pupil-Iris = 6.5-10mm, Overall Length 13mm, Angulation 0° Special Diaphragm only, no optical power 1

Partial aniridia Iols67 Pupil-Iris = 3.5-7/10mm, Overall Length 12.5mm, Angulation 10° 167D Pupil-Iris = 3.5-7/10mm, Overall Length 13.5mm, Angulation 5° Allows scleral fi xation 167A Pupil-Iris = 3.5-7/10mm, Overall Length 14mm, Angulation 10° 168C Pupil-Iris = 3.5-7/10mm, Overall Length 14mm, Angulation 5° Allows double scleral fi xation 167E Pupil-Iris = 4-8mm, Overall Length 13.5mm, Angulation 5° Allows scleral fi xation 194 Pupil-Iris = 4-8mm, Overall Length 13.5mm, Angulation 10° 194C Pupil-Iris = 4-8mm, Overall Length 13.5mm, Angulation 10° Allows scleral fixation 1

MorcHer aniridia rings In each case, two of these aniridia rings are implanted into the capsular bag and dialed against each other to form a closed diaphragm. Rings are implanted before IOL.


aniridia ringsMORCHER-102 Type 50C Aniridia Ring, >6mm pupil / 2 required for 360º coverage 1MORCHER-106 Type 50E Aniridia Ring, >3.5mm pupil / 2 required for 360º coverage 1MORCHER-103 Type 50F Aniridia Ring, >4mm pupil / 2 required for 360º coverage 1MORCHER-1003 Type 96C Sulcus Ring, Partial, >4mm pupil / 180º coverage 1

Capsular tension ring with a diaphragm to dim a coloboma in the eye not larger than three hours. If the coloboma is three to six hours, two rings can be implanted.

Partial aniridia ringsMORCHER-920 Type 96F Partial Aniridia Ring, 90º coverage 1MORC-96G Type 96G Partial Aniridia Ring, 90º coverage 1MORCHER-891 Type 96E Partial Aniridia Ring, 90º coverage 1MORC-94G Type 94G Partial Aniridia Ring, 90º coverage 1


Type 50C

Type 67B

Type 67F

Type 67L

Type 68

Type 67G

Type 94A

Type 50F

Type 96F

Type 96E

Type 50E

Type 96C

Type 96G

Type 94G


MorcHer capsular tension rings Implantablecapsulartensionrings A necessity to have available for modern cataract surgery, Morcher CTR’s are manufactured from one-piece PMMA and stabilise the capsule in the case of damaged or missing zonules. Easily implantable with all available injector systems or forceps and now with the new PRE-LOADED SYSTEM on a DISPOSABLE INJECTOR, Morcher offer the most comprehensive range for capsular bag stabilization.


Pre-loaded ctr’sMORCHER-190 EyeJet Preloaded Type R14 CTR, 10mm 1MORCHER-198 EyeJet Preloaded Type R14C CTR, 11mm 1MORCHER-194 EyeJet Preloaded Type R14A CTR, 12mm 1MORCHER-060 EyeJet Preloaded Type R13 CTR, 10mm 1MORCHER-064 EyeJet Preloaded Type R13A CTR, 11mm 1MORCHER-068 EyeJet Preloaded Type R13B CTR, 12mm 1

standard ctr’sMORCHER-202 Type 14 CTR, 10mm 1MORCHER-206 Type 14C CTR, 11mm 1MORCHER-204 Type 14A CTR, 12mm 1MORCHER-050 Type 13 CTR. 10mm 1MORCHER-052 Type 13A CTR. 11mm 1MORCHER-054 Type 13B CTR. 12mm 1

scleral Fixation ctrsMORCHER-220 Type 1L Cionni Ring with Single Scleral Fixation 1MORCHER-223 Type 2S Cionni Ring with Double Scleral Fixation 1MORCHER-165 6D Ahmed CTR Segment 1

Preloaded cionni ctr’sMORC-10GR Preloaded single Cionni ring TYPE10G for TraumaMORC-10LR Preloaded single Cionni ring TYPE10L for Marfans

Duckworth&Kentctr Injection systemDK-7-810 Injector to insert the capsular tension ring. Bayonet fitting allows easy separation of main body and centre rod. Overall length without cartridge 135.0mm 1

Type 13 Type 14

Cionni Type 1L

Cionni Type 10L/10G

Cionni Type 2S

Ahmed 6D

214Injector sYsteMs

MedIcel accuject™ Iol injector Micro-incision IOL injector Over the last 10 years, Medicel has significantly contributed to the development of microsurgical techniques, including lens injection systems. Over 1 million IOLs are implanted every year with Medicel injection systems. Accuject™ enables safe and efficient injection of 1- and 3-piece hydrophilic and hydrophobic lenses of any size and design through incisions of sub 2.8mm to sub 2.0mm. The all-in-one concept and an extra large loading chamber enables an easy and precise loading of any lens.

accuject™ rangeLP604500 ACCUJECT 2.6-1P for 1-piece lenses inc. size sub 2.8mm, box of 10 LP604530 ACCUJECT 2.2-1P for 1-piece lenses inc. size sub 2.5mm, box of 10LP604510 ACCUJECT 2.0-1P for 1-piece lenses inc. size sub 2.2mm, box of 10 LP604520 ACCUJECT 2.5-3P for 3-piece lenses inc. size sub 2.8mm, box of 10


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