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8.2 Implantation Techniques

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Fig. 8.22 INJ 01 (ADRIAMED) injector

Fig. 8.23 MiniGlider Micro A (MDJ) injector

Micro A (MDJ) (Fig. 8.23)

Meant for Acryflex 46 CSE and MicroSlim IOLs, whose material was modified according to SlimFlex and YellowFlex, its hydrophilia is different but it has a similar design. For the sub-2 incisions, the Micro A injector is used with a 027 MDJ cartridge, which has an internal diameter of 1.07 mm and external diameter of 1.45 mm.

Torpedo (NMM) (Fig. 8.24)

Meant for Quadrant NMM IOL made of acrylic hydrophilic material, it has a monobloc design with four rest areas and can be used with various types of cartridges. The RD 100 cartridge having an internal diameter of 1 mm (external diameter 1.3 mm) is

Fig. 8.24 Torpedo (NMM) injector

theoretically compatible with an incision of 1.5 mm, whereas the RD 145 cartridge having an internal diameter of 1.15 mm (external diameter 1.45 mm) is compatible with an incision size of 1.8 mm.

8.2.5Visco Elastic Substances and Injection Through Microincision

The use of injectors theoretically requires visco elastic substances (VES) with a high coating ability, especially when mechanical constraints are important as for the injections through microincision. The coating ability that measures the adhesion capacity of VES is calculated by the angle formed by the VES with a solid support. The smaller the contact angle, the higher is the coating ability of the VES. This capacity reflects the lubrication capacity of these products. The HPMC (hydroxylpropylmethylcellulose) seems theoretically better adapted. For the same set of reasons, the dispersive VES (low molecular weight, high concentration) seems better adapted than the cohesive VES (high molecular weight, low concentration). In practice, most of the injectors meant for microincision can be used, irrespective of the VES type as long as the