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Acrysof sn60at

Manufactured by Alcon

The Acrysof SN60AT is a foldable intraocular lens (IOL) designed for cataract surgery. It features a single-piece acrylic lens with a 6.0 mm optic and an overall diameter of 13.0 mm. The lens is designed to be implanted in the capsular bag following the removal of the natural lens during cataract surgery.

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14 protocols using acrysof sn60at

1

Randomized Trial of IOL Implantation

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The IATS is a multicenter, randomized clinical trial funded by the National Eye Institute designed to assess the benefits as well as the risks of implanting an IOL at the time of initial cataract surgery compared with leaving the patient aphakic. This study followed the tenets of the Declaration of Helsinki, received approval from the institutional review boards of the participating institutions, and complied with the US Health Insurance Portability and Accountability Act of 1996. The off-label research use of the Acrysof SN60AT and MA60AC IOLs (Alcon Laboratories, Fort Worth, TX) for infants was covered by US Food and Drug Administration investigational device exemption G020021.
Previous publications have reported the study design and methodology6 (link) as well as the primary outcome results at 12 months and 4.5 years of age.7 (link),8 (link) (See eAppendix A for a brief summary.)
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2

Infant Aphakia Treatment Study

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This study, supported through a cooperative agreement with the National Eye Institute of the National Institutes of Health, was conducted by the Infant Aphakia Treatment Study Group at 12 clinical sites. The study design, surgical techniques, patching and optical correction regimens, evaluation methods, and patient characteristics at baseline have been reported previously.9 (link),17 (link) This study was approved by the institutional review boards at all participating institutions and was in compliance with the Health Insurance Portability and Accountability Act. The off-label research use of the Acrysof SN60AT and MA60AC IOLs (Alcon Laboratories, Fort Worth, Texas) was covered by US Food and Drug Administration investigational device exemption # G020021.
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3

Pediatric IOL Implantation Technique

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Infants randomized to the IOL group had their lens aspirated followed by the implantation of an AcrySof SN60AT (Alcon Laboratories, Fort Worth, TX) IOL into the capsular bag. In the event that both haptics could not be implanted into the capsular bag, an AcrySof MA60AC IOL was implanted into the ciliary sulcus. The IOL power was calculated based on the Holladay 1 formula targeting an 8 D under correction (postoperative hypermetropia) for infants <48 days of age and a 6 D under correction for infants aged 48–210 days. Following IOL placement, a posterior capsulectomy and an anterior vitrectomy were performed through the pars plana/plicata.
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4

Infant Cataract Treatment Comparison

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The Infant Aphakia Treatment Study (IATS) was supported through a cooperative agreement with the United States National Eye Institute of the National Institutes of Health and performed at 12 clinical sites. The study was approved by the institutional review boards at all participating institutions and was in compliance with the U.S. Health Insurance Portability and Accountability Act. The off-label research use of the Acrysof SN60AT and Acrysof MA60AC IOLs (Alcon Laboratories, Inc.) was covered by U.S. Food and Drug Administration investigational device exemption G020021. The primary purpose was to determine whether infants with a unilateral congenital cataract are more likely to develop better vision after cataract extraction with or without primary IOL implantation.A
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5

Intravitreal Bevacizumab Injection during Cataract Surgery

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Phacoemulsification was performed under topical anesthesia by a single surgeon (A.KH.). A temporal side clear corneal incision was made using a 3.2 mm keratome. After the anterior chamber was filled with an ophthalmic viscosurgical gel (VISICROM®2%, BinaChashm, Tehran, Iran), a continuous curvilinear capsulorhexis was made. Phacoemulsification was done using a phaco-machine (Constellation® vision system; Alcon Laboratories). After phacoemulsification, a foldable intraocular lens (Acrysof SN60AT; Alcon Laboratories) was injected in the capsular bag. At the end of cataract surgery in the bevacizumab injection group, 0.1 mL of a solution containing 1.25 mg of bevacizumab (Avastin®; Genentech; California; United States) was injected intravitreally through the sclera from 3.5 mm posterior to the limbus. No intraoperative complication including vitreous loss or iris manipulation was noted.
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6

Bilateral MIOL and Monofocal IOL Comparison

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Twenty-five adults participated in the study, 13 had bilateral MIOLs (mean age 68.1±6.4 years, nine men) and 12 had bilateral monofocal IOLs (mean age 69.8±5.7 years, three men). There were no significant differences in age between the two groups (p=0.47).
All subjects in the MIOL group had the same lens model implanted in both eyes, the AT LISA tri 839MP (CZM, Jena, Germany) with powers between 16 and 30 dpt, and two subjects had the toric version. Implantations had taken place at least 1 year before enrolment in the study. Subjects in the monoIOL group had bilateral or mixed implantations of the following IOL models: CT ASPHINA 409MP (CZM), Acrysof SN60WF, Acrysof SN60AT, Acrysof SN6802 and Alcon SN60T3 (Alcon, Ft. Worth, Texas, USA).
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7

Comparative Clinical Trial of IOLs

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The study design, surgical technique, follow-up schedules, patching and optical correction regimens, and examination methods have been reported previously and are only summarized in this report.6 (link),7 (link) The study followed the tenets of the Declaration of Helsinki and was approved by the institutional review boards of the participating institutions and was in compliance with the Health Insurance Portability and Accountability Act. The off-label research use of the Acrysof SN60AT and MA60AC IOLs (Alcon Laboratories, Fort Worth, Texas) was covered by US Food and Drug Administration investigational device exemption # G020021. The clinical trial is registered in clinicaltrials.gov by Identifier NCT00212134.
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8

Investigational Intraocular Lens Study

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The study design, surgical technique, follow-up schedules, patching and optical correction regimens, and examination methods have been reported in detail previously and are only summarized in this report.18 The study followed the tenets of the Declaration of Helsinki and was approved by the institutional review boards of the participating institutions and was in compliance with the Health Insurance Portability and Accountability Act. The off-label research use of the Acrysof SN60AT and MA60AC IOLs (Alcon Laboratories, Fort Worth, Texas) was covered by US Food and Drug Administration investigational device exemption # G020021.
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9

Infant Aphakia Treatment Study

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The Infant Aphakia Treatment Study is a randomized clinical trial involving 12 sites supported by a cooperative agreement with the National Eye Institute of the National Institutes of Health. The study design, surgical techniques, patching and optical correction regimens, evaluation methods, patient characteristics at baseline, monocular visual acuity at age 4.5 years and clinical findings at age 5 years have been reported previously.11 (link),12 (link) Only the elements pertinent to the current paper will be briefly described here. The study and data collection were carried out with approval from the appropriate Institutional Review Board at each site. Informed Consent for the research was obtained from the parents of the participants, and the study is in accordance with the Health Insurance Portability and Accountability regulations. The off-label research use of the Acrysof SN60AT and MA60AC Intraocular Lenses (Alcon Laboratories, Fort Worth, Texas) is covered by US Food and Drug Administration investigational device exemption G020021.
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10

Infant Aphakia Treatment Outcomes

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The Infant Aphakia Treatment Study (IATS) is a randomized, multicenter, longitudinal study that evaluated the clinical outcomes of 2 treatments (contact lens [CL] vs intraocular lens [IOL]) for aphakia after early surgery for unilateral infantile cataract.14 (link) The randomization was stratified according to the category of the age of the infant at surgery (28–48 vs 49–210 days). The primary outcomes at 5 years of age, including visual acuity, adverse events, and strabismus have been previously described.13 (link)–15 (link),16 (link) The IATS was approved by the institutional review boards of all the participating institutions and complied with the US Health Insurance Portability and Accountability Act of 1996. The off-label research use of the AcrySof SN60AT and MA60AC IOLs (Alcon Laboratories, Fort Worth, TX) was covered by US Food and Drug Administration investigational device exemption #G020021. Written informed consent was obtained from all parents/guardians.
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