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    New IOL, automated delivery system expected to transform market


    Disruptive-free delivery technology

    Dr. Lane said the AutonoMe is comfortable and ergonomic. It is designed for single-handed delivery of the IOL, and so surgeons in the habit of performing wound-assisted IOL insertion can continue using that technique.

    The AutonoMe incorporates a carbon dioxide-powered delivery mechanism, was designed for ease of use, and gives surgeons precise control over IOL insertion.

    Like the UltraSert Pre-loaded IOL Delivery System (Alcon), the AutonoMe incorporates the depth guard and lockout assembly features. Inner and outer diameter nozzle tip dimensions of the AutonoMe are similar compared to the UltraSert, but the AutonoMe has a slightly longer nozzle tip.

    “This difference further enhances reproducibly accurate, precise IOL delivery,” Dr. Lane said.

    When using the AutonoMe, puncture of the carbon dioxide cartridge allows the IOL to be advanced. The device is held like a writing instrument and surgeons push gently down on a lever to initiate IOL advance and control its speed.

    Dr. Lane noted that a study performed by Thomas Kohnen, MD, using human cadaver eyes, demonstrated that good incision integrity was maintained when using the AutonoMe to deliver the Clareon IOL through a 2.2 mm incision.

    “Similarly, there was very good wound apposition after IOL delivery performed with the UltraSert,” Dr. Lane said. “In contrast, the use of preloaded IOL delivery systems from other manufacturers were, in some cases, found to cause detachments in Descemets membrane and disruption of the incision.”

    Stephen S Lane, MD

    e. [email protected]

    Gerd U. Auffarth, MD, PhD

    e. [email protected]

    Dr. Auffarth receives research grants, travel expenses, and lecture and consulting fees from Alcon Laboratories and other companies that manufacture IOLs. Dr. Lane is an employee of Alcon Laboratories.


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