Abstract
Purpose: Anatomical axis of the bulb mismatches visual axis. A nasal pupil decentration seems to be a physiological adaptation. Aim of our work was to find a surgical way how to solve this problem. Methods: 0.5mm nasal decentration of the CCC was done to decentrate the IOL in the group of 2 Acrysof Restore, 5 Acrysof SA30 and 5 Acrysof SA60, 5 TecnisZCB00, 5 Softec-I and 5 Matrix401. Results: 3 months after surgery the stable nasal decentration was observed only in the group of Acrysof Restore, SA30 and 60 and TecnisZCB00 IOLs. Conclusions: The exact centration of the IOL in the bag is not the fysiological stage. Surgically induced 0.5mm nasal decentration of the IOL in the bag combined with the nasal decentration of CCC can improve the quality of vision specially in standard MF-IOLs. New method is usable in hydrophobic IOLs with “knee modified“ haptics only.
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