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In this video I will be implanting the IC-8 Apthera lens for a patient undergoing Cataract Surgery, who previously had RK surgery. But what’s the point of this black disk with a small aperture, or pinhole opening, within it. Let me explain. The IC-8 Apthera, by Bausch & Lomb, has a black ring, or small aperture inlay within the lens implant. The inlay is made from Polyvinylidene & carbon. There are tiny perforations within the inlay. I wasn’t sure the purpose of this, but I suspect it’s the same opaque ring used from the KAMRA inlay, which was also developed by acufocus. The KAMRA inlay was implanted into the cornea, and those little laser etched holes would allow diffusion of nutrients and oxygen through the cornea. So this opaque ring in the lens implant is the same opaque ring that was implanted into the cornea, although a slightly different diameter. RK patients notoriously have less predictable results after cataract surgery. My favorite lens implants for patients with previous RK are the IC-8 Apthera and Light Adjustable Lens (or LAL). The IC-8 apthera and Light Adjustable lens can improve patient outcomes. The advantage of using these lenses is that they are both forgiving when it comes to residual refractive error. The LAL is adjustable after surgery, and the IC8 Apthera has an Extended Depth of Focus. With the LAL, after the eye has healed from surgery, the strength of the lens implanted will be adjusted in the office using light. Patients will more likely end up at or near the intended target and therefore have a lower residual refractive error. But there are a few things the LAL doesn’t address. For example, the LAL can’t correct irregular astigmatism, and it doesn’t reduce light sensitivity and fluctuating refractive error associated with the RK incisions. On the other hand With the IC8 Apthera, the small aperture feature may mask irregular astigmatism, it may decrease light sensitivity, and it may mask fluctuating vision because as an EDOF lens, the vision may remain clear over a broader range of dioptric power. I think this is why previous EDOF lenses, such as the Symfony, worked fairly well in post-RK patients. But I would expect the nighttime glare and halos to be much less with the IC8 Apthera than with lens implants that have rings on them. 💡 If you have any questions, feel free to leave them in the comment section below! ⚡ Dr. Krad is now scheduling patients at: www.EyeOC.com ✅ Recommended playlists: ❤️ My Favorite Videos! Cataract Surgery with a LEGEND: • Cataract Surgery for a LEGEND! Cataract Surgery on the KINDEST Soul: • Day of Cataract Surgery - SHADOW ME - Pati... Cataract Surgery for my FATHER-IN-LAW: • DAY OF CATARACT SURGERY Uncensored | Join ... Cataract Surgery Explained by a 4-Year old: • What is Cataract Surgery? An Elementary Ex... 👓 Lenses: My Favorite Lenses of 2024: • Best Lenses in 2024 for Cataract Surgery Best Lenses for Far Vision: • The BEST Lens Implants for High Quality FA... ✈️ Mission Trips: Fiji Part 1: • Cataract Surgery in Fiji - Part 1 Fiji Part 2: • Cataract Surgery in Fiji - Part 2 Dominican Republic: • Cataract Surgery Abroad | Mission Trip 🧠 Things to Know: Pre-Op Counseling: • Appointment before Cataract Surgery | Disc... Post-Op Eye Shield: • How to apply the EYE SHIELD after CATARACT... Cataract Surgery Explained: • What is Cataract Surgery? An Elementary Ex... Let's Connect! Dr. Krad on Social Media: Instagram: / doctorkrad LinkedIn: / doctorkrad MEDICAL ADVICE DISCLAIMER: All content in this video and description including information, opinions, content, references, and links is for informational purposes only. The Author does not provide any medical advice on the Site. Accessing, viewing, reading, or otherwise using this content does NOT create a physician-patient relationship between you and its author. Providing personal or medical information to the Principal author does not create a physician-patient relationship between you and the Principal author or authors. Nothing contained in this video or its description is intended to establish a physician-patient relationship, to replace the services of a trained physician or health care professional, or otherwise to be a substitute for professional medical advice, diagnosis, or treatment. You should consult a licensed physician or appropriately-credentialed health care worker in your community in all matters relating to your health.