Posters
Outcomes of toric intraocular lens implantation after femtosecond laser and traditional cataract surgery
Poster Details
First Author: V. Diakonis GREECE
Co Author(s): G. Kounis N. Yesilirmak D. Warren Z. Davis S. Yoo K. Donaldson
Abstract Details
Purpose:
To compare the refractive outcomes after toric intraocular lens (t-IOL) implantation between femtosecond laser-assisted cataract surgery (FLACS) and traditional phacoemulsification.
Setting:
Bascom Palmer Eye Institute, University of Miami, Florida, USA
Methods:
This retrospective non-randomized case series included 114 eyes of 92 consecutive patients (59 male and 55 female) aged 71.65 +/- 10.46 years (range, from 57 to 92 years), that underwent either FLACS (using 2 laser platforms) (group 1) or traditional phacoemulsification (group 2) between August 2013 and September 2015. Preoperative keratometric values, the attempted refraction from the biometry platform and the t-IOL web based calculator, and the one month postoperative manifest refraction were assessed to evaluate the refractive outcomes of the 2 groups.
Results:
Mean preoperative topographic corneal astigmatism was -1.94±0.73 Diopters (D) (range, 0.91 to 4.61 D) and -1.98±0.60 D (range, 1.07 to 3.43 D) for groups 1 and 2, respectively (p>0.05). Mean axial length was 24.22±0.73 mm (range, 21.78 to 29.30 mm) and 24.60±1.09 mm (range, 21.82 to 25.95 mm) for groups 1 and 2, respectively (p>0.05). Multivariate vector analysis of the remaining refractive error between the two groups (desired refraction minus achieved refraction), revealed no statistically significant difference (p>0.05). Analysis within the each group demonstrated a higher accuracy of refractive outcomes for the FLACS eyes (p<0.05) when compared to the traditional phacoemulsification (p>0.05).
Conclusions:
FLACS and traditional phacoemulsification demonstrate similar refractive outcomes after toric IOL implantation, while FLACS seems to provide a slightly higher accuracy.
Financial Disclosure:
NONE
