Posters

Long-term results with a supplementary toric intraocular lens for the correction of astigmatism in pseudophakic patients

Poster Details

First Author: K.Khripun RUSSIA

Co Author(s):    Y. Nizametdinova                    

Abstract Details

Purpose:

To evaluate the visual outcomes, rotational stability, intraocular pressure and endothelial condition of pseudophakic patients who underwent supplementary toric intraocular lens (IOL) implantation to correct astigmatic refractive errors.

Setting:

Microsurgery department No 3, State hospital No 2, Saint Petersburg, Russia.

Methods:

Long-term results after supplementary toric IOL implantation performed by one surgeon. Charts of patients who had Sulcoflex Toric supplementary IOLs (Sulcoflex Toric 653T) inserted between 2012 and 2015 were reviewed. Uncorrected and corrected distance visual acuities (UDVA and CDVA, respectively), spherical equivalent (SE) refraction, rotational stability,intraocular pressure and endothelial condition were evaluated.

Results:

A total of 13 eyes of 13 patients were included. The mean age was 68.4 ± 5.6 years (range 54-82 years). Postoperatively, UDVA improved from 20/63 to 20/32 (p = 0.004). 78% achieved a spherical equivalent of within 0,5 D of target. 68% of eyes achieved a cylinder of within 0,5 D of target. Mean toric IOL axis rotation at 5 years follow-up was 9.6° ± 2.4°. Thirty percentage of IOLs required repositioning. Most of them were performed in the early postoperative period. Intraocular pressure was stable over the observation period. Average endothelial loss was 2% per year ( 10% after 6 years observation).

Conclusions:

Sulcoflex Toric supplementary IOLs result in good visual and refractive outcomes in pseudophakic patients with residual astigmatism. The implantation of this IOL is a safe and effective technique to correct pseudophakic cylindrical refractive errors and reduce spectacle dependence in these patients.

Financial Disclosure:

None