Posters

Visual results and rotational stability after implantation of a toric panfocal intraocular lens: 3 months results

Poster Details

First Author: T.Kohnen GERMANY

Co Author(s):                        

Abstract Details

Purpose:

To evaluate the visual performance after bilateral implantation of a toric diffractive aspheric multifocal intraocular lens (IOL) with a +2.17 diopter (60 cm) intermediate and a +3.25 diopter (40 cm) addition (add) power.

Setting:

Prospective single-arm study at Department of Ophthalmology, Goethe University, Frankfurt, Germany.

Methods:

25 patients (50 eyes) received bilateral implantation of the toric PanOptix IOL (AcrySof® IQ PanOptixTM, Alcon Research, Fort Worth, TX, USA) pre-enrollment. Exclusion criteria were previous ocular surgeries excluding cataract surgery, refractive lens exchange, and ocular pathologies or corneal abnormalities. 3 months postoperative examination included manifest refraction; monocular and binocular uncorrected (UCVA) and distance-corrected (DCVA) visual acuity in 4 m, 80 cm, 60cm and 40 cm; slit-lamp examination. 3 months postoperatively monocular and binocular defocus testing, binocular contrast sensitivity (CS) under photopic and mesopic conditions, and a questionnaire on subjective quality of vision, optical phenomena, and spectacle independence were performed.

Results:

Mean spherical equivalent was 0.12 ± 0.380 D 3 months postoperatively. Monocular uncorrected VA was better than 0.14 LogMAR in all distances. Binocular defocus curve shows peaks at 0.00 D (-0.09 logMAR) and -1.50 D and -2.00D (-0.02 logMAR and 0.00logMAR). The worst values between far (4 m) and near distance (40 cm) was 0.04 logMAR at -1.00 D. Despite some optical phenomena, 92% of patients would choose the same IOL again and recommend it to others.

Conclusions:

Visual performance of toric PanOptix IOL showed good VA at all distances; high patient satisfaction despite some optical phenomena; high spectacle independence 3 months postoperatively. Compared to the non-toric PanOptix IOL, the toric version shows similar results regarding visual acuity and optical quality.

Financial Disclosure:

None