Our experience of toric intraocular lenses for correcting astigmatism in 100 Indian eyes

Poster Details

First Author: V.Sharma INDIA

Co Author(s):    S. Pandey              

Abstract Details

Purpose:

To evaluate visual outcome and astigmatic correction following implantation of the first 100 AcrySof® Toric IOLs at our centre.

Setting:

SuVi Eye Institute & Lasik Laser Center, C 13 Talwandi, Kota, Rajasthan, India

Methods:

Patients with cataract and coexistent regular corneal astigmatism of >1.25D. All cases (except one under GA) underwent topical phacoemulsification with AcrySof ® toric IOL or AcrySof Restor Toric (n=5) implantation. Visual acuity and Refraction checked at 1st postop day, 2 weeks and 6 weeks. Final correction at 6 weeks. IOL rotation also checked at 6 weeks correlating with incision placed at steep axis.

Results:

: Total number of patients with AcrySof ® toric IOLs implantation since 2008 were 100 (87 patients: 74 cases unilateral; 13 bilateral toric IOL). A total of 52% patients achieved ? 0.5D postoperative astigmatism and 93% patients achieved within 0.75 D. A total of 94% patients achieved an unaided visual acuity of 6/12 (20/40) or better distance vision. Five patients with AcrySof ® ReSTOR Toric, all achieved of 6/9 (20/30) or better and N6 unaided. One patient had CME (BCVA 6/12). One 8 year old child had surgery for developmental cataract and achieved postoperative BCVA of 6/12 (20/40) due to amblyopia. Only 3 patients had IOL rotation > 5° (postoperative cylinder - 0.75D).

Conclusions:

Toric IOL remains a viable option to reduce preexisting astigmatism in patients under going cataract surgery. AcrySof® Toric IOL shows excellent rotational stability, if placed accurately during surgery due to its sticky surface. FINANCIAL DISCLOSURE?: No