Posters

Surgical outcomes of toric intraocular lens implantation in eyes with more than 1.50 D astigmatism

Poster Details

First Author: M.Vural TURKEY

Co Author(s):    G. Sahin                    

Abstract Details

Purpose:

To evaluate the surgical outcomes, refractive changes and intraocular lens stability in cataract patients with more than 1.50 D after uncomplicated cataract surgery.

Setting:

Haseki Research and Training Hospital, Istanbul, Turkey, prospective trial.

Methods:

We included twenty-five eyes of 21 patients in the study. Cataract patients with more than 1.50 D have been implanted toric intraocular lens at the end of the surgery and all patients have been followed up during three-months after surgery. Uncorrected visual acuity (UDVA), best corrected visual acuity (BCVA), intraocular pressure (IOP), refractive parameters (spherical/cylindiric refractive error, spherical equvialant), intraocular lens (IOL) power, IOL axis rotation and spectacle prescription requirement have been recorded at preoperative and 3rd-month visits.

Results:

The study included 25 eyes of 21 patients (11 male, 10 female) with a mean age of 59.60±10.50years (48-71 years). The preoperative and postoperative UDVA was 0.93±0.41 and 0.05±0.03logMAR, BCVA was 0.55±0.40 and 0.03±0.03logMAR, mean cylindric refractive error was 2.66±1.03 and -0.50±0.25D, spherical equivalent was -2.91±2.00 and -0.33±0.24 D. Preoperative mean corneal astigmatism was 1.98±1.04 D, mean IOL rotation was 2.52±2.35 degrees and distant spectacles were required in 6 eyes (24%) and 19 eyes (76%) were not required postoperatively.

Conclusions:

Toric IOL implantation in cataract patients with corneal astigmatism of 1.50 D or above is a preferable choise in terms of rotation stability, refractive targets for patients who expect a spectacle-independent life after surgery.

Financial Disclosure:

None