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Rotational stability of single-piece supplementary intraocular lens to correct residual astigmatism in pseudophakic patients

Session Details

Session Title: Refractive II

Session Date/Time: Saturday 04/02/2012 | 08:30-11:00

Paper Time: 10:26

Venue: Grand Ballroom

First Author: : E.Mrukwa-Kominek POLAND

Co Author(s): :    L. Cwalina              

Abstract Details

Purpose:

To assess the rotational stability in eyes with a sulcus placement 1-piece acrylic intraocular lens (IOL) designed to correct residual astigmatism in pseudophakic eyes

Setting:

Department of Ophthalmology, Silesian University of Medicine, Katowice, Poland

Methods:

Retrospective evaluation of 19 patients (20 eyes) who had implanted supplementary IOL (Sulcoflex Toric, Rayner Intraocular Lenses, UK) to ciliary sulcus because of residual astigmatism after first procedure. Laser iridotomy was not performed before and after surgery. Mean follow-up was 12 months in all eyes. The evaluation included rotational stability of Sulcoflex toric lens. Retroillumination images were taken 1 week, and 1, 6 and 12 months postoperatively. Intraocular lens rotation was measured using standard software (Adobe Photoshop). RESULTS IOL rotation more than 30 degrees which needed reoperation was observed in three cases. In further 2 cases Sulcoflex rotate to different axes but resulting cylinder was tolerated with spectacle correction

Conclusions:

The supplementary toric IOL was rotationally unstable 25 percent of eyes postoperatively which needs further investigation. The photographic and axis analysis method to evaluate stability had high reproducibility and detected small changes in rotation

Financial Disclosure:

... research is funded, fully or partially, by a company producing, developing or supplying the product or procedure presented