Posters

Implantation of toric acrylic hydrophobic trifocal intraocular lenses in patients with a broad range of refractive errors

Poster Details

First Author: K.Buusova Smeckova CZECH REPUBLIC

Co Author(s):    Z. Smecka   B. Strnadova   A. Kovacikova              

Abstract Details

Purpose:

The aim of the study is to evaluate our one year experience with the AcrySof PanOptix Toric IOL. The lens is evaluated from the perspective of the visual outcomes, outcomes prediction with the Alcon online toric calculator and the quality of vision compared compared to the non-toric PanOptix.

Setting:

Eye Clinic Zlin, Zlin, Czech Republic

Methods:

Non-randomized study of 130 consecutive cases of the implantation of the Acrysof IQ PanOptix Toric IOL. Eyes without pathology, only mild amblyopia. Preoperatively mean age 55 years, mean IOL +22D [11;34], T30 [20;60], mean autorefractometry 1,29Dsf [-7,25;8,75], 1,29Dcyl [-3,5;0], mean BCVA 0,65 [0,1;0,9]. Uneventful procedure. Biometry performed with IOL Master 700 and Alcon toric online calculator using Barrett formula, surgery performed with the Centurion phaco machine, Verion used for guidance. At least 8 weeks follow up. Evaluated visual acuity for the distance, intermediate and near, autorefractometry and objective refraction, presence of the halo and glare, light requirements, other complaints.

Results:

Results from last check up: mean autorefractometry: 0,44Dsf [-0,25;1], 0,42Dcyl [-1;0], mean SE 0,23, mean BCDVA 0,87 [0,6;1,0], mean BCIVA at both 66 and 80 cm 0,75 [0,6;0,8], mean BCNVA J. 1,79 [1;3]. Residual astigmatism: 48% of patients are within 0,25Dcyl, 84% within 0,5Dcyl, 98% within 0,75Dcyl and 100% within 1Dcyl. One case of laser enhancement. One case of NdYAG capsulotomy (severe posterior subcapsular cataract). One case of more pronounced halo and glare at 8 weeks (work with sparkling surfaces). No secondary rotation has been performed. No major complaints about increased light requirements (preoperative counseling on this topic necessary).

Conclusions:

PanOptix Toric offers, in our experience, similar quality of vision to a non-toric PanOptix and is an important part of our indication scheme. When correctly indicated, the IOL provides high level of satisfaction and a good quality of vision on all major distances without gaps or steps. Halo, glare or increased light requirements are not very frequent and the adaptation is quite fast. The IOL show very good rotational stability. Complex evaluation of the corneal astigmatism, high quality diagnostic devices, modern calculation formulas and navigation systems increase, in our experience, the predictability of the result.

Financial Disclosure:

receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented