Posters

Refractive outcomes and visual performance after implantation of a trifocal toric intraocular lens

Poster Details

First Author: B.Toygar TURKEY

Co Author(s):    O. Yabas Kiziloglu   B. Besli   I. Kaya   A. Hacimustafaoglu   O. Toygar        

Abstract Details

Purpose:

To evaluate the visual, refractive and patient satisfaction outcomes after cataract surgery with implantation of a trifocal toric intraocular lens (IOL).

Setting:

Bahcesehir University Faculty of Medicine, Goztepe Medical Park Training and Research Hospital, Department of Ophthalmology

Methods:

This retrospective case series included patients with significant corneal astigmatism (> 0.75 D) who underwent cataract surgery with implantation of the trifocal toric FineVision POD FT IOL (PhysIOL SA, Liège, Belgium). Patients with less than 6 months of follow up were excluded. Intraocular lens toric power and axis were determined with Barrett toric calculator. Postoperative monocular uncorrected (UDVA) and corrected (CDVA) distance visual acuity, distance corrected intermediate visual acuity (DCIVA) at 100cm and distance corrected near visual acuity (DCNVA) at 40cm, refraction, and patient satisfaction (NEI VFQ-25 questionnaire) were evaluated. The need for Nd:Yag laser posterior capsulotomy was also determined.

Results:

Seventeen eyes of 10 patients (mean age:66.0±8.0 years) with a mean corneal astigmatism of 1.50±0.43D were included. Postoperatively (mean follow up:16 months), mean logMAR monocular UDVA, CDVA, DCIVA and DCNVA were 0.16±0.13, 0.04±0.08, 0.10±0.13, and 0.08±0.10 respectively. Overall, 65% and 88% of the eyes achieved a decimal DCIVA and DCNVA of ≥0.8 respectively. 71% and 94% of the eyes reached a cylinder ≤0.5D and ≤1.0D, respectively, with a centroid of 0.40D@175°. The mean postoperative spherical equivalent was -0.19±0.38 D with 77% of the eyes within ±0.25D. The mean VFQ-25 score was 92.04±3.30. Five eyes underwent Nd:Yag laser capsulotomy.

Conclusions:

The trifocal toric FineVision POD FT IOL provides effective restoration of visual function at distances from near to far after cataract surgery in eyes with significant corneal astigmatism. Associated with the visual outcomes are a good refractive predictability and excellent patient satisfaction.

Financial Disclosure:

None