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Comparison of Clinical Outcomes of Patients with Toric İntraocular Lens Implantation Following Femtosecond Laser-Assisted Cataract Surgery and Standart Cataract Surgery

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First Author: O.Donmez TURKEY

Co Author(s):    Y. Aydin Akova                    

Abstract Details

Purpose:

To compare the clinical outcomes of patients who underwent femtosecond laser assisted cataract surgery and standart phacoemulsification cataract surgery with implantation of toric intraocular lens (IOL).

Setting:

Retrospective clinical study, Bayindir Hospital, Ankara, Turkey

Methods:

Patients who had cataract surgery using FLACS or MFC with implantaion of toric IOL [Acrysof IQ Toric IOL (T2-T9)] between March 2012 and January 2019 were included. Cataract surgery was performed with Centurion Vision System (Alcon, USA) and FLACS with LenSx laser system (LenSx; Alcon Laboratories, USA). Group 1 included patients who had FLACS and Group 2 patients who had MFC. Demographical data, visual and refractive outcomes including corneal astigmatism (CA), manifest refractive astigmatism (RA), spherical equivalant (SE) , uncorrected distant visual acuity (UDVA), best corrected visual acuity (BCVA) with Snellen chart were evaluated and compared between two groups.

Results:

Group 1 included 36 and Group 2 included 82 patients. Mean age, CA, and preoperative SE were similar in group 1 and 2 (p=0.12, p=0.8, p=0.06;respectively). Postoperative manifest RA was significantly lower in Group 1 [ 0.11 ± 0.2 [ (-) 1-0] ] D compared to Group 2 [0.27 ± 0.3 [(-) 1-0] ] D (p = 0.022). UDVA was significantly better in group 1 [0.9 ± 0.1 (0.6-1)] compared to group 2 [0.87 ± 0.1 (0.6-1) ] (p = 0.04). Postoperative SE and BCVA found similar between the groups (p = 0.4, p = 0.8; respectively).

Conclusions:

Patients who had FLACs and implantation of toric IOL achieved better postoperative outcomes including UDVA and manifest RA.

Financial Disclosure:

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