Visual acuity improvements after implantation of toric intraocular lenses in cataract patients with astigmatism: a systematic review
Identifieur interne : 002085 ( Main/Merge ); précédent : 002084; suivant : 002086Visual acuity improvements after implantation of toric intraocular lenses in cataract patients with astigmatism: a systematic review
Auteurs : Blaise Agresta [Royaume-Uni] ; Michael C. Knorz [Allemagne] ; Christina Donatti [Royaume-Uni] ; Daniel Jackson [Suisse]Source :
- BMC Ophthalmology [ 1471-2415 ] ; 2012.
Abstract
Cataracts are a common and significant cause of visual impairment globally. We aimed to evaluate uncorrected distance visual acuity (UDVA) as an outcome in treating astigmatic cataract patients to assist clinicians or ophthalmologists in their decision making process regarding available interventions.
Medline, Embase and Evidence Based Reviews were systematically reviewed to identify relevant studies reporting changes in UDVA, UIVA and UNVA after cataract surgery in presbyopic patients. Strict inclusion/exclusion criteria were used to exclude any non-relevant studies. Relevant outcomes (UDVA, UIVA and UNVA) were identified from the studies retrieved through the systematic review process.
The systematic review identified 11 studies which reported UCVA. All 11 studies reported UDVA. Four brands of toric intraocular lenses (IOLs) were reported in these studies. All studies identified in the literature search reported improvements in UDVA following surgical implant of a toric IOL. The largest improvements in VA were reported using the Human Optics MicroSil toric IOL (0.74 LogMAR, UDVA) and the smallest improvements were also reported using the Human Optics MicroSil toric IOL (0.23 LogMAR, UDVA) in a different study.
The results of this systematic review showed the aggregate of studies reporting a beneficial increase in UDVA with the use of toric IOLs in cataract patients with astigmatism.
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DOI: 10.1186/1471-2415-12-41
PubMed: 22894651
PubMed Central: 3480885
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Knorz</name><affiliation wicri:level="3"><nlm:aff id="I2">FreeVis LASIK Center, Medical University of Mannheim, Mannheim, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>FreeVis LASIK Center, Medical University of Mannheim, Mannheim</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Mannheim</settlement></placeName></affiliation></author><author><name sortKey="Donatti, Christina" sort="Donatti, Christina" uniqKey="Donatti C" first="Christina" last="Donatti">Christina Donatti</name><affiliation wicri:level="3"><nlm:aff id="I1">Health Economics and Outcomes Research, IMS Health, London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Health Economics and Outcomes Research, IMS Health, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Jackson, Daniel" sort="Jackson, Daniel" uniqKey="Jackson D" first="Daniel" last="Jackson">Daniel Jackson</name><affiliation wicri:level="1"><nlm:aff id="I3">Market Access and Reimbursement, Alcon Laboratories, Inc, Cointrin, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Market Access and Reimbursement, Alcon Laboratories, Inc, Cointrin</wicri:regionArea><wicri:noRegion>Cointrin</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22894651</idno><idno type="pmc">3480885</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3480885</idno><idno type="RBID">PMC:3480885</idno><idno type="doi">10.1186/1471-2415-12-41</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">001235</idno><idno type="wicri:Area/Pmc/Curation">001235</idno><idno type="wicri:Area/Pmc/Checkpoint">001483</idno><idno type="wicri:Area/Ncbi/Merge">002181</idno><idno type="wicri:Area/Ncbi/Curation">002181</idno><idno type="wicri:Area/Ncbi/Checkpoint">002181</idno><idno type="wicri:Area/Main/Merge">002085</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Visual acuity improvements after implantation of toric intraocular lenses in cataract patients with astigmatism: a systematic review</title><author><name sortKey="Agresta, Blaise" sort="Agresta, Blaise" uniqKey="Agresta B" first="Blaise" last="Agresta">Blaise Agresta</name><affiliation wicri:level="3"><nlm:aff id="I1">Health Economics and Outcomes Research, IMS Health, London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Health Economics and Outcomes Research, IMS Health, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Knorz, Michael C" sort="Knorz, Michael C" uniqKey="Knorz M" first="Michael C" last="Knorz">Michael C. Knorz</name><affiliation wicri:level="3"><nlm:aff id="I2">FreeVis LASIK Center, Medical University of Mannheim, Mannheim, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>FreeVis LASIK Center, Medical University of Mannheim, Mannheim</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Mannheim</settlement></placeName></affiliation></author><author><name sortKey="Donatti, Christina" sort="Donatti, Christina" uniqKey="Donatti C" first="Christina" last="Donatti">Christina Donatti</name><affiliation wicri:level="3"><nlm:aff id="I1">Health Economics and Outcomes Research, IMS Health, London, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Health Economics and Outcomes Research, IMS Health, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Jackson, Daniel" sort="Jackson, Daniel" uniqKey="Jackson D" first="Daniel" last="Jackson">Daniel Jackson</name><affiliation wicri:level="1"><nlm:aff id="I3">Market Access and Reimbursement, Alcon Laboratories, Inc, Cointrin, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Market Access and Reimbursement, Alcon Laboratories, Inc, Cointrin</wicri:regionArea><wicri:noRegion>Cointrin</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Ophthalmology</title><idno type="eISSN">1471-2415</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Cataracts are a common and significant cause of visual impairment globally. We aimed to evaluate uncorrected distance visual acuity (UDVA) as an outcome in treating astigmatic cataract patients to assist clinicians or ophthalmologists in their decision making process regarding available interventions.</p></sec><sec><title>Methods</title><p>Medline, Embase and Evidence Based Reviews were systematically reviewed to identify relevant studies reporting changes in UDVA, UIVA and UNVA after cataract surgery in presbyopic patients. Strict inclusion/exclusion criteria were used to exclude any non-relevant studies. Relevant outcomes (UDVA, UIVA and UNVA) were identified from the studies retrieved through the systematic review process.</p></sec><sec><title>Results</title><p>The systematic review identified 11 studies which reported UCVA. All 11 studies reported UDVA. Four brands of toric intraocular lenses (IOLs) were reported in these studies. All studies identified in the literature search reported improvements in UDVA following surgical implant of a toric IOL. The largest improvements in VA were reported using the Human Optics MicroSil toric IOL (0.74 LogMAR, UDVA) and the smallest improvements were also reported using the Human Optics MicroSil toric IOL (0.23 LogMAR, UDVA) in a different study.</p></sec><sec><title>Conclusions</title><p>The results of this systematic review showed the aggregate of studies reporting a beneficial increase in UDVA with the use of toric IOLs in cataract patients with astigmatism.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Olver, J" uniqKey="Olver J">J Olver</name></author><author><name sortKey="Cassidy, L" uniqKey="Cassidy L">L Cassidy</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Reidy, A" uniqKey="Reidy A">A Reidy</name></author><author><name sortKey="Minassian, Dc" uniqKey="Minassian D">DC Minassian</name></author><author><name sortKey="Vafidis, G" uniqKey="Vafidis G">G 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