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Astigmatism correction with a foldable toric intraocular lens in cataract patients

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Astigmatism correction with a foldable toric intraocular lens in cataract patients

Auteurs : Irene Ruhswurm [Autriche] ; Ursula Scholz [Autriche] ; Martin Zehetmayer [Autriche] ; Georg Hanselmayer [Autriche] ; Clemens Vass [Autriche] ; Christian Skorpik [Autriche]

Source :

Journal of Cataract & Refractive Surgery [ 0886-3350 ] ; 1999.

RBID : ISTEX:AF134B17CB745E275533C30ABC039BDB4E12A770

Abstract

Purpose To determine the efficacy and rotational stability of a toric posterior chamber silicone intraocular lens (IOL) to correct preoperative astigmatism in cataract patients.Setting Department of Ophthalmology, University Hospital of Vienna, Vienna Austria.Methods Between 1993 and 1998, foldable toric single-piece plate-haptic silicone IOLs were implanted in 37 eyes (30 patients). The cylindrical IOL power was 2.00 diopters (D) (n = 29), 3.50 D (n = 7), or 4.00 D (n = 1). Phacoemulsification was performed through a scleral or a corneal sutureless self-sealing incision. Outcomes of Snellen visual acuity (without, with spherical, and with best correction), refractive and keratometric astigmatism, and IOL rotation after early postoperative (mean 15.9 days ± 10.1 [SD]) and long-term (mean 20.3 ± 16.6 months) follow-ups were evaluated.Results At last follow-up, 31 eyes (83.8%) had a spherically corrected and 34 (91.9%) a best corrected visual acuity of 0.5 (20/40) or better. Mean preoperative refractive and keratometric astigmatism was 2.68 and 2.70 D, respectively. At the last postoperative follow-up, mean refractive astigmatism was reduced to 0.84 D; keratometric astigmatism was 2.30 D. In 7 eyes (18.9%), the IOL axis was rotated a maximum of 25 degrees. In all 37 eyes, the axis of the toric IOL remained within 30 degrees of rotation.Conclusion Early postoperative and long-term follow-ups showed effective and stable correction of astigmatism after implantation of a foldable toric posterior chamber silicone IOL.

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DOI: 10.1016/S0886-3350(00)00317-5

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<front><div type="abstract" xml:lang="en">Purpose To determine the efficacy and rotational stability of a toric posterior chamber silicone intraocular lens (IOL) to correct preoperative astigmatism in cataract patients.Setting Department of Ophthalmology, University Hospital of Vienna, Vienna Austria.Methods Between 1993 and 1998, foldable toric single-piece plate-haptic silicone IOLs were implanted in 37 eyes (30 patients). The cylindrical IOL power was 2.00 diopters (D) (n = 29), 3.50 D (n = 7), or 4.00 D (n = 1). Phacoemulsification was performed through a scleral or a corneal sutureless self-sealing incision. Outcomes of Snellen visual acuity (without, with spherical, and with best correction), refractive and keratometric astigmatism, and IOL rotation after early postoperative (mean 15.9 days ± 10.1 [SD]) and long-term (mean 20.3 ± 16.6 months) follow-ups were evaluated.Results At last follow-up, 31 eyes (83.8%) had a spherically corrected and 34 (91.9%) a best corrected visual acuity of 0.5 (20/40) or better. Mean preoperative refractive and keratometric astigmatism was 2.68 and 2.70 D, respectively. At the last postoperative follow-up, mean refractive astigmatism was reduced to 0.84 D; keratometric astigmatism was 2.30 D. In 7 eyes (18.9%), the IOL axis was rotated a maximum of 25 degrees. In all 37 eyes, the axis of the toric IOL remained within 30 degrees of rotation.Conclusion Early postoperative and long-term follow-ups showed effective and stable correction of astigmatism after implantation of a foldable toric posterior chamber silicone IOL.</div>
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Astigmatism correction with a foldable toric intraocular lens in cataract patients

Astigmatism correction with a foldable toric intraocular lens in cataract patients

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