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Astigmatism correction with a foldable toric intraocular lens in cataract patients

Identifieur interne : 008701 ( Main/Merge ); précédent : 008700; suivant : 008702

Astigmatism correction with a foldable toric intraocular lens in cataract patients

Auteurs : I. Ruhswurm [Autriche] ; U. Scholz [Autriche] ; M. Zehetmayer [Autriche] ; G. Hanselmayer [Autriche] ; C. Vass [Autriche] ; C. Skorpik [Autriche]

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RBID : Pascal:00-0474870

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English descriptors

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 lOLs 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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<term>Association</term>
<term>Astigmatism</term>
<term>Cataract</term>
<term>Human</term>
<term>Implantation</term>
<term>Implanted</term>
<term>Intraocular lens</term>
<term>Plate</term>
<term>Posterior</term>
<term>Power</term>
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<term>Cataracte</term>
<term>Association</term>
<term>Astigmatisme</term>
<term>Traitement</term>
<term>Technique</term>
<term>Implantation</term>
<term>Lentille torique</term>
<term>Lentille intraoculaire</term>
<term>Préopératoire</term>
<term>Homme</term>
<term>Stabilité</term>
<term>Postérieur</term>
<term>Plaque</term>
<term>Implanté</term>
<term>Puissance</term>
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<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 lOLs 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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