The refractive outcome of Toric Lentis Mplus implant in cataract surgery
Identifieur interne : 000041 ( Main/Merge ); précédent : 000040; suivant : 000042The refractive outcome of Toric Lentis Mplus implant in cataract surgery
Auteurs : Patrick J. Chiam [Royaume-Uni] ; Say A. Quah [Royaume-Uni]Source :
- International Journal of Ophthalmology [ 2222-3959 ] ; 2016.
Abstract
To evaluate the refractive outcome of Toric Lentis Mplus intraocular lens (IOL) implant.
This is a retrospective case series. Consecutive patients with corneal astigmatism of at least 1.5 D had Toric Lentis Mplus IOL implant during cataract surgery. The exclusion criteria included irregular astigmatism on corneal topography, large scotopic pupil diameter (>6 mm), poor visual potential and significant ocular comorbidity. Postoperative manifest refraction, uncorrected distance visual acuity (UDVA), best-corrected distance visual acuity (BCVA), uncorrected intermediate visual acuity (UIVA) at 3/4 m and uncorrected near visual acuity (UNVA) were obtained.
There were 70 eyes from 49 patients in this study. Patients were refracted at a median of 8.9wk (range 4.0 to 15.5) from the operation date. Sixty-five percent of eyes had 6/7.5 (0.10 logMAR) or better, and 99% 6/12 (0.30 logMAR) or better postoperative UDVA. Eighty-nine percent could read Jaeger (J) 3 (0.28 logMAR) and 95% J5 (0.37 logMAR) at 40 cm. The median magnitude of astigmatism decreased from 1.91 D to 0.49 D (Wilcoxon,
Toric Lentis Mplus IOL has good predictability in reducing preexisting corneal astigmatism.
Url:
DOI: 10.18240/ijo.2016.05.10
PubMed: NONE
PubMed Central: 4886883
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PMC:4886883Le document en format XML
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<author><name sortKey="Chiam, Patrick J" sort="Chiam, Patrick J" uniqKey="Chiam P" first="Patrick J" last="Chiam">Patrick J. Chiam</name>
<affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Birmingham and Midland Eye Centre, City Hospital, Birmingham BH18 7QH, United Kingdom</addr-line>
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<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Birmingham and Midland Eye Centre, City Hospital, Birmingham BH18 7QH</wicri:regionArea>
<wicri:noRegion>Birmingham BH18 7QH</wicri:noRegion>
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<author><name sortKey="Quah, Say A" sort="Quah, Say A" uniqKey="Quah S" first="Say A" last="Quah">Say A. Quah</name>
<affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Optegra Manchester Eye Hospital, Manchester M20 2EY, United Kingdom</addr-line>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The refractive outcome of Toric Lentis Mplus implant in cataract surgery</title>
<author><name sortKey="Chiam, Patrick J" sort="Chiam, Patrick J" uniqKey="Chiam P" first="Patrick J" last="Chiam">Patrick J. Chiam</name>
<affiliation wicri:level="1"><nlm:aff id="aff1"><addr-line>Birmingham and Midland Eye Centre, City Hospital, Birmingham BH18 7QH, United Kingdom</addr-line>
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<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Birmingham and Midland Eye Centre, City Hospital, Birmingham BH18 7QH</wicri:regionArea>
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<author><name sortKey="Quah, Say A" sort="Quah, Say A" uniqKey="Quah S" first="Say A" last="Quah">Say A. Quah</name>
<affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>Optegra Manchester Eye Hospital, Manchester M20 2EY, United Kingdom</addr-line>
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<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Optegra Manchester Eye Hospital, Manchester M20 2EY</wicri:regionArea>
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<series><title level="j">International Journal of Ophthalmology</title>
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<front><div type="abstract" xml:lang="en"><sec><title>AIM</title>
<p>To evaluate the refractive outcome of Toric Lentis Mplus intraocular lens (IOL) implant.</p>
</sec>
<sec><title>METHODS</title>
<p>This is a retrospective case series. Consecutive patients with corneal astigmatism of at least 1.5 D had Toric Lentis Mplus IOL implant during cataract surgery. The exclusion criteria included irregular astigmatism on corneal topography, large scotopic pupil diameter (>6 mm), poor visual potential and significant ocular comorbidity. Postoperative manifest refraction, uncorrected distance visual acuity (UDVA), best-corrected distance visual acuity (BCVA), uncorrected intermediate visual acuity (UIVA) at 3/4 m and uncorrected near visual acuity (UNVA) were obtained.</p>
</sec>
<sec><title>RESULTS</title>
<p>There were 70 eyes from 49 patients in this study. Patients were refracted at a median of 8.9wk (range 4.0 to 15.5) from the operation date. Sixty-five percent of eyes had 6/7.5 (0.10 logMAR) or better, and 99% 6/12 (0.30 logMAR) or better postoperative UDVA. Eighty-nine percent could read Jaeger (J) 3 (0.28 logMAR) and 95% J5 (0.37 logMAR) at 40 cm. The median magnitude of astigmatism decreased from 1.91 D to 0.49 D (Wilcoxon, <italic>P</italic>
<0.001) after the operation. The range of the cylindrical error was reduced from 1.5-3.95 D (keratometric) preoperatively to 0.00-1.46 D (subjective refraction transposed to corneal plane) postoperatively.</p>
</sec>
<sec><title>CONCLUSION</title>
<p>Toric Lentis Mplus IOL has good predictability in reducing preexisting corneal astigmatism.</p>
</sec>
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