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The refractive outcome of Toric Lentis Mplus implant in cataract surgery

Identifieur interne : 000021 ( Pmc/Checkpoint ); précédent : 000020; suivant : 000022

The refractive outcome of Toric Lentis Mplus implant in cataract surgery

Auteurs : Patrick J. Chiam [Royaume-Uni] ; Say A. Quah [Royaume-Uni]

Source :

RBID : PMC:4886883

Abstract

AIM

To evaluate the refractive outcome of Toric Lentis Mplus intraocular lens (IOL) implant.

METHODS

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.

RESULTS

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, P<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.

CONCLUSION

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


Affiliations:


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PMC:4886883

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<addr-line>Birmingham and Midland Eye Centre, City Hospital, Birmingham BH18 7QH, United Kingdom</addr-line>
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<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>
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<sec>
<title>CONCLUSION</title>
<p>Toric Lentis Mplus IOL has good predictability in reducing preexisting corneal astigmatism.</p>
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Patrick J Chiam. Birmingham and Midland Eye Centre, City Hospital, Dudley Road, Birmingham BH18 7QH, United Kingdom.
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<date date-type="received">
<day>20</day>
<month>9</month>
<year>2015</year>
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<copyright-statement>International Journal of Ophthalmology Press</copyright-statement>
<copyright-year>2016</copyright-year>
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<abstract>
<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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