Management of moderate and severe corneal astigmatism with AcrySof® toric intraocular lens implantation – Our experience
Identifieur interne : 000466 ( Pmc/Checkpoint ); précédent : 000465; suivant : 000467Management of moderate and severe corneal astigmatism with AcrySof® toric intraocular lens implantation – Our experience
Auteurs : Javed Hussain Farooqui ; Archana Koul ; Ranjan Dutta ; Noshir Minoo ShroffSource :
- Saudi Journal of Ophthalmology [ 1319-4534 ] ; 2015.
Abstract
Visual performance following toric intraocular lens implantation for cataract with moderate and severe astigmatism.
Cataract services, Shroff Eye Centre, New Delhi, India.
Case series.
This prospective study included 64 eyes of 40 patients with more than 1.50 dioptre (D) of pre-existing corneal astigmatism undergoing phacoemulsification with implantation of the AcrySof® toric IntraOcular Lens (IOL). The unaided visual acuity (UCVA), best corrected visual acuity (BCVA), residual refractive sphere and refractive cylinders were evaluated. Toric IOL axis and alignment error was measured by slit lamp method and Adobe Photoshop (version 7) method. Patient satisfaction was evaluated using a satisfaction questionnaire at 3 months.
The mean residual refractive astigmatism was 0.57 D at the final follow-up of 3 months. Mean alignment error was 3.44 degrees (SD = 2.60) by slit lamp method and 3.88 degrees (SD = 2.86) by Photoshop method. Forty-six (71.9%) eyes showed misalignment of 5 degrees or less, and 60 (93.8%) eyes showed misalignment of 10 degrees or less. The mean log MAR UCVA at 1st post-op day was 0.172 (SD = 0.02), on 7th post-op day was 0.138 (SD = 0.11), and on 30th post-op day was 0.081 (SD = 0.11). The mean log MAR BCVA at three months was −0.04 (SD = 0.76).
We believe that implantation of AcrySof® toric IOL is an effective, safe and predictable method to correct high amounts of corneal astigmatism during cataract surgery.
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DOI: 10.1016/j.sjopt.2015.07.002
PubMed: 26586976
PubMed Central: 4625364
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Saudi J Ophthalmol</journal-id><journal-id journal-id-type="iso-abbrev">Saudi J Ophthalmol</journal-id><journal-title-group><journal-title>Saudi Journal of Ophthalmology</journal-title></journal-title-group><issn pub-type="ppub">1319-4534</issn><publisher><publisher-name>Elsevier</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26586976</article-id><article-id pub-id-type="pmc">4625364</article-id><article-id pub-id-type="publisher-id">S1319-4534(15)00086-7</article-id><article-id pub-id-type="doi">10.1016/j.sjopt.2015.07.002</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>Management of moderate and severe corneal astigmatism with AcrySof® toric intraocular lens implantation – Our experience</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Farooqui</surname><given-names>Javed Hussain</given-names></name><email>jhfarooqui@gmail.com</email><xref rid="cor1" ref-type="corresp">⁎</xref></contrib><contrib contrib-type="author"><name><surname>Koul</surname><given-names>Archana</given-names></name></contrib><contrib contrib-type="author"><name><surname>Dutta</surname><given-names>Ranjan</given-names></name></contrib><contrib contrib-type="author"><name><surname>Shroff</surname><given-names>Noshir Minoo</given-names></name></contrib></contrib-group><aff id="af005">Department of Cataract and IOL Services, Shroff Eye Centre, New Delhi, India</aff><author-notes><corresp id="cor1"><label>⁎</label>Corresponding author at: C-44, Panchsheel Enclave, New Delhi 110017, India. Tel.: +91 9811219899. <email>jhfarooqui@gmail.com</email></corresp></author-notes><pub-date pub-type="pmc-release"><day>30</day><month>7</month><year>2015</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on .</pmc-comment>
<pub-date pub-type="ppub"><season>Oct-Dec</season><year>2015</year></pub-date><pub-date pub-type="epub"><day>30</day><month>7</month><year>2015</year></pub-date><volume>29</volume><issue>4</issue><fpage>264</fpage><lpage>269</lpage><history><date date-type="received"><day>22</day><month>10</month><year>2013</year></date><date date-type="rev-recd"><day>13</day><month>11</month><year>2014</year></date><date date-type="accepted"><day>23</day><month>7</month><year>2015</year></date></history><permissions><copyright-statement>© 2015 The Authors</copyright-statement><copyright-year>2015</copyright-year><license license-type="CC BY-NC-ND" xlink:href="http://creativecommons.org/licenses/by-nc-nd/4.0/"><license-p>This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).</license-p></license></permissions><abstract><sec><title>Purpose</title><p>Visual performance following toric intraocular lens implantation for cataract with moderate and severe astigmatism.</p></sec><sec><title>Setting</title><p>Cataract services, Shroff Eye Centre, New Delhi, India.</p></sec><sec><title>Design</title><p>Case series.</p></sec><sec><title>Method</title><p>This prospective study included 64 eyes of 40 patients with more than 1.50 dioptre (D) of pre-existing corneal astigmatism undergoing phacoemulsification with implantation of the AcrySof® toric IntraOcular Lens (IOL). The unaided visual acuity (UCVA), best corrected visual acuity (BCVA), residual refractive sphere and refractive cylinders were evaluated. Toric IOL axis and alignment error was measured by slit lamp method and Adobe Photoshop (version 7) method. Patient satisfaction was evaluated using a satisfaction questionnaire at 3 months.</p></sec><sec><title>Results</title><p>The mean residual refractive astigmatism was 0.57 D at the final follow-up of 3 months. Mean alignment error was 3.44 degrees (SD = 2.60) by slit lamp method and 3.88 degrees (SD = 2.86) by Photoshop method. Forty-six (71.9%) eyes showed misalignment of 5 degrees or less, and 60 (93.8%) eyes showed misalignment of 10 degrees or less. The mean log MAR UCVA at 1st post-op day was 0.172 (SD = 0.02), on 7th post-op day was 0.138 (SD = 0.11), and on 30th post-op day was 0.081 (SD = 0.11). The mean log MAR BCVA at three months was −0.04 (SD = 0.76).</p></sec><sec><title>Conclusion</title><p>We believe that implantation of AcrySof® toric IOL is an effective, safe and predictable method to correct high amounts of corneal astigmatism during cataract surgery.</p></sec></abstract><kwd-group><title>Keywords</title><kwd>Toric IOL</kwd><kwd>Moderate and severe astigmatism</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Dutta, Ranjan" sort="Dutta, Ranjan" uniqKey="Dutta R" first="Ranjan" last="Dutta">Ranjan Dutta</name><name sortKey="Farooqui, Javed Hussain" sort="Farooqui, Javed Hussain" uniqKey="Farooqui J" first="Javed Hussain" last="Farooqui">Javed Hussain Farooqui</name><name sortKey="Koul, Archana" sort="Koul, Archana" uniqKey="Koul A" first="Archana" last="Koul">Archana Koul</name><name sortKey="Shroff, Noshir Minoo" sort="Shroff, Noshir Minoo" uniqKey="Shroff N" first="Noshir Minoo" last="Shroff">Noshir Minoo Shroff</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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