Correction of low corneal astigmatism in cataract surgery
Identifieur interne : 000098 ( Pmc/Corpus ); précédent : 000097; suivant : 000099Correction of low corneal astigmatism in cataract surgery
Auteurs : Pia Leon ; Marco Rocco Pastore ; Andrea Zanei ; Ingrid Umari ; Meriem Messai ; Corrado Negro ; Daniele TognettoSource :
- International Journal of Ophthalmology [ 2222-3959 ] ; 2015.
Abstract
To evaluate and compare aspheric toric intraocular lens (IOL) implantation and aspheric monofocal IOL implantation with limbal relaxing incisions (LRI) to manage low corneal astigmatism (1.0-2.0 D) in cataract surgery.
A prospective randomized comparative clinical study was performed. There were randomly recruited 102 eyes (102 patients) with cataracts associated with corneal astigmatism and divided into two groups. The first group received toric IOL implantation and the second one monofocal IOL implantation with peripheral corneal relaxing incisions. Outcomes considered were: visual acuity, postoperative residual astigmatism, endothelial cell count, the need for spectacles, and patient satisfaction. To determine the postoperative toric axis, all patients who underwent the toric IOL implantation were further evaluated using an OPD Scan III (Nidek Co, Japan). Follow-up lasted 6mo.
The mean uncorrected distance visual acuity (UCVA) and the best corrected visual acuity (BCVA) demonstrated statistically significant improvement after surgery in both groups. At the end of the follow-up the UCVA was statistically better in the patients with toric IOL implants compared to those patients who underwent implantation of monofocal IOL plus LRI. The mean residual refractive astigmatism was of 0.4 D for the toric IOL group and 1.1 D for the LRI group (
The two surgical procedures demonstrated a significant decrease in refractive astigmatism. Toric IOL implantation was more effective and predictable compared to the limbal relaxing incision.
Url:
DOI: 10.3980/j.issn.2222-3959.2015.04.14
PubMed: 26309869
PubMed Central: 4539655
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