September 2016
Volume 57, Issue 12
Open Access
ARVO Annual Meeting Abstract  |   September 2016
Comparison of Refractive Outcomes after Cataract Surgery with Toric Intraocular Lens Implantation: Traditional Phacoemulsification with and without Intraoperative Aberrometry versus Laser Assisted Cataract Surgery with Intraoperative Aberrometry; a Retrospective Review
Author Affiliations & Notes
  • Paul Baciu
    Department Of Ophthalmology, Henry Ford Hospital, Rochester Hills, Michigan, United States
  • Nathan Farley
    Department Of Ophthalmology, Henry Ford Hospital, Rochester Hills, Michigan, United States
  • Rahul Komati
    Department Of Ophthalmology, Henry Ford Hospital, Rochester Hills, Michigan, United States
  • Kevin J Everett
    Department Of Ophthalmology, Henry Ford Hospital, Rochester Hills, Michigan, United States
  • Footnotes
    Commercial Relationships   Paul Baciu, None; Nathan Farley, None; Rahul Komati, None; Kevin Everett, Alcon (R)
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science September 2016, Vol.57, 1311. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to Subscribers Only
      Sign In or Create an Account ×
    • Get Citation

      Paul Baciu, Nathan Farley, Rahul Komati, Kevin J Everett; Comparison of Refractive Outcomes after Cataract Surgery with Toric Intraocular Lens Implantation: Traditional Phacoemulsification with and without Intraoperative Aberrometry versus Laser Assisted Cataract Surgery with Intraoperative Aberrometry; a Retrospective Review. Invest. Ophthalmol. Vis. Sci. 2016;57(12):1311.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract

Purpose : Toric intraocular lenses (IOLs) have been used effectively during cataract surgery to reduce post-operative astigmatism. Several new devices promise augmented refractive results after cataract surgery, but there is limited data measuring their outcomes. We performed a retrospective chart review to assess the efficacy of intraoperative refractive biometry and femtosecond laser assisted cataract surgery in reduction of astigmatism.

Methods : A retrospective chart review was performed comparing refractive outcomes of patients undergoing toric IOL implantation after cataract extraction via traditional surgical methods, compared to traditional methods in addition to utilization of the Optiwave Refractive Analysis intraoperative wavefront aberrometer (ORA), and finally compared to LenSx femtosecond laser assisted cataract extraction combined with utilization of the ORA system. Patients with a prior history of refractive surgery or corneal scarring were excluded from this study.

Results : 143 surgeries were reviewed, with 56 eyes undergoing traditional surgery, 33 eyes undergoing traditional surgery plus ORA, and 54 eyes undergoing LenSx surgery plus ORA. Preoperative refractive characteristics were similar among groups with average cylinder values of 1.81 D. Final refractions occurred at an average of 32 days after surgery. Post-operative uncorrected visual acuity (UCVA) in the traditional surgery group was 0.13 logMAR, with 33% of patients having 20/20 or better UCVA. Average residual cylinder was 0.34 D with an 81% reduction from pre-operative cylinder. Patients undergoing traditional surgery plus ORA had average UCVA 0.13 logMAR (31% were 20/20 or better) with average cylinder 0.33 D (79% reduction). Those undergoing LenSx surgery plus ORA had UCVA of 0.08 logMAR (59% were 20/20 or better), and average cylinder 0.24 D (88% reduction).

Conclusions : Our patients achieved excellent post-operative refractive outcomes with significant reductions in cylinder regardless of the methods utilized, however our review suggests that the use of femtosecond laser combined with the ORA system may provide better refractive outcomes.

This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.

×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×