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Dayanis Adrian, William Trattler, Eduardo Polania, Shannon Mccabe, Brian Frank; Retrospective Results of Toric IOLS in Patients Undergoing Cataract Surgery. Invest. Ophthalmol. Vis. Sci. 2014;55(13):4198.
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To evaluate the visual results of performing cataract surgery on patients with astigmatism who received Toric Intraocular Lenses.
The outcomes of Toric IOLs performed in one practice by 7 separate cataract surgeons over a 1 year time period were evaluated. A total of 111 patients were evaluated. Standard phacoemulsification was performed for 103 patients, while eight patients underwent surgery with a femtosecond laser. Outcome measures included measurement of UCVA, BCVA and residual astigmatism.
141 eyes were assessed (58 male, 83 female). The average age was 70 (range 42 to 87). 17.86% of eyes achieved 20/20 or better UCVA. 67.86% achieved 20/30 or better UCVA. 15.71% of eyes ended up with 20/40 or worse UCVA. In this cohort - 83.46% had 20/25 or better BCVA. 6.30% had 20/40 or worse BCVA postoperatively, and this was related to irregular astigmatism that was present on preoperative topography.
Toric Intraocular Lenses are effective for patients undergoing cataract surgery with pre-existing astigmatism. However, eyes with irregular corneal astigmatism may end up with reduced BCVA, so identification of these eyes preoperatively is important.
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