April 2014
Volume 55, Issue 13
ARVO Annual Meeting Abstract  |   April 2014
Retrospective Results of Toric IOLS in Patients Undergoing Cataract Surgery
Author Affiliations & Notes
  • Dayanis Adrian
    Florida International University, Miami, FL
  • William Trattler
    Florida International University, Miami, FL
  • Eduardo Polania
    Florida International University, Miami, FL
  • Shannon Mccabe
    Florida International University, Miami, FL
  • Brian Frank
    University of Miami Miller School of Medicine, Miami, FL
  • Footnotes
    Commercial Relationships Dayanis Adrian, None; William Trattler, None; Eduardo Polania, None; Shannon Mccabe, None; Brian Frank, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 4198. doi:
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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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      © ARVO (1962-2015); The Authors (2016-present)

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Purpose: To evaluate the visual results of performing cataract surgery on patients with astigmatism who received Toric Intraocular Lenses.

Methods: 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.

Results: 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.

Conclusions: 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.

Keywords: 428 astigmatism • 445 cataract  

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