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Bozorgmehr Pouyeh, Anat Galor, Anna K. Junk, Jesse Pelletier, Sarah R. Wellik, Ninel Z. Gregori, Joseph Trentacoste; Surgical And Refractive Outcomes In Cataract Surgery With Toric Intraocular Lens Implantation In A Resident-teaching Institution. Invest. Ophthalmol. Vis. Sci. 2011;52(14):6193.
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To evaluate refractive and surgical outcomes in cataract surgery utilizing the Acrysof toric intraocular lens (TIOL) in a teaching institution.
Retrospective consecutive case series. Cases are patients undergoing cataract extraction with Acrysof TIOL placement at the Miami Veterans Affairs Medical Center (VAMC).
The authors present a series of 95 eyes (81 patients) that underwent cataract surgery with placement of Acrysof TIOL. Follow-up ranged from 1 month to 28 months (mean 7 months). The mean best corrected visual acuity (BCVA) improved from 20/115 at baseline to 20/35 with 92% of eyes having 20/50 or better visual acuity postoperatively. The mean deviation from targeted spherical correction was +0.07 diopters (D) (range -2.6 D to +3.6 D, SD 0.8, n=95) with 79% of patient achieving a spherical equivalent within 1 D of the target refraction. Post-operative residual cylinder was significantly reduced from baseline with 78% of eyes having at least a 0.5 D improvement in astigmatism after surgery (P<.0005). The mean deviation from targeted cylindrical correction was -0.51 D (range -5 D to 2.8 D, SD 1.2, n=86). The lens was placed in an incorrect position in two patients, and reoperation with lens rotation into the proper axis was required.
We found that the added complexity associated with TIOL placement in a teaching institution resulted in significant visual and astigmatic improvements without compromising patient safety.
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