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M. S. Alkharashi, F. M. Alfardan, M. Discepola; Patient Satisfaction After Toric Intraocular Lens Implantation. Invest. Ophthalmol. Vis. Sci. 2010;51(13):4568.
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To evaluate patient satisfaction after TORIC IOL implantation, to compare the frequency of spectacle wear (Astigmatic correction) pre and post operatively and to asses quality of vision post operatively.
A questionnaire based study involving 4 questions:1-Frequency of spectacle wear post-operatively (always, often or never)2-Patient satisfaction without glasses (scale 1-10)3-Frequency of glare (scale 0-4)4-Asking if patients would select the same lens again (yes or no)It was carried out via telephone interviews (10-15 minutes) with a total of 46 patients enrolled. All patients had uncomplicated; SN60T3 TORIC IOL implantation in both eyes (2008-2009), We studied the effect of correcting astigmatism on patient satisfaction
38 patients were successfully reached and agreed to participate. 25 (65%) patients were males and 13 (35%) were females. Their age ranged from 51-83 years and the mean is 67 years. 36 (95%) patients wore spectacles before the surgery and 7 (18%) patients only wear spectacles after the surgery, 4 (10.5%) of them wear the spectacles "all the time", 3 (7.8%) patients "sometimes".26 (68.4%) patients report a satisfaction score (10/10 on the satisfaction scale), 7 (18.4%) patients report 9/10, 3 (7.9%) patients report 8/10 and only 2 (5.3%) patients report less than 6.35 (92.1%) patients report no glare (0/4 on the glare scale), 2 (5.3%) patients report 2/4 glare and 1 (2.6%) patient has 3/4 glare.36 patients would choose the same lens again while 2 would not.For those patients who wear glasses post-operatively or gave a satisfaction score less than 6/10 or 3/4 on the glare scale or who would not choose the same lens again have spherical refractive error (-1.5 - +1.25D) and astigmatic error ranging from 0.25-0.75D.
TORIC IOL implantation resulted in high spectacles independence post-operatively and those who needed glasses were due to spherical ametropia and not due to astigmatism. The unfavorable postoperative symptoms (e.g Glare and night vision difficulties) were no different from those published after monofocal intra ocular lenses implantation. We expect greater patient satisfaction with higher Cylinder correction (i.e T4, T5).
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