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10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits

 

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Cataract surgery with toric intraocular lens with and without intraoperative aberrometry

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Session Details

Session Title: Presented Poster Session: Toric IOLs I

Session Date/Time: Saturday 10/09/2016 | 09:30-11:00

Paper Time: 10:50

Venue: Poster Village: Pod 4

First Author: : C.Azenha PORTUGAL

Co Author(s): :    J. Costa   M. Marques   M. Silva   A. Rosa   M. Quadrado   J. Murta

Abstract Details

Purpose:

Perfect astigmatism correction with toric intraocular lens (IOL) implantation requires an accurate IOL calculation and a precise surgical procedure. The purpose of our study is to compare refractive results obtained with and without intra-operative aberrometry and assess the manifest refractive errors after toric IOL implantation.

Setting:

Department of Ophthalmology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal. Faculty of Medicine, University of Coimbra, Coimbra, Portugal. Unidade de Oftalmologia de Coimbra, Idealmed, Coimbra, Portugal.

Methods:

Retrospective study. Patients with topographic astigmatism higher than 1.5 D who underwent toric IOL implantation for cataract surgery and astigmatism correction (AcrySof® IQ Toric IOL and ReStor Toric, Alcon) where divided whether intra-operative aberrometry (ORA® System, Alcon) was used. In the group of patients operated without aberrometry, the implanted IOL was based on the surgeon best choice according to the online calculator for cylinder power (AcrySof® Calculator) and aligned with Verion® Image Guided System, Alcon. All patients were operated by the same surgeon with a capsular tension ring.

Results:

A hundred and nine eyes of 84 patients (28 and 81 eyes with and without intra-operative aberrometry respectively) were included. The groups did not differ in sex (p = 0.757) but the group with intra-operative aberrometry was significantly older (70.20±11.82 vs 63.44±13.35 years old; p=0.037). At 1-month post-op, spherical equivalent of manifest refraction was significantly lower in the group with intra-operative aberrometry (-0.16±0.35 vs -0.45±0.67; p=0.013). When the groups were compared for the residual astigmatism, the difference was not significant (-0.45±0.38 vs -0.43±0.42; p=0.518 with and without intra-operative aberrometry respectively).

Conclusions:

On the basis of the clinical results of this study, toric IOL implantation guided by the more recent intra-operative aberrometry devices improves refractive outcomes in cataract surgery.

Financial Disclosure:

One or more of the authors gains financially from product or procedure presented

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