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

This Meeting has been awarded 27 CME credits

 

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Visual and refractive outcomes after toric intraocular lens implantation for corneal astigmatism correction during cataract surgery

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Session Details

Session Title: Presented Poster Session: Toric IOLs II

Session Date/Time: Monday 12/09/2016 | 15:00-16:30

Paper Time: 16:00

Venue: Poster Village: Pod 1

First Author: : S.Di Lauro SPAIN

Co Author(s): :    D. Galarreta   B. Carrasco   M. Rubio-Martinez   S. Labrador     

Abstract Details

Purpose:

To evaluate visual and refractive outcomes after phacoemulsification cataract surgery in patients undergoing toric intraocular lens (tIOL) implantation for corneal astigmatism correction

Setting:

Hospital Clinico Universitario de Valladolid and IOBA Eye Institute (University of Valladolid, Valladolid, Spain)

Methods:

a retrospective, single surgeon study including 100 eyes (69 patients) who underwent cataract surgery with tIOL implantation, after a needle slit-lamp marking with a lineal epithelial defect and minimum 3 months’ follow-up. Pre and postoperative refractive measurements, best corrected visual acuity (BVCA), uncorrected visual acuity (UCVA) and keratometric data were collected. Principal wound was always located at the same or perpendicular cylinder axis to keep orthogonality. Visual and optical outcomes were measured and compared depending on visual prognosis and wound location. Complication such as posterior capsule opacification (PCO) and IOL rotation were highlighted

Results:

Residual cylinder after tIOL implantation was -0.22D±0.29. Mean refractive postoperative cylinder was -0.38D±0.44. Mean postoperative UCVA and BCVA were 0.9±0.3 and 1±0.3 respectively. UCVA increased from 0.695 (SD 0.22; SEM 0.586) to 1.102 (SD 0.26; SEM 0.60) and BCVA increased from 0.814 (SD 0.18; SEM 0.50) to 1.142 (SD 0.22; SEM 0.515) in cases with no associated pathology. Wound location did not affect visual and refractive results. 2% of patients presented PCO which needed Nd:YAG capsulotomy. One eye required surgical axial adjustment. Only 3/100 eyes presented IOL rotation (< 5°) without effects on UCVA

Conclusions:

Implantation of tIOLs after cataract surgery to compensate corneal astigmatism is an effective and safe procedure. Orthogonal wound location did not affect visual and refractive results by avoiding vectorial addings

Financial Disclosure:

NONE

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