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Toric IOL versus adjustable incision for treatment of mild to moderate astigmatism in phacoemulsification

Poster Details

First Author: K.Kotb Ali EGYPT

Co Author(s):                  

Abstract Details



Purpose:

To compare the efficacy of implantation of toric IOL(AcrySof Toric lens T3,T4,T5) with adjustable incision in treatment of mild to moderate astigmatism in phacoemulsification

Setting:

Egypt Air Hospital - Cairo -Egypt

Methods:

Study population: 114 eyes of 71 patients with cataract and preoperative mild to moderate astigmatism (-0.75 D to -3.0 D) were classified into two groups: (1) group A, toric IOL were implanted after phacoemulsification (57 eyes) (2) group B, adjustable incision were done (57 eyes) intraoperative with implantation of one piece acrylic IOL of the same type. Both groups matched for preoperative astigmatism, visual acuity (uncorrected, UCVA; best spectacle-corrected, BSCVA), and keratometry (K) values (flat, steep, average). Main outcome included: postoperative astigmatism, visual acuity, refractive errors, K values.

Results:

There were more improvements as regard preoperative astigmatic error ,UCVA, in patient with moderate astigmatism (-1.50 D up to -3.0 D) in group A with toric IOL, than in the group B with adjustable incision, and more improvement as regard preoperative astigmatic error, UCVA, in mild astigmatism (-0.75 D up to -1.25 D) in group B with adjustable incision than in group A with toric IOL

Conclusions:

Toric IOL is a good option for treatment of moderate preoperative astigmatism (1.25 to 3.00 ) than adjustable incision but in mild astigmatism (-0.75 D up to -1.5 D) adjustable incision is slightly more effective or both are equal. FINANCIAL INTEREST: NONE

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