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Refractive outcomes of cataract surgery in keratoplasty patients with high postoperative astigmatism

Session Details

Session Title: Toric IOL Outcomes

Session Date/Time: Monday 07/10/2013 | 16:30-18:30

Paper Time: 17:57

Venue: Auditorium (First Floor)

First Author: : E.Wylegala POLAND

Co Author(s): :    B. Wowra   D. Dobrowolski   E. Wroblewska-Czajka   A. Nowinska   M. Grolik   Murta

Abstract Details


To report refractive outcomes of cataract surgery in keratoplasty patients with toric intraocular lens implantation for high postoperative astigmatism


Ophthalmology Dapartment, District Railway Hospital, Panewnicka 65, Katowice, Poland


22 patients (22 eyes) with previous penetrating keratoplasty with high postoperative astigmatism (mean 6.73 D) underwent cataract surgery. VA, postoperative complications were evaluated


The preoperative subjective cylinder ranged from -2.0D to -12.0D (mean 6.75D). The follow-up was from 30 days up to 2.5 years (mean 1.2 years). Preoperative BCVA ranged from 0.02 to 0.3 (mean 0.15). ECD was at least 1000 cells/mm2. Postoperative astigmatism was from 0.5D to 6.5D (mean 2.3D). Postoperative BCVA was from 0.1 to 0.6 (mean 0.47). In two cases secondary surgical alignment of axis was performed. Transient corneal edema was observed in 3 cases. Intraocular pressure elevation was noticed in 1 case


Toric additive IOLs may be useful in reducing high astigmatism and anisometropia and increasing BCVA in patients after penetrating keratoplasty

Financial Interest:


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