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Phacoemulsification and toric intraocular lens implantation in patients with cataract and high corneal astigmatism after penetrating keratoplasty

Session Details

Session Title: Toric IOL Outcomes

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

Paper Time: 18:09

Venue: Auditorium (First Floor)

First Author: : Y.Akova TURKEY

Co Author(s): :    i. kilic              

Abstract Details


To report the refractive and visual outcomes of phacoemulsification and toric intraocular lens (IOL) implantation in patients with cataract and high postkeratoplasty astigmatism.


Retrospective review


Phacoemulsification and AcrySof Toric IOL (Alcon Laboratories, Inc., Fort Worth, TX) implantation was performed in one eye in 4 consecutive patients. Age, pre- postoperative best corrected visual acuities (BCVA) and refractive cylinder power, IOL axis shift, corneal graft clarity were recorded.


The mean age of the patients was 35,2 (range 25-42) year. All patients underwent penetrating keratoplasty for keratoconus. Preoperative BCVAs were 20/100, 20/100, 20/40 and 20/80 and increased to 20/25, 20/25, 20/20 and 20/25 in patients 1, 2, 3, 4 respectively after the surgery. The mean preoperative and postoperative refractive astigmatism were 5,18±1,14 D (range 3,5-6D) and 1,81±0,23 D (1,5-2 D) respectively. Two of four eyes had SN60AT8 toric IOL model, while two had SN60AT9 IOL model. The corneal grafts were transparent at postoperative 6 months. In all eyes, the mean IOL rotation was less than 5 degrees at last visit.


Patients with cataract and high postkeratoplasty astigmatism may be good candidates for toric IOL implantation, and toric IOLs provide rotational stability in these patients.

Financial Interest:


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