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Toric multifocal IOL to achieve emmetropia and near vision: one year outcomes

Poster Details

First Author: G.Scaltrini ITALY

Co Author(s):    M. Piovella   B. Kusa           

Abstract Details


To evaluate multifocal toric IOL to manage astigmatism during cataract surgery and achieve emmetropia and near vision.


C.M.A. Centro di Microchirurgia Ambulatoriale, Monza, Italy


Eyes with cataract and with-the-rule corneal astigmatism (2.38 ± 0.82 D) had AT LISA toric 909M implantation. IOL calculations were performed using Z-CALC online calculator, taking into account the surgeon SIA. IOL axis alignment during surgery was accurately performed. Outcomes measurements were subjective refraction, corneal astigmatism using ATLAS™ 9000 Corneal Topography System or Tomey TMS 2 Corneal Tomographer, visual acuity, contrast sensitivity using OPTEC 6500


The study included 23 eyes from 16 patients (mean age 51.46 ± 11.12 years [SD]). Preoperatively, mean BCVA and SE were 0.85 ± 0.25 (decimal) and 2.40 ± 3.40 D respectively. Patients presented with a mean corneal cylinder and mean refractive cylinder of 2.38 ± 0.82 D and 1.48 ± 1.26 D respectively. Six months postoperatively, mean monocular UCVA and BCVA were 0.73 ± 0.22 and 0.90 ± 0.18 respectively for far vision. Near monocular UCVA was 20/34. The mean residual refractive cylinder was 0.32 ± 0.31 D. Photopic contrast sensitivity was within the normal range (*B. Hohberger, et al." Measuring Contrast Sensitivity in normal subjects with OPTEC 6500: Influence of Age and Glare" , Graefes Arch Clin Exp Ophthalmol (2007) 245: 1805-1814) for daylight conditions. Similar outcomes were observed in mesopic conditions with or without glare


AT LISA toric 909M is an advanced generation multifocal IOL preferably indicated for bilateral implantation. Initial clinical outcomes indicate that this is a new effective multifocal design. FINANCIAL DISCLOSURE?: ... receives consulting fees, retainer, or contract payments from a competing company, ... travel has been funded, fully or partially, by a company producing, developing or supplying the product or procedure presented

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