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Pseudophakic monovision vs multifocal toric IOL in astigmatic patients

Poster Details

First Author: K.Svidko UKRAINE

Co Author(s):    K. Tkachenko   V. Sardaryan   B. Medvedev        

Abstract Details


Modern cataract patients want to be free from spectacles after surgery. And especially it is complex to realize this wish in the case of astigmatism. Currently we have three options: pseudophakic monovision with toric IOL, implantation of the multifocal toric IOL and implantaion of the multifocal IOL with following Excimer laser surgery. What helps you choose a surgeon? We conducted a study to evaluate satisfaction and visual performance in cataract patients with whom we applied these three methods, show advantages and disadvantages of each method.


: International Medical Centre Oftalmika, Ukraine, Kharkiv.


In the study, we compared three groups: first group of 16 patients (32 eyes) with pseudophakic monovision (implanted IOL — AcrySof Toric IQ), second group of 15 patients (30 eyes) with a bilateral implantation of a toric multifocal IOL (implanted IOL — Restor Toric IQ), third group of 3 patients (6 eyes) with a bilateral implantation of a toric multifocal IOL with following laser correction). Corneal astigmatism was from 1,5 to 4,5 D in both groups. We evaluated all patients at a six month follow-up. We examine: near and distant uncorrected visual acuity, spectacle independence, contrast sensitivity, satisfaction of the patients.


In both groups, distant uncorrected visual acuity was near 20/30. 20/20 achieved 86% in the first group of patients, 83% of the patients in the second group and 100% patients in the third group. Near uncorrected visual acuity was more than 20/32 in all groups. Spectacle independence achieved 86% of patients in the first group, 88% in the second, 100% in the third. Residual astigmatism in all groups was from 0.25 to 0.75D. Contrast sensitivity was the highest in the monovision group, the lowest in the patients that had multifocal implantation + LASIK). Adaption period was shorter in monovision group. Price of the operation was less in the first group. Satisfaction was the highest in the monovision group (more in 15% in comparison with the first group, and in 7% in comparison with the third group).


Monovision with toric IOL is a good option to liberate from glasses our astigmatic patients. And what technology to choose should decide the surgeon in cooperation with the patient’s wish, expectation and possibility.

Financial Disclosure:


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