Rotational Stability And Refractive Outcomes Of X-Wave Technology Edof Toric Iol

To assess the rotational stability and refractive outcomes of X-wave technology EDOF toric IOL.

Veni Vidi Eye Center, Istanbul, Turkey.

All patients who had implantations of X-wave technology EDOF toric IOLs between January 2021 and January 2022 were enrolled to the prospective study. Intraoperatively, IOLs were aligned using the marks placed on corneal limbuses preoperatively at slitlamp. Follow-up visits were done at the 1st day, the 1st week, and the 1st and the 3rd months postoperatively. At each visit, retroillumination images were taken to assess the IOL toric axis orientations; visual acuities and refractions were also recorded.

The final analysis comprised of 60 eyes (30 patients). Intraocular lens rotations from the first to the last examination session were within 5 degrees in 90% of the eyes, and within 10 degrees in 98.4% of eyes at the consecutive visits. By the 6th month, 4 IOLs (6.6%) had rotated clockwise and 2 (3.3%) had counterclockwise rotations. The mean magnitude of preexisting corneal astigmatism was 2.1 ± 0.8 diopters (D) (range 0.86 to 4.12 D). At the last follow-up, the mean magnitude of refractive astigmatism was 0.6 ± 0.4 D (range 0.0 to 1.5 D); the difference was statistically significant (P <0.05).

X-wave technology EDOF toric IOL showed good rotational stability, and this technology might well be an elegant option for correcting corneal astigmatism at the time of cataract surgery.