Initial Experience With A Presbyopia Correction Toric Intraocular Lens Designed For Full Continuous Range Of Vision.

To evaluate our initial experience with the Synergy Toric II intraocular lens which corrects for corneal astigmatism; specifically designed for patients motivated by improving continuous range of vision and achieving near visual acuity gains.

Private Refractive Surgery (Optical Express)

Outcomes of 329 patients who underwent lens replacement surgery in the absence or presence of a cataract with a bilateral implantation of the TECNIS Synergy Toric II lens were reviewed. Age range of patients was 40 to 76 years with up to 3.50D of preoperative corneal astigmatism. Preliminary one month clinical and patient-reported outcomes were analysed for the entire cohort, as well as by varying levels of preoperative astigmatism.

Postop mean uncorrected distance, intermediate, and near visual acuity was -0.01 logMAR, +0.06 logMAR, and +0.18 logMAR, respectively. 1.5% of eyes had loss of >2 lines BCVDA. Mean difference between postop UCDVA and BCVDA was <1 line. Intended vs achieved SE ±0.5D was 83.0%; ±1.0D was 98.2%. Intended vs achieved cylinder ±0.5D was 72.5%; ±1.0D was 95.3%. Once lens settled, 85.3% had <5° of rotation compared to intended axis. Postop astigmatic levels show stability over time.  No patients developed PCR, endophthalmitis, or TASS. 6.7% reported severe difficulty with QOV. 86.7% would recommend treatment.

Early data suggests that Tecnis Synergy Toric II IOL is a viable option for astigmatism patients interested in a full continuous range of vision and searching for complete spectacle independence. The vast majority of implantations had a high level of rotational stability. A low incidence of postoperative visual phenomena, as well as positive visual outcomes and patient satisfaction was observed. A larger sample size with longer follow-up is warranted.