Visual Outcomes And Rotational Stability Of A Trifocal Toric Intraocular Lens (Clareon Panoptix Toric) In Cataract Surgery

To evaluate the visual outcomes, refractive accuracy, and rotational stability of the Clareon PanOptix Toric intraocular lens (IOL) in cataract patients with astigmatism. This study aims to assess uncorrected visual acuity at multiple distances, the accuracy of refractive targeting, and the stability of the toric IOL over a 3-month follow-up period

This prospective, observational study was conducted at the Universal Eye Center, Taipei, Taiwan. All surgeries were performed by a single experienced surgeon using the Verion Image-Guided System for intraoperative astigmatism axis marking and alignment.

A total of 35 eyes from 19 patients underwent implantation with the Clareon PanOptix Toric IOL. Postoperative assessments were conducted at 1 week, 1 month, and 3 months. Uncorrected and best-corrected visual acuities (UDVA, UIVA, UNVA, and BCVA) were recorded, along with manifest refraction and rotational stability measurements. Statistical analysis included repeated-measures ANOVA, correlation tests, and binomial analysis for assessing rotational stability and refractive accuracy.

At 3 months, 95% of eyes achieved UDVA of 20/25 or better, with 71% reaching 20/20 or better. 90% of eyes were within ±0.50 D of target refraction, and all eyes were within ±1.0 D. The mean absolute IOL rotation was 1.1° ± 1.5°, with 100% of eyes remaining within 5° of the intended axis. No eyes required repositioning, confirming the high stability of the IOL.

The Clareon PanOptix Toric IOL delivers excellent visual outcomes, accurate refractive targeting, and outstanding rotational stability. The use of the Verion Image-Guided System ensures precise toric alignment, enhancing predictability and reducing postoperative refractive errors. These findings reinforce the Clareon PanOptix Toric as an optimal choice for cataract patients with astigmatism, supporting high rates of spectacle independence and long-term IOL stability.