Astigmatism Correction, Cylinder Reduction And Visual Outcomes With A New Full Range Of Vision Toric Spiral Iol

To present the first visual outcomes of the RayOne Galaxy Toric (Rayner, UK), a new spiral full range of vision intraocular lens (IOL). The RayOne Galaxy optic was developed with a proprietary AI engine that created a unique optical spiral tuned for optimal patient outcomes.

Multicentre data collection:

• Department of Ophthalmology and Optometry at Medical University of Vienna, Vienna, Austria
• Department of Ophthalmology at University Eye Clinic Heidelberg, Germany
• ADVALIA Vision, Milano, Italy
• OCL Vision, London, England
• Auckland Eye, Auckland, New Zealand
• Clínica Privada de Oftalmologia, Lisbon, Portugal
• Clinica Baviera Aier Group, Valencia, Spain
• Vision Scotland, Edinburgh, Scotland
• Rothschild Foundation Hospital, Paris, France

This observational multicentre case series includes data of 82 eyes (51 patients) implanted with the RayOne Galaxy Toric IOL. Postoperative data are available for 80 eyes at 1 month (1M) and 61 eyes at 3 months (3M). Refraction outcomes include manifest refraction reported in sphere, cylinder and mean refractive spherical equivalent (MRSE) and the resulting prediction error (PE). Visual performance is reported by means of pre- and postoperative monocular corrected and uncorrected distance visual acuity (CDVA and UDVA), as well as postoperative corrected and uncorrected intermediate (DCIVA and UIVA) and near visual acuity (DCNVA and UNVA), described in logMAR.

Toric IOL with cylindric powers of 0.75 to 3.0D were implanted. The mean manifest cylinder of -1.03±0.81D (N=68 preoperatively) decreased to -0.25±0.29D at 1M (N=80), and -0.23±0.29D at 3M (N=61). The MRSE of 0.46±2.48 preoperatively decreased to -0.32±0.48D (1M) and -0.30±0.31D (3M) corresponding to mean PEs of -0.26±0.50D (1M) and -0.23±0.31D (3M), respectively. Preoperative monocular CDVA and UDVA decreased from 0.14±0.21D (N=79) and 0.48±0.33D (N=69) to -0.01±0.07D (N=80) and 0.07±0.12D (N=80) at 1M and -0.02±0.09D and 0.04±0.12D (N=61) at 3M, respectively. At 1M and 3M monocular DCIVA, UIVA were 0.05±010D, 0.05±0.13D, 0.07±0.12, 0.04±0.11, respectively, and DCNVA, UNVA were 0.11±0.12, 0.09±0.14 and 0.12±0.13, 0.08±0.12, respectively.

The real-world data for the RayOne Galaxy showed very encouraging outcomes. Postoperatively a cylindrical reduction was achieved 1M with stable results at 3M after surgery and narrow prediction error. The monocular visual acuity outcomes were excellent at far, intermediate and near distances. The results remained stable from 1 month on. The results suggest that RayOne Galaxy Toric full range of vision IOL provides a high visual acuity at various distances from near to far for patients with preoperative corneal astigmatism and the desire for a high degree of spectacle independence. RayOne Galaxy Toric is reliable option.