Visual Satisfaction In Amblyopic Patients: Does Toric Iol Implantation Close The Gap?

Published 2025 - 43rd Congress of the ESCRS

Reference: PP01.08 | Type: Poster | DOI: 10.82333/at2n-ps29

Authors: FATIMA SANCHEZ-CARNERERO CASAS* ¹ , BEATRIZ DE PABLO GOMEZ DE LIAÑO ¹ , PAULA ALONSO BARREIROS ¹ , DAVID ORTIZ MARTIN ¹ , CARLOS JAVIER VARGAS CORONADO ¹ , ESTHER MATA DIAZ ¹ , CARLOS ANTONIO DE PABLO MARTIN ¹

¹OFTALMOLOGIA,hospital de la cruz roja san jose y santa adela,MADRID,Spain

Purpose

To determine whether the use of toric intraocular lenses (IOLs) in patients with amblyopia secondary to high astigmatism leads to an improvement in vision-related quality of life (VR-QoL).

Setting

A retrospective comparative study was conducted on 65 patients who underwent cataract surgery with toric IOL implantation between September 2022 and September 2024 at a single center. Patients with intraoperative or postoperative complications were excluded.

Methods

The cohort was divided into two groups: Group A (Amblyopic, n=24)and Group B (Non-Amblyopic, n=41).
Group A included patients aged 69.6 ± 8.3 years(16 females, 8 males) with a preoperative astigmatism of 3.62D ± 0.85and preoperative visual acuity (VA) of 0.32 ± 0.18.
Group B included patients aged 64.95 ± 12.2 years(15 males, 26 females) with a preoperative astigmatism of 3.50D ± 0.95and preoperative VA of 0.38 ± 0.22.
Postoperative VR-QoL was assessed using the validated NEI VFQ-25 questionnaire, administered in January 2025 by a single interviewer to minimize bias.

Results

Postoperative VA improved in both groups, with significantly better final VA in Group B(0.89±0.16) compared to the Group A(0.68±0.12).

The mean difference between groups was 0.21(95% CI:[0.140, 0.280]), indicating a significantly greater improvement in non-amblyopic patients.

Postoperative astigmatism was lower in non-amblyopes (0.71D) compared to amblyopes (1.19D).

Despite these differences, VR-QoL outcomes were comparable between groups (85.97% in amblyopes vs. 91.70% in non-amblyopes, p=0.13).
Among amblyopic patients, 91.6%rated their vision as excellent or very good, compared to 92.7%in non-amblyopes.

Furthermore, a stronger correlation was found between VA and satisfaction in amblyopic patients (r=-0.45) compared to non-amblyopic (r=-0.25)

Conclusions

Although postoperative VA was superior in non-amblyopic patients and the postoperative astigmatism was lower in non-amblyope compared to amblyopes, the impact of surgery on VR-QoL was similarin both groups. Amblyopic patients highly valued their visual improvement, which had a significant impact on their satisfaction.
This study supports the clinical perceptionthat toric IOL implantation provides substantial quality-of-life benefitsfor amblyopic patients, reinforcing its indication in this population.