Rotational Stability Of Toric Intraocular Lenses In High Myopia Following Lens Exchange
Published 2026 - 44th Congress of the ESCRS
Reference: POCAT641 | Type: Poster | DOI: 10.82333/8bd4-re81
Authors: Dr Jill Wen-Chun Huang* 1 , Dr Tin KJ Chan 1
1Ophthalmology,Princess Alexandra Eye Pavilion,Edinburgh,United Kingdom
Purpose
High myopic eyes are often considered at higher risk of toric intraocular lens (IOL) rotation following lens exchange because of larger capsular bag dimensions. We reviewed our outcomes to assess rotational stability and refractive results in highly myopic patients undergoing toric IOL implantation.
Setting
Methods
A retrospective review was performed of 11 eyes of 6 patients with axial length >26 mm and pre-operative spherical equivalent greater than −6.00 D undergoing refractive lens exchange.
Implanted lenses included the Rayner RayOne Toric (RMT) monofocal toric IOL and the RayOne Galaxy toric IOL.
Patients were reviewed at 1 week and 6 weeks postoperatively..
Pre-operative measurements included spherical equivalent, corneal astigmatism, and corrected distance visual acuity (CDVA). Post-operative refraction, residual cylinder, visual acuity, and requirement for IOL repositioning were assessed.
Results
No cases required surgical repositioning for toric IOL rotation. One eye underwent Nd:YAG capsulotomy without meaningful change in refraction.
Conclusions
In this series of highly myopic eyes, toric IOL implantation following lens exchange was associated with stable postoperative refraction and low residual astigmatism. Clinically significant rotation requiring repositioning was not observed. These findings suggest that toric IOLs can be used reliably in selected high myopic patients.