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Toric trifocal intraocular lens in correction of presbyopia and astigmatism

Poster Details


Co Author(s):    A. Barisic   N. Gabric           

Abstract Details


To evaluate clinical outcome of refractive lens exchange with implantation of At LISA tri toric 939MP intraocular lens (IOL) in presbyopic patients with astigmatism.


University Eye Hospital Svjetlost, Zagreb, Croatia


Eighteen patients (36 eyes) were followed after clear lens extraction and binocular trifocal toric intraocular lens (IOL) implantation. Uncorrected distant visual acuity (UCDVA), uncorrected intermediate visual acuity (UCIVA) and uncorrected near visual acuity (UCNVA), spectacle independence, residual astigmatism, IOL misalignment and visual disturbances were measured. Follow up was at least six months.


Patients were completely free of glasses. Mean monocular UCDVA was 0.93±0.09, binocular UCIVA investigated at 80 cm was 0.87±0.1 and UCNVA at patient’s preferred distance was J1.35. Mean postoperative manifest astigmatism was 0.32±0.12 D, significantly lower than preoperative (2.50±0.92 D). IOL stability was excellent, mean misalignment was 3.0±1.9˚. Patients reported night driving visual disturbances when asked, but only 4,9% were seriously bothered by them.


Trifocal toric IOL is safe, predictable and stable option for correction of combined presbyopia and astigmatism.

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