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Vienna 2018 Delegate Registration Programme Exhibition Virtual Exhibition Satellites 2018 Survey


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Customised toric intraocular lens for very high corneal astigmatism

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Session Details

Session Title: New IOLs: Material & Preload IOL

Session Date/Time: Monday 24/09/2018 | 08:00-10:30

Paper Time: 09:06

Venue: Room A3, Podium 2

First Author: : V.MITTAL INDIA

Co Author(s): :    P. Narang   R. Mittal                 

Abstract Details


To evaluate the efficacy of ‘Smart Toric plus’ intraocular lens (IOL) implantation in patients with high astigmatism and cataract after penetrating keratoplasty or keratoconus


LJ Eye Institute, Ambala


8 eyes of 8 patients with cataract and high regular astigmatism underwent Phacoemulsification and implantation of foldable hydrophilic acrylic IOL (ULTIMA Smart toric plus). Main outcome measures: uncorrected distance visual acuity (UDVA) and corrected distance visual acuity (CDVA) in logMAR and manifest refraction.


Mean astigmatism was 11.8D( Range 8.0- 15.34D). The mean follow- up duration was 13.5 months. All 8 eyes had significant improvement in post- operative UDVA (logMAR,1.019±0.612 to 0.568±0.305; P= 0.0001) and CDVA(logMAR,0.885±0.592 to 0.197±0.102; P= 0.0001). The degree of astigmatism was also reduced significantly. Redialling (done in three eyes) was safe and also yielded good outcomes.


Customised Toric IOL appears to be a good option for patients with high astigmatism.

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