Acrylic toric intraocular lens implantation: a single center experience concerning clinical outcomes and postoperative rotation

Ioannis T Tsinopoulos¹, Konstantinos T Tsaousis¹, Dimitrios Tsakpinis¹, Nikolaos G Ziakas², Stavros A Dimitrakos¹

¹2nd Department of Ophthalmology, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece; ²1st Department of Ophthalmology, Aristotle University of Thessaloniki, AHEPA General Hospital, Thessaloniki, Greece

Purpose: To present clinical results of toric intraocular lens (IOL) implantation for preexisting astigmatism correction and determine the time of any postoperative rotation.

Patients and methods: Twenty-nine eyes of 19 patients underwent uncomplicated phacoemulsification and were implanted with an Acrysof^© toric IOL. Uncorrected visual acuity, residual astigmatism, and postoperative rotation of the IOL were estimated one and six months after the operation.

Results: Uncorrected visual acuity was ≥0.5 in 26 of 29 eyes (89.7%) and ≥0.8 in 19 of 29 patients (65.5%). The mean toric IOL axis rotation was 2.2 ± 1.5° (range 0.6–7.8°) one month postoperation and 2.7 ± 1.5° (range 0.9–8.4°) six months postoperation.

Conclusion: Implantation of one-piece hydrophobic acrylic toric IOLs appears to have acceptable stability, which encourages visual outcome and emerges as an attractive alternative for correction of refractive astigmatism.

Keywords: astigmatism, cataract, stability, implantation