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Clinical outcomes using standard phacoemulsification and femtosecond laser-assisted surgery with toric intraocular lenses

Authors Espaillat A, Pérez O, Potvin R

Received 8 December 2015

Accepted for publication 25 January 2016

Published 30 March 2016 Volume 2016:10 Pages 555—563


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser

Arnaldo Espaillat,1 Obniel Pérez,1 Richard Potvin2

1Espaillat-Cabral Eye Institute, Santo Domingo, Dominican Republic; 2Science in Vision, Akron, NY, USA

To compare the 1-month and 1-year results of toric intraocular lens (IOL) implantation with standard (manual) phacoemulsification vs femtosecond laser-assisted surgery.
Patients and methods: Refractive data, visual acuity data, and ocular aberration measured with a wavefront aberrometer were collected for two groups of patients from one site. The first group had standard phacoemulsification, while the second group had femtosecond laser-assisted surgery, and both groups were implanted with toric IOLs, either monofocal or multifocal. Differences in visual acuity, refractive outcomes, and higher order aberrations – total, corneal, and internal – were evaluated at 1 month and 1 year postoperatively.
Results: Toric IOLs were implanted in 62 eyes using standard phacoemulsification and 53 eyes using femtosecond laser-assisted surgery. Uncorrected visual acuity and best-spectacle-corrected visual acuity at 1 month and 1 year were not statistically significantly different between the groups (P>0.05) nor was the mean cylinder or mean spherical equivalent refraction (P>0.12). Total ocular higher order aberrations were significantly different between the groups (P<0.05), but absolute differences appeared to be the same. Internal vertical coma was significantly lower in the femto group at 1 year (P=0.03). Differences in aberrations did not correlate with corrected or uncorrected visual acuity.
Conclusion: Patients who underwent uncomplicated lens surgery with toric IOLs in both the groups had comparable refractive outcomes in terms of visual acuity and residual refraction at 1 year. The femto group had significantly lower internal vertical coma at 1 year.

Keywords: FLACS, LenSx, cataracts, refraction, astigmatism, visual acuity, toric IOL, femtosecond laser

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