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Toric intraocular lenses for correction of astigmatism in keratoconus and after corneal surgery

Authors Mol I, van Dooren B

Received 27 February 2016

Accepted for publication 7 April 2016

Published 21 June 2016 Volume 2016:10 Pages 1153—1159

DOI https://doi.org/10.2147/OPTH.S107305

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Lucy Goodman

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser


Ilse EMA Mol,1,2 Bart TH Van Dooren1,2

1Department of Ophthalmology, Amphia Hospital, Breda, 2Department of Ophthalmology, Erasmus Medical Center, Rotterdam, the Netherlands

Purpose: To describe the results of cataract extraction with toric intraocular lens (IOL) implantation in patients with preexisting astigmatism from three corneal conditions (keratoconus, postkeratoplasty, and postpterygium surgery).
Methods: Cataract patients with topographically stable, fairly regular (although sometimes very high) corneal astigmatism underwent phacoemulsification with implantation of a toric IOL (Zeiss AT TORBI 709, Alcon Acrysof IQ toric SN6AT, AMO Tecnis ZCT). Postoperative astigmatism and refractive outcomes, as well as visual acuities, vector reduction, and complications were recorded for all eyes.
Results: This study evaluated 17 eyes of 16 patients with a mean age of 60 years at the time of surgery. Mean follow-up in this study was 12 months. The corrected distance Snellen visual acuity (with spectacles or contact lenses) 12 months postoperatively was 20/32 or better in 82% of eyes. The mean corneal astigmatism was 6.7 diopters (D) preoperatively, and 1.5 D of refractive cylinder at 1-year follow-up. No vision-compromising intra- or postoperative complications occurred and decentration or off-axis alignment of toric IOLs were not observed.
Conclusion: Phacoemulsification with toric IOL implantation was a safe and effective procedure in the three mentioned corneal conditions. Patient selection, counseling, and IOL placement with optimal astigmatism correction are crucial.

Keywords: toric intraocular lens, phacoemulsification, corneal astigmatism, keratoconus, postkeratoplasty, postpterygium surgery

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