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Visual function and patient experience after bilateral implantation of toric intraocular lenses.
J Cataract Refract Surg. 2010 Apr; 36(4):609-16.JC

Abstract

PURPOSE

To evaluate the efficacy, stability, predictability, and patient-reported outcomes of bilateral toric intraocular lens (IOL) implantation in cases of cataract with preexisting astigmatism.

SETTING

Fourteen universities, hospitals, or private practices, Canada.

METHODS

Patients with cataracts and corneal astigmatism from 1.00 to 2.50 diopters (D) were included in a prospective study of bilateral AcrySof toric IOL implantation. Binocular uncorrected distance visual acuity (UDVA), manifest refraction, and IOL rotational stability were assessed 1 day and 1, 3, and 6 months postoperatively. Patients completed a questionnaire that assessed spectacle independence, visual disturbances, and satisfaction with vision (1 = completely unsatisfied; 10 = completely satisfied) preoperatively and 3 and 6 months postoperatively.

RESULTS

The study included 117 patients (234 eyes). The binocular UDVA was 20/40 or better in 99% of patients and 20/20 or better in 63% of patients. The mean residual refractive astigmatism was 0.4 D +/- 0.4 (SD). The spherical equivalent was within +/-0.5 D of target in 77% of eyes. At last observation, IOL alignment was within +/-5 degrees in 91% of eyes and within +/-10 degrees in 99%. Sixty-nine percent of patients reported never using distance spectacles. The frequency and severity of halos and glare were significantly reduced from preoperatively to postoperatively. Satisfaction with vision was rated 7 or higher by 94% of patients.

CONCLUSION

Bilateral implantation of toric IOLs yielded excellent and stable visual outcomes that patients rated as highly satisfactory.

FINANCIAL DISCLOSURE

No author has a financial or proprietary interest in any material or method mentioned. Additional disclosures are found in the footnotes.

Authors+Show Affiliations

Credit Valley Eye Care, 3200 Erin Mills Parkway, Unit 1, Mississauga, Ontario L5L 1W8, Canada.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20362853

Citation

Ahmed, Iqbal Ike K., et al. "Visual Function and Patient Experience After Bilateral Implantation of Toric Intraocular Lenses." Journal of Cataract and Refractive Surgery, vol. 36, no. 4, 2010, pp. 609-16.
Ahmed II, Rocha G, Slomovic AR, et al. Visual function and patient experience after bilateral implantation of toric intraocular lenses. J Cataract Refract Surg. 2010;36(4):609-16.
Ahmed, I. I., Rocha, G., Slomovic, A. R., Climenhaga, H., Gohill, J., Grégoire, A., & Ma, J. (2010). Visual function and patient experience after bilateral implantation of toric intraocular lenses. Journal of Cataract and Refractive Surgery, 36(4), 609-16. https://doi.org/10.1016/j.jcrs.2009.10.044
Ahmed II, et al. Visual Function and Patient Experience After Bilateral Implantation of Toric Intraocular Lenses. J Cataract Refract Surg. 2010;36(4):609-16. PubMed PMID: 20362853.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Visual function and patient experience after bilateral implantation of toric intraocular lenses. AU - Ahmed,Iqbal Ike K, AU - Rocha,Guillermo, AU - Slomovic,Allan R, AU - Climenhaga,Harold, AU - Gohill,Jit, AU - Grégoire,Alain, AU - Ma,Joseph, AU - ,, PY - 2009/04/13/received PY - 2009/10/04/revised PY - 2009/10/07/accepted PY - 2010/4/6/entrez PY - 2010/4/7/pubmed PY - 2010/6/5/medline SP - 609 EP - 16 JF - Journal of cataract and refractive surgery JO - J Cataract Refract Surg VL - 36 IS - 4 N2 - PURPOSE: To evaluate the efficacy, stability, predictability, and patient-reported outcomes of bilateral toric intraocular lens (IOL) implantation in cases of cataract with preexisting astigmatism. SETTING: Fourteen universities, hospitals, or private practices, Canada. METHODS: Patients with cataracts and corneal astigmatism from 1.00 to 2.50 diopters (D) were included in a prospective study of bilateral AcrySof toric IOL implantation. Binocular uncorrected distance visual acuity (UDVA), manifest refraction, and IOL rotational stability were assessed 1 day and 1, 3, and 6 months postoperatively. Patients completed a questionnaire that assessed spectacle independence, visual disturbances, and satisfaction with vision (1 = completely unsatisfied; 10 = completely satisfied) preoperatively and 3 and 6 months postoperatively. RESULTS: The study included 117 patients (234 eyes). The binocular UDVA was 20/40 or better in 99% of patients and 20/20 or better in 63% of patients. The mean residual refractive astigmatism was 0.4 D +/- 0.4 (SD). The spherical equivalent was within +/-0.5 D of target in 77% of eyes. At last observation, IOL alignment was within +/-5 degrees in 91% of eyes and within +/-10 degrees in 99%. Sixty-nine percent of patients reported never using distance spectacles. The frequency and severity of halos and glare were significantly reduced from preoperatively to postoperatively. Satisfaction with vision was rated 7 or higher by 94% of patients. CONCLUSION: Bilateral implantation of toric IOLs yielded excellent and stable visual outcomes that patients rated as highly satisfactory. FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned. Additional disclosures are found in the footnotes. SN - 1873-4502 UR - https://www.unboundmedicine.com/medline/citation/20362853/Visual_function_and_patient_experience_after_bilateral_implantation_of_toric_intraocular_lenses_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0886-3350(10)00072-6 DB - PRIME DP - Unbound Medicine ER -