Propensity-matched comparison of postoperative stability and visual outcomes of toric intraocular lens with or without a capsular tension ring and updated meta-analysis

Ma, Dongmei; Han, Xijiang; Hua, Zhixiang; Shen, Jian‐Yong; Zhang, Limei; Qiu, Tian; Luo, Jianfeng; Cai, Lei; Yang, Jin

doi:10.1007/s00417-022-05851-y

Cited by 6 publications

(3 citation statements)

References 25 publications

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“…Previous investigations have demonstrated that ocular biological parameters, such as lens thickness (LT), anterior chamber depth (ACD), axial length (AL), and white-to-white distance (WTW), exhibit a negative correlation with the degree of postoperative rotation in toric IOL (10,19,20). In our study, we conducted subgroup analysis focusing on these parameters to assess their impact on rotational stability.…”

Section: Discussionmentioning

confidence: 98%

Rotational Stability of Monofocal and Diffractive Multifocal Toric Intraocular Lenses with Identical Design and Material: A Propensity Score Based Prospective Comparative Study

Shi,

Ma,

Zeng

et al. 2023

Preprint

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Purpose To compare the rotational stability of a monofocal and a diffractive multifocal toric intraocular lenses with identical design and material. Methods This prospective study enrolled patients who underwent plate-haptic toric IOL (AT TORBI 709 M and AT LISA 909 M) implantation. Propensity score matching (PSM) was performed to balance baseline factors. Follow-up examinations were conducted at 1 hour, 1 day, 3 days, 1 week, 2 weeks, 1 month, and 3 months postoperatively. A linear mixed model of repeated measures was used to investigate the changes in IOL rotation over time. A 2-week timeframe was utilized to assess differences in IOL rotation between the two groups. Result After PSM, a total of 126 eyes were selected from each group for further analysis. Postoperatively, the time course of IOL rotation change in the two groups remained consistent, with the greatest rotation occurring between 1 hour and 1 day postoperatively. At the 2-week postoperative mark, the monofocal toric IOL exhibited a higher degree of rotation compared to the multifocal toric IOL (5.40 ± 7.77° vs. 3.53 ± 3.54°, P = 0.015). In LT ≥ 4.5mm and WTW ≥ 11.6mm subgroups, the monofocal toric IOL rotated greater than the multifocal toric IOL (P = 0.026 and P = 0.011, respectively). Conclusion The diffractive multifocal toric IOL exhibits superior rotational stability compared to the monofocal toric IOL, especially in subgroups LT ≥ 4.5 mm and WTW ≥ 11.6 mm. Moreover, the time course of IOL rotation change is consistent for both, with the maximum rotation occurring between 1 hour and 1 day postoperatively.

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Section: Discussionmentioning

confidence: 98%

Rotational Stability of Monofocal and Diffractive Multifocal Toric Intraocular Lenses with Identical Design and Material: A Propensity Score Based Prospective Comparative Study

Shi,

Ma,

Zeng

et al. 2023

Preprint

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“…There is no definitive consensus regarding the ideal timing for CTR implantation. A recent meta-analysis has been conducted by our team ( 72 ), and it was demonstrated that the use of CTR significantly improves the rotational stability of toric IOLs by mitigating the influence of LT. Based on these findings, the co-implantation of CTR is strongly recommended for patients with LT of ≥4.5 mm, WTW of ≥11.6 mm, or high astigmatism.…”

Section: Interventions For Toric Iol Rotationmentioning

confidence: 99%

Insights into the rotational stability of toric intraocular lens implantation: diagnostic approaches, influencing factors and intervention strategies

Lin,

Ma,

Yang

2024

Front. Med.

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Toric intraocular lenses (IOLs) have been developed to enhance visual acuity impaired by cataracts and correct corneal astigmatism. However, residual astigmatism caused by postoperative rotation of the toric IOL is an important factor affecting visual quality after implantation. To decrease the rotation of the toric IOL, significant advancements have been made in understanding the characteristics of toric IOL rotation, the factors influencing its postoperative rotation, as well as the development of various measurement techniques and interventions to address this issue. It has been established that factors such as the patient’s preoperative refractive status, biological parameters, surgical techniques, postoperative care, and long-term management significantly impact the rotational stability of the toric IOL. Clinicians should adopt a personalized approach that considers these factors to minimize the risk of toric IOL rotation and ensure optimal outcomes for each patient. This article reviews the influence of various factors on toric IOL rotational stability. It discusses new challenges that may be encountered to reduce and intervene with rotation after toric IOL implantation in the foreseeable future.

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“…Moreover, this lens has been assessed in vitro 23 and used in keratoconic eyes with cataracts, 24–26 in combined vitrectomy, 27 can be repositioned after misalignment 28 or using a specific nomogram. 29 The different studies, with a variety of samples, that have reported clinical data in standard cataract surgery have shown good visual, refractive and rotational stability outcomes in the short- (1 month), 17–19 medium- (3 7 , 9–11 , 13 , 15 , 16 , 20–22 and 6 months 6 , 8 ) and long-term follow-up (12 months 14 ) for a general population, and specifically for myopic eyes. 8 , 16 However, to the best of our knowledge, up to March 2024 no clinical studies have been carried out to analyze this lens when implanted in hyperopic eyes.…”

Section: Introductionmentioning

confidence: 99%

Clinical Results of a Monofocal Aspheric Bitoric Intraocular Lens with Plate Haptics in Hyperopic Eyes

Tañá-Rivero,

Muñoz-Tomás,

Orts-Vila

et al. 2024

OPTH

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Propensity-matched comparison of postoperative stability and visual outcomes of toric intraocular lens with or without a capsular tension ring and updated meta-analysis

Cited by 6 publications

References 25 publications

Rotational Stability of Monofocal and Diffractive Multifocal Toric Intraocular Lenses with Identical Design and Material: A Propensity Score Based Prospective Comparative Study

Rotational Stability of Monofocal and Diffractive Multifocal Toric Intraocular Lenses with Identical Design and Material: A Propensity Score Based Prospective Comparative Study

Insights into the rotational stability of toric intraocular lens implantation: diagnostic approaches, influencing factors and intervention strategies

Clinical Results of a Monofocal Aspheric Bitoric Intraocular Lens with Plate Haptics in Hyperopic Eyes

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