Visual outcome and refractive status with monofocal toric intraocular lens implantation to correct astigmatism during cataract surgery

Patil, Mayuri; Nikose, Archana Sunil; Bharti, Shadwala

doi:10.4103/ijo.ijo_1272_20

Cited by 7 publications

(8 citation statements)

References 18 publications

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“…In a recent Indian study, Patil et al reported that 90% of the patients had less than 1 D and 62.5% of the patients had less than 0.5 D of residual refractive astigmatism 1 month after cataract surgeries when implanting monofocal toric IOLs in healthy patients [ 2 ]. Another study by Abulafia et al compared different toric IOL calculators.…”

Section: Discussionmentioning

confidence: 99%

“…Up to 30% of patients have a significant corneal astigmatism before cataract surgery [1][2][3][4]. Corneal astigmatism can be treated during cataract surgery with different methods: relaxing limbal incisions (for 1-4 D astigmatism), opposite clear corneal incision, adjusting the main corneal incision to the steep meridian, femtosecond laser-assisted astigmatic keratotomy, and toric IOL implantation [1,5,6].…”

Section: Introductionmentioning

confidence: 99%

“…Corneal astigmatism can be treated during cataract surgery with different methods: relaxing limbal incisions (for 1-4 D astigmatism), opposite clear corneal incision, adjusting the main corneal incision to the steep meridian, femtosecond laser-assisted astigmatic keratotomy, and toric IOL implantation [1,5,6]. However, toric IOL implantation is more predictable and precise, can fix a higher corneal astigmatism, can achieve more spectacle independence, and can provide a higher quality of vision without image distortion compared to the other methods [1,2,5,6]. Recently, the implantation of toric IOLs in eyes with comorbidities has burgeoned, and patients with age-related macular degeneration (AMD), as well as patients with mild to moderate corneal ectasias, are being offered toric IOLs and spectacle independence with satisfactory refraction results [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

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Clinical Outcomes of Toric Intraocular Lenses in Patients with Fuchs Endothelial Corneal Dystrophy

Blau-Most

Levy²,

Assia

et al. 2023

Ophthalmol Ther

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Introduction: Implantation of toric intraocular lenses (IOLs) in patients with Fuchs endothelial corneal dystrophy (FECD) is still considered relatively contraindicated, without sufficient clinical evidence. Therefore, this study was designed to evaluate the results of toric IOL implantation in patients with FECD. Methods: A retrospective case-control study of 28 eyes of FECD patients and 84 eyes of healthy control patients who received toric IOLs during routine cataract surgery was performed. The outcome measures were uncorrected and corrected distance visual acuity, spherical equivalent, and refractive residual astigmatism. Results:The mean postoperative uncorrected and corrected distance visual acuity in the FECD eyes compared to the control eyes were 0.15 ± 0.14 vs. 0.13 ± 0.17, respectively (P = 0.32), and 0.05 ± 0.08 vs. 0.06 ± 0.10, respectively (P = 0.95). The spherical equivalent in the FECD eyes compared to the control eyes was -0.29 ± 0.43 vs. -0.21 ± 0.50, respectively (P = 0.19). The preoperative corneal centroid astigmatism in the FECD eyes compared to the control eyes was 0.85 D@93°± 2.42°vs. 0.23 D@68°± 2.50°, respectively (P = 0.43), and the mean preoperative corneal astigmatism magnitude was 2.26 ± 1.1 D vs. 2.28 ± 1.03 D, respectively (P = 0.82). A trend toward higher postoperative refractive centroid astigmatism was found in the FECD eyes compared with the control eyes: 0.24 D@28°± 0.57°vs. 0.03 D@127°± 0.53°, respectively (P = 0.09). However, the mean refractive astigmatism magnitude was similar in FECD eyes and the healthy control eyes: 0.52 ± 0.31 D vs. 0.42 ± 0.31 D, respectively (P = 0.44). Conclusion:The postoperative refractive astigmatism (both centroid astigmatism and mean magnitude astigmatism) was no higher than 0.52 D in both groups. Therefore, FECD patients without corneal edema can be considered for toric IOLs.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical Outcomes of Toric Intraocular Lenses in Patients with Fuchs Endothelial Corneal Dystrophy

Blau-Most

Levy²,

Assia

et al. 2023

Ophthalmol Ther

View full text Add to dashboard Cite

show abstract

“…[ 4 ] We read the article by Patil et al . [ 5 ] and we congratulate the authors for bringing out this interesting study. However, we have a few important observations and suggestions to make.…”

mentioning

confidence: 92%

Comments on: Visual outcome and refractive status with monofocal toric intraocular lens implantation to correct astigmatism during cataract surgery

Kaur

Gurnani

2021

Indian Journal of Ophthalmology

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“…We thank the readers for their feedback on our manuscript. [ 1 ] In recent times cataract surgery and correction of corneal astigmatism can be corrected in a single procedure by using toric intraocular lens (IOL) implantation. [ 2 ]…”

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confidence: 99%

Response to comments on: Visual outcome and refractive status with monofocal toric intraocular lens implantation to correct astigmatism during cataract surgery

Patil

Nikose

2021

Indian Journal of Ophthalmology

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Visual outcome and refractive status with monofocal toric intraocular lens implantation to correct astigmatism during cataract surgery

Cited by 7 publications

References 18 publications

Clinical Outcomes of Toric Intraocular Lenses in Patients with Fuchs Endothelial Corneal Dystrophy

Clinical Outcomes of Toric Intraocular Lenses in Patients with Fuchs Endothelial Corneal Dystrophy

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Response to comments on: Visual outcome and refractive status with monofocal toric intraocular lens implantation to correct astigmatism during cataract surgery

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