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Filed Under
Astigmatism
Cataract
astigmatism correction
astigmatism-correcting IOL
toric IOL
2020 paper presentation
Purpose
To evaluate the visual outcome and rotational stability of a toric panfocal intraocular lens (IOL) 3 months after femtosecond-assisted cataract surgery and refractive lens exchange.
Methods
50 eyes of 25 patients were bilaterally implanted with a toric panfocal IOL (Panoptix, Alcon, USA) during cataract surgery or refractive lens exchange to reach spectacle independence postoperatively. Main outcome measures were uncorrected and best spectacle corrected distant, intermediate, and near visual acuity (UDVA, UIVA, UNVA, CDVA, DCIVA, DCNVA; logMAR), defocus curve, spherical equivalent (MRSE), visual quality, and rotational stability 3 months after surgery.
Results
At 3 months postoperative the patients had a binocular CDVA of -0.07±0.10 logMAR which was significant better than the preoperative CDVA 0.20±0.05logMAR (p<0.001). DCIVA and DCNVA were 0.04±0.13 and 0.07±0.19logMAR 3 months postoperative. The MRSE was -0.16D±0.88. The defocus curve shows excellent far, intermediate and near visual acuity. Mean cylindrical IOL power was -1.5D±0.25. The IOL was stable regarding rotational stability with a mean deviation of intended axis 2.51°±2.30. The amount of visual phenomenons was comparable to the non-toric Panoptix.
Conclusion
The toric panfocal IOL offers excellent vision in all distances without the need of glasses for near, intermediate or distant vision. There was no significant deviation of the IOL axis after 3 months.
To evaluate the visual outcome and rotational stability of a toric panfocal intraocular lens (IOL) 3 months after femtosecond-assisted cataract surgery and refractive lens exchange.
Methods
50 eyes of 25 patients were bilaterally implanted with a toric panfocal IOL (Panoptix, Alcon, USA) during cataract surgery or refractive lens exchange to reach spectacle independence postoperatively. Main outcome measures were uncorrected and best spectacle corrected distant, intermediate, and near visual acuity (UDVA, UIVA, UNVA, CDVA, DCIVA, DCNVA; logMAR), defocus curve, spherical equivalent (MRSE), visual quality, and rotational stability 3 months after surgery.
Results
At 3 months postoperative the patients had a binocular CDVA of -0.07±0.10 logMAR which was significant better than the preoperative CDVA 0.20±0.05logMAR (p<0.001). DCIVA and DCNVA were 0.04±0.13 and 0.07±0.19logMAR 3 months postoperative. The MRSE was -0.16D±0.88. The defocus curve shows excellent far, intermediate and near visual acuity. Mean cylindrical IOL power was -1.5D±0.25. The IOL was stable regarding rotational stability with a mean deviation of intended axis 2.51°±2.30. The amount of visual phenomenons was comparable to the non-toric Panoptix.
Conclusion
The toric panfocal IOL offers excellent vision in all distances without the need of glasses for near, intermediate or distant vision. There was no significant deviation of the IOL axis after 3 months.
View More Presentations from this Session
This presentation is from the session "SPS-102 Toric IOLs - Astigmatism" from the 2020 ASCRS Virtual Annual Meeting held on May 16-17, 2020.