Astigmatism Management in Cataract Surgery with Precizon(®) Toric Intraocular Lens: a Prospective Study

Overview

Journal Clin Ophthalmol

Publisher Dove Medical Press

Specialty Ophthalmology

Date 2016 Feb 9

PMID 26855559

Citations 9

Authors

Carolina Vale

Carlos Menezes

J Firmino-Machado

Pedro Rodrigues

Miguel Lume

Paula Tenedorio

Pedro Meneres

Maria do Ceu Brochado

Affiliations

Soon will be listed here.

Abstract

Purpose: The purpose of this study was to evaluate the visual and refractive outcomes and rotational stability of the new aspheric Precizon(®) toric intraocular lens (IOL) for the correction of corneal astigmatism in cataract surgery.

Setting: Department of Ophthalmology, Hospital Geral de Santo António - Centro Hospitalar do Porto, EPE and Hospital de Pedro Hispano, Matosinhos, Portugal.

Design: This was a prospective clinical study.

Patients And Methods: A total of 40 eyes of 27 patients with corneal astigmatism greater than 1.0 diopter (D) underwent cataract surgery with implantation of Precizon(®) toric IOL. IOL power calculation was performed using optical coherence biometry (IOLMaster(®)). Outcomes of uncorrected (UDVA) and best-spectacle corrected distance visual acuities (BCDVA), refraction, and IOL rotation were analyzed at the 1st week, 1st, 3rd, and 6th month's evaluations.

Results: The median postoperative UDVA was better than preoperative best-spectacle corrected distance visual acuity (0.02 [0.06] logMAR vs 0.19 [0.20] logMAR, P<0.001). At 6 months, postoperative UDVA was 0.1 logMAR or better in 95% of the eyes. At last follow-up, the mean spherical equivalent was reduced from -3.35±3.10 D to -0.02±0.30 D (P<0.001) with 97.5% of the eyes within ±0.50 D of emmetropia. The mean preoperative keratometric cylinder was 2.34±0.95 D and the mean postoperative refractive cylinder was 0.24±0.27 D (P<0.001). The mean IOL rotation was 2.43°±1.55°. None of the IOLs required realignment.

Conclusion: Precizon(®) toric IOL revealed very good rotational stability and performance regarding predictability, efficacy, and safety in the correction of preexisting regular corneal astigmatism associated with cataract surgery.

Citing Articles

Toric intraocular lens: A literature review.

Thulasidas M, Kadam A Taiwan J Ophthalmol. 2024; 14(2):197-208.

PMID: 39027059 PMC: 11254006. DOI: 10.4103/tjo.tjo_43_21.

Rotational stability of toric intraocular lenses by lens model and haptic design: systematic review and single-arm meta-analysis.

Li E, Vanderford E, Xu Y, Kang P J Cataract Refract Surg. 2024; 50(9):976-984.

PMID: 38768060 PMC: 11338026. DOI: 10.1097/j.jcrs.0000000000001486.

Refractive Outcomes after Cataract Surgery.

Khoramnia R, Auffarth G, Labuz G, Pettit G, Suryakumar R Diagnostics (Basel). 2022; 12(2).

PMID: 35204334 PMC: 8870878. DOI: 10.3390/diagnostics12020243.

Comparison of visual quality in cataract patients with low astigmatism after ART2 or ReSTOR intraocular lens implantation.

Hao J, Tan L, Li L, Bu S, Ren X, Tian F Int J Ophthalmol. 2019; 12(3):424-428.

PMID: 30918811 PMC: 6423399. DOI: 10.18240/ijo.2019.03.12.

Comparison of clinical outcomes of toric intraocular lens, Precizon vs Tecnis: a single center randomized controlled trial.

Jung N, Lim D, Hwang S, Hyun J, Chung T BMC Ophthalmol. 2018; 18(1):292.

PMID: 30413154 PMC: 6230282. DOI: 10.1186/s12886-018-0955-3.

References

Desai P, Reidy A, Minassian D, Vafidis G, Bolger J . Gains from cataract surgery: visual function and quality of life. Br J Ophthalmol. 1996; 80(10):868-73. PMC: 505640. DOI: 10.1136/bjo.80.10.868. View

Alio J, Pinero D, Tomas J, Aleson A . Vector analysis of astigmatic changes after cataract surgery with toric intraocular lens implantation. J Cataract Refract Surg. 2011; 37(6):1038-49. DOI: 10.1016/j.jcrs.2010.12.053. View

Storr-Paulsen A, Madsen H, Perriard A . Possible factors modifying the surgically induced astigmatism in cataract surgery. Acta Ophthalmol Scand. 1999; 77(5):548-51. DOI: 10.1034/j.1600-0420.1999.770513.x. View

de Oliveira G, Solari H, Ciola F, Lima A, Campos M . Corneal infiltrates after excimer laser photorefractive keratectomy and LASIK. J Refract Surg. 2006; 22(2):159-65. DOI: 10.3928/1081-597X-20060201-14. View

Bachernegg A, Ruckl T, Riha W, Grabner G, Dexl A . Rotational stability and visual outcome after implantation of a new toric intraocular lens for the correction of corneal astigmatism during cataract surgery. J Cataract Refract Surg. 2013; 39(9):1390-8. DOI: 10.1016/j.jcrs.2013.03.033. View

Visser N, Gast S, Bauer N, Nuijts R . Cataract surgery with toric intraocular lens implantation in keratoconus: a case report. Cornea. 2011; 30(6):720-3. DOI: 10.1097/ICO.0b013e31820009d4. View

Visser N, Berendschot T, Bauer N, Jurich J, Kersting O, Nuijts R . Accuracy of toric intraocular lens implantation in cataract and refractive surgery. J Cataract Refract Surg. 2011; 37(8):1394-402. DOI: 10.1016/j.jcrs.2011.02.024. View

Buckhurst P, Wolffsohn J, Davies L, Naroo S . Surgical correction of astigmatism during cataract surgery. Clin Exp Optom. 2010; 93(6):409-18. DOI: 10.1111/j.1444-0938.2010.00515.x. View

Savage H, Rothstein M, Davuluri G, El Ghormli L, Zaetta D . Myopic astigmatism and presbyopia trial. Am J Ophthalmol. 2003; 135(5):628-32. DOI: 10.1016/s0002-9394(02)02223-7. View

10.

Visser N, Bauer N, Nuijts R . Toric intraocular lenses: historical overview, patient selection, IOL calculation, surgical techniques, clinical outcomes, and complications. J Cataract Refract Surg. 2013; 39(4):624-37. DOI: 10.1016/j.jcrs.2013.02.020. View

11.

Visser N, Berendschot T, Bauer N, Nuijts R . Vector analysis of corneal and refractive astigmatism changes following toric pseudophakic and toric phakic IOL implantation. Invest Ophthalmol Vis Sci. 2012; 53(4):1865-73. DOI: 10.1167/iovs.11-8868. View

12.

Prinz A, Neumayer T, Buehl W, Vock L, Menapace R, Findl O . Rotational stability and posterior capsule opacification of a plate-haptic and an open-loop-haptic intraocular lens. J Cataract Refract Surg. 2011; 37(2):251-7. DOI: 10.1016/j.jcrs.2010.08.049. View

13.

Novis C . Astigmatism and toric intraocular lenses. Curr Opin Ophthalmol. 2000; 11(1):47-50. DOI: 10.1097/00055735-200002000-00007. View

14.

Entabi M, Harman F, Lee N, Bloom P . Injectable 1-piece hydrophilic acrylic toric intraocular lens for cataract surgery: efficacy and stability. J Cataract Refract Surg. 2011; 37(2):235-40. DOI: 10.1016/j.jcrs.2010.08.040. View

15.

Ma J, Tseng S . Simple method for accurate alignment in toric phakic and aphakic intraocular lens implantation. J Cataract Refract Surg. 2008; 34(10):1631-6. DOI: 10.1016/j.jcrs.2008.04.041. View

16.

Vitale S, Ellwein L, Cotch M, Ferris 3rd F, Sperduto R . Prevalence of refractive error in the United States, 1999-2004. Arch Ophthalmol. 2008; 126(8):1111-9. PMC: 2772054. DOI: 10.1001/archopht.126.8.1111. View

17.

Hayashi K, Masumoto M, Takimoto M . Comparison of visual and refractive outcomes after bilateral implantation of toric intraocular lenses with or without a multifocal component. J Cataract Refract Surg. 2014; 41(1):73-83. DOI: 10.1016/j.jcrs.2014.04.032. View

18.

Bauer N, de Vries N, Webers C, Hendrikse F, Nuijts R . Astigmatism management in cataract surgery with the AcrySof toric intraocular lens. J Cataract Refract Surg. 2008; 34(9):1483-8. DOI: 10.1016/j.jcrs.2008.05.031. View

19.

Reinstein D, Archer T, Randleman J . JRS standard for reporting astigmatism outcomes of refractive surgery. J Refract Surg. 2014; 30(10):654-9. DOI: 10.3928/1081597X-20140903-01. View

20.

Khokhar S, Lohiya P, Murugiesan V, Panda A . Corneal astigmatism correction with opposite clear corneal incisions or single clear corneal incision: comparative analysis. J Cataract Refract Surg. 2006; 32(9):1432-7. DOI: 10.1016/j.jcrs.2006.04.010. View