Publication: Evaluation of Rotation and Visual Outcomes After Implantation of Monofocal and Multifocal Toric Intraocular Lenses
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Publication Date
2015-03-12
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Poyales, Francisco
Ortíz de Zárate, Begoña
Ruiz-García, José Luis
Quiroga, Juan Antonio
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Slack Incorporated
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PURPOSE: To evaluate rotational stability and its influ-ence on postoperative visual acuity of different monofocal and multifocal toric intraocular lenses (IOLs). METHODS: A prospective interventional study was designed. Ninety-one patients with a mean age of 71.65 ± 11.82 years were implanted with toric IOLs after phacoemulsification. Three monofocal toric IOLs (the Lentis LT [Oculentis, Berlin, Germany], enVista [Bausch & Lomb, Rochester, NY], and AcrySof IQ [Alcon Laboratories, Inc., Fort Worth, TX]) and one multifocal toric IOL (AcrySof IQ ReSTOR; Alcon Laboratories, Inc.) were implanted. Preoperative and postoperative images were taken to calculate the misalignment due to the marking method. To evaluate rotation in the different follow-up visits, another photograph was taken 1 hour and 1, 7 and 30 days postoperatively. Refraction, uncorrected distance visual acuity (UDVA), and corrected distance visual acuity were measured 30 days postoperatively. RESULTS: Postoperative UDVA was 0.1 logMAR or better in 64.6% of eyes implanted with monofocal IOLs and 46.4% of eyes implanted with multifocal IOLs. The enVista toric IOL showed the best UDVA compared to the other monofocal IOLs, with 81% of eyes with 0.1 logMAR or better. The mean misalignment in the total group studied was 0.07° ± 0.60°; 69.6% of monofocal IOLs and 67.9% of multifocal IOLs showed less than 5° of rotation. A correlation was found between postoperative UDVA and rotation in the monofocal and multifocal IOLs implanted (r = 0.439 [P < .011] and = 0.787 [P = .001], respectively). CONCLUSIONS: At 1 month postoperatively, UDVA was slightly more affected by IOL rotation in multifocal than monofocal toric IOLs. The marking method was also effective.
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1. Bachernegg A, Ruckl T, Riha W, Grabner G, Dexl AK. 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;39:1390-1398.
2. Wolffsohn JS, Buckhurst PJ. Objective analysis of toric intraocular lens rotation and centration. J Cataract Refract Surg. 2010;36:778-782.
3. Felipe A, Artigas JM, Diez-Ajenjo A, Garcia-Domene C, Alcocer P. Residual astigmatism produced by toric intraocular lens rotation. J Cataract Refract Surg. 2011;37:1895-1901.
4. Jain AK, Gupta R, Chakma P. A simple technique for corneal marking before toric intraocular lens implantation. J Cataract Refract Surg. 2013;39:966-967.
5. Roumeliotis GA, Hutnik CM. A simple, reproducible, and cost effective axis marking system for toric lens implantation. J Refract Surg. 2012;28:12-13.
6. Visser N, Berendschot TT, Bauer NJ, Jurich J, Kersting O, Nuijts RM. Accuracy of toric intraocular lens implantation in cataract and refractive surgery. J Cataract Refract Surg. 2011;37:1394-1402.
7. Cha D, Kang SY, Kim SH, Song JS, Kim HM. New axis-marking method for a toric intraocular lens: mapping method. J Refract Surg. 2011;27:375-379.
8. Graether JM. Simplified system of marking the cornea for a toric intraocular lens. J Cataract Refract Surg. 2009;35:1498-1500.
9. Viestenz A, Seitz B, Langenbucher A. Evaluating the eye’s rotational stability during standard photography: effect on determining the axial orientation of toric intraocular lenses. J Cataract Refract Surg. 2005;31:557-561.
10. Popp N, Hirnschall N, Maedel S, Findl O. Evaluation of 4 corneal astigmatic marking methods. J Cataract Refract Surg. 2012;38:2094-2099.
11. Chua WH, Yuen LH, Chua J, Teh G, Hill WE. Matched comparison of rotational stability of 1-piece acrylic and plate-haptic silicone toric intraocular lenses in Asian eyes. J Cataract Refract Surg. 2012;38:620-624.
12. Prinz A, Neumayer T, Buehl W, et al. Rotational stability and posterior capsule opacification of a plate-haptic and an open-loop-haptic intraocular lens. J Cataract Refract Surg. 2011;37:251-257.
13. Buckhurst PJ, Wolffsohn JS, Naroo SA, Davies LN. Rotational and centration stability of an aspheric intraocular lens with a simulated toric design. J Cataract Refract Surg. 2010;36:1523-1528.
14. Ferreira TB, Marques EF, Rodrigues A, Montes-Mico R. Visual and optical outcomes of a diffractive multifocal toric intraocular lens. J Cataract Refract Surg. 2013;39:1029-1035.
15. Alfonso JF, Knorz M, Fernandez-Vega L, et al. Clinical outcomes after bilateral implantation of an apodized +3.0 D toric diffractive multifocal intraocular lens. J Cataract Refract Surg. 2014;40:51-59.
16. Bellucci R, Bauer NJ, Daya SM, et al. Visual acuity and refraction with a diffractive multifocal toric intraocular lens. J Cataract Refract Surg. 2013;39:1507-1518.
17. Williams JR. The Declaration of Helsinki and public health. Bull World Health Organ. 2008;86:650-652.
18. Pereira FA, Milverton EJ, Coroneo MT. Miyake-Apple study of the rotational stability of the AcrySof Toric intraocular lens after experimental eye trauma. Eye (Lond). 2010;24:376-378.
19. Chang DF. Early rotational stability of the longer Staar toric intraocular lens: fifty consecutive cases. J Cataract Refract Surg. 2003;29:935-940.
20. Ohmi S. Decentration associated with asymmetric capsular shrinkage and intraocular lens size. J Cataract Refract Surg. 1993;19:640-643.
21. Ohmi S, Tanaka S, Saika S, Ohnishi Y. Silicone and poly(methyl methacrylate) lens decentration associated with asymmetric capsule shrinkage in rabbits. J Cataract Refract Surg. 1999;25:1147-1150.
22. Khng C, Osher RH. Evaluation of the relationship between corneal diameter and lens diameter. J Cataract Refract Surg. 2008;34:475-479.
23. Patel CK, Ormonde S, Rosen PH, Bron AJ. Postoperative intraocular lens rotation: a randomized comparison of plate and loop haptic implants. Ophthalmology. 1999;106:2190-2195.
24. Stephenson M. Early users share the enVista experience. Review of Ophthalmology. 2013;January(available: http://www.reviewofophthalmology.com/content/t/intraocular_lenses/c/38573/)
25. Visser N, Bauer NJ, Nuijts RM. Toric intraocular lenses: historical overview, patient selection, IOL calculation, surgical techniques, clinical outcomes, and complications. J Cataract Refract Surg. 2013;39:624-637.
26. Mendicute J, Irigoyen C, Aramberri J, Ondarra A, Montés-Micó R. Foldable toric intraocular lens for astigmatism correction in cataract patients. J Cataract Refract Surg. 2008;34:601-607.
27. Dardzhikova A, Shah CR, Gimbel HV. Early experience with the AcrySof toric IOL for the correction of astigmatism in cataract surgery. Can J Ophthalmol. 2009;44:269-273.
28. Tsinopoulos IT, Tsaousis KT, Tsakpinis D, Ziakas NG, Dimitrakos SA. Acrylic toric intraocular lens implantation: a single center experience concerning clinical outcomes and postoperative rotation. Clin Ophthalmol. 2010;4:137-142.