6533b822fe1ef96bd127cf4a

RESEARCH PRODUCT

Trifocal toric intraocular lenses in eyes with low amount of corneal astigmatism.

Salvador Aguilar-córcolesPedro Tañá-riveroPaz Orts-vilaMaría Ramos-alzamoraRobert Montés-micóCristina Tello-elordi

subject

Refractive errormedicine.medical_specialtyVisual acuitygenetic structuresmedicine.medical_treatmentintraocular lensIntraocular lensAstigmatismtoriclcsh:OphthalmologyClinical ResearchOphthalmologyAberrometrymedicinetrifocalbusiness.industryPhacoemulsificationCataract surgerymedicine.diseaseeye diseasesOphthalmologyastigmatismcataractlcsh:RE1-994phacoemulsificationsense organsmedicine.symptombusinessCorneal astigmatism

description

Aim To evaluate the refractive and visual outcomes following cataract surgery and implantation of a trifocal toric intraocular lens (IOL) in eyes with low degrees of corneal astigmatism. Methods Twenty-six eyes of 22 patients who underwent implantation a trifocal toric IOL (FineVision PODFT, PhysIOL s.a., Liege, Belgium) were enrolled. Phacoemulsification with femtosecond laser, capsular tension ring insertion and intraoperative aberrometry were performed in all cases. All IOLs used showed a cylinder power of 1.00 D. Main outcome measures were refractive error and corrected-distance visual acuity (CDVA) and uncorrected-distance visual acuity (UDVA) values. Eyes were evaluated at 4mo post-surgery. Results Totally 50% of eyes showed a spherical equivalent (SE) within ±0.13 D and all of them within ±0.50 D. The mean SE and refractive cylinder were -0.02±0.23 and -0.16±0.22 D, respectively. Vector analysis revealed that 100% of eyes were within ±0.50 D for the SE and cylindrical components (J0 and J45). Refractive changes were not correlated with keratometric changes (P>0.05) showing that the reduction in astigmatism comes from the trifocal toric IOL. Of 81% and 96% of eyes showed UDVA and CDVA of 20/20, respectively. The postoperative mean values of monocular distance Snellen decimal UDVA and CDVA were 0.97±0.05 and 0.99±0.02 (about 20/20), respectively. Conclusion Our study suggests that the use of this trifocal toric IOL in patients with low amount of astigmatism provides accurate refractive outcomes and enables them to achieve excellent visual acuity.

10.18240/ijo.2020.10.09https://pubmed.ncbi.nlm.nih.gov/33078106