Outcomes of preloaded toric intraocular lens implantation in eyes undergoing phacoemulsification
Purpose: To evaluate the clinical outcomes of preloaded toric intraocular lens (IOLs) implantation in eyes undergoing phacoemulsification. Methods: This prospective study included 51 eyes of 51 patients with visually significant cataracts and corneal astigmatism ranging between 0.75 and 5.50 D. Al...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Indian Journal of Ophthalmology |
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| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=6;spage=2480;epage=2486;aulast=Nagpal |
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| author | Ritu Nagpal Chetan Shakkarwal Saima Ahsan Prafulla Kumar Maharana Madhav Goel Namrata Sharma |
| author_facet | Ritu Nagpal Chetan Shakkarwal Saima Ahsan Prafulla Kumar Maharana Madhav Goel Namrata Sharma |
| author_sort | Ritu Nagpal |
| collection | DOAJ |
| description | Purpose: To evaluate the clinical outcomes of preloaded toric intraocular lens (IOLs) implantation in eyes undergoing phacoemulsification. Methods: This prospective study included 51 eyes of 51 patients with visually significant cataracts and corneal astigmatism ranging between 0.75 and 5.50 D. All patients underwent phacoemulsification with SupraPhob toric intraocular lens implantation under topical anesthesia. The main outcome measures were uncorrected distance visual acuity (UDVA), residual refractive cylinder, spherical equivalent, and IOL stability at 3 months follow-up. Results: At 3 months, 49% (25/51) of patients had UDVA equal to or better than 20/25 with 100% of eyes achieving better than 20/40. Mean logMAR UDVA improved from 1.02 ± 0.39, preoperatively to 0.11 ± 0.10 at 3 months follow-up (P < 0.001, Wilcoxon signed-rank test). The mean refractive cylinder improved from − 1.56 ± 1.25 D preoperatively to − 0.12 ± 0.31 D at 3 months follow-up (P < 0.001) while the mean spherical equivalent value changed from − 1.93 ± 3.71D preoperatively to − 0.16 ± 0.27D (P = 0.0013). The mean root mean square value for higher order aberrations was 0.30 ± 0.18 μm while the average contrast sensitivity value (Pelli-Robson chart) was 1.56 ± 0.10 log unit, at the final follow-up. The mean IOL rotation at 3 weeks was 1.7 ± 1.61 degrees, which did not change significantly at 3 months (P = 0.988) follow-up. There were no intraoperative or postoperative complications. Conclusion: SupraPhob toric IOL implantation is an effective method for addressing preexisting corneal astigmatism in eyes undergoing phacoemulsification with good rotational stability. |
| first_indexed | 2024-03-12T22:30:13Z |
| format | Article |
| id | doaj.art-0661a00191614a30a801b8c6c75391e8 |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-03-12T22:30:13Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-0661a00191614a30a801b8c6c75391e82023-07-21T15:15:02ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892023-01-017162480248610.4103/ijo.IJO_3068_21Outcomes of preloaded toric intraocular lens implantation in eyes undergoing phacoemulsificationRitu NagpalChetan ShakkarwalSaima AhsanPrafulla Kumar MaharanaMadhav GoelNamrata SharmaPurpose: To evaluate the clinical outcomes of preloaded toric intraocular lens (IOLs) implantation in eyes undergoing phacoemulsification. Methods: This prospective study included 51 eyes of 51 patients with visually significant cataracts and corneal astigmatism ranging between 0.75 and 5.50 D. All patients underwent phacoemulsification with SupraPhob toric intraocular lens implantation under topical anesthesia. The main outcome measures were uncorrected distance visual acuity (UDVA), residual refractive cylinder, spherical equivalent, and IOL stability at 3 months follow-up. Results: At 3 months, 49% (25/51) of patients had UDVA equal to or better than 20/25 with 100% of eyes achieving better than 20/40. Mean logMAR UDVA improved from 1.02 ± 0.39, preoperatively to 0.11 ± 0.10 at 3 months follow-up (P < 0.001, Wilcoxon signed-rank test). The mean refractive cylinder improved from − 1.56 ± 1.25 D preoperatively to − 0.12 ± 0.31 D at 3 months follow-up (P < 0.001) while the mean spherical equivalent value changed from − 1.93 ± 3.71D preoperatively to − 0.16 ± 0.27D (P = 0.0013). The mean root mean square value for higher order aberrations was 0.30 ± 0.18 μm while the average contrast sensitivity value (Pelli-Robson chart) was 1.56 ± 0.10 log unit, at the final follow-up. The mean IOL rotation at 3 weeks was 1.7 ± 1.61 degrees, which did not change significantly at 3 months (P = 0.988) follow-up. There were no intraoperative or postoperative complications. Conclusion: SupraPhob toric IOL implantation is an effective method for addressing preexisting corneal astigmatism in eyes undergoing phacoemulsification with good rotational stability.http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=6;spage=2480;epage=2486;aulast=Nagpalcorneal astigmatismphacoemulsificationpreloaded toric intraocular lenssupraphob toric intraocular lenstoric intraocular lens |
| spellingShingle | Ritu Nagpal Chetan Shakkarwal Saima Ahsan Prafulla Kumar Maharana Madhav Goel Namrata Sharma Outcomes of preloaded toric intraocular lens implantation in eyes undergoing phacoemulsification Indian Journal of Ophthalmology corneal astigmatism phacoemulsification preloaded toric intraocular lens supraphob toric intraocular lens toric intraocular lens |
| title | Outcomes of preloaded toric intraocular lens implantation in eyes undergoing phacoemulsification |
| title_full | Outcomes of preloaded toric intraocular lens implantation in eyes undergoing phacoemulsification |
| title_fullStr | Outcomes of preloaded toric intraocular lens implantation in eyes undergoing phacoemulsification |
| title_full_unstemmed | Outcomes of preloaded toric intraocular lens implantation in eyes undergoing phacoemulsification |
| title_short | Outcomes of preloaded toric intraocular lens implantation in eyes undergoing phacoemulsification |
| title_sort | outcomes of preloaded toric intraocular lens implantation in eyes undergoing phacoemulsification |
| topic | corneal astigmatism phacoemulsification preloaded toric intraocular lens supraphob toric intraocular lens toric intraocular lens |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2023;volume=71;issue=6;spage=2480;epage=2486;aulast=Nagpal |
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