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Clinical outcomes after implantation of multifocal toric intra ocular lenses.
Author(s) -
THOUVENIN R,
ABRIEU M,
BERGUIGA M,
RAMBAUD C,
CHENY T,
SENDON D,
FROUSSARTMAILLE F,
RIGALSASTOURNE JC
Publication year - 2014
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2014.s094.x
Subject(s) - medicine , ophthalmology , visual acuity , astigmatism , optometry , optics , physics
Purpose To assess clinical outcomes and optical performances of refractive cataract surgery with mutifocal toric intraocular lens (IOL). Methods This was a monocentric, retrospective review of cases, conducted at the Ophtalmology and Refractive Unit Percy, military Hospital, Clamart, FRANCE. This study included eyes presenting preoperative regular corneal astigmatism of 1D or greater, who underwent cataract surgery with implantation of a +3,75D multifocal toric hydrophilic IOL, by 2 differents surgeons. Ten eyes of seven patients were operated between 2012 and 2014. At the one month postoperative visit, we analysed visual acuity at various distances, spherical équivalent, refractive cylinder, spectacle independance, halos perception and patients satisfaction. Results The mean spherical équivalent was ‐0,4D at one month. Mean pre‐operative réfractive cylinder increased from ‐2,89D (ranged from ‐1 to ‐6,75D) to ‐0,67D (ranged from ‐0,5 to ‐1,0D). Mean monocular uncorrected visual acuities were 7,42/10 at 4 m (Monoyer) and ‐0,28 logMAR at preferred near (40cm). Mean corrected visual acuities were 9,56/10 at 4 m and ‐0,18 logMAR at near. 8 of 10 patients reported freedom from corrective wear, and 6 of 10 complained about halos perception. The mean score that patients rated their uncorrected visual acuity was 7,3 +‐ 0,6 on a scale of 0 to 10. Conclusion One month after implantation of a multifocal toric IOL, patients had significantly reduced spherical équivalent and refractive cylindre. They achieved good visual acuity across distances permiting spectacle independance for most of them.