Kataraktı ve Yüksek Astigmatizması Olan Olgularda Fakoemülsifikasyon ve Torik Göz İçi Lens İmplantasyonu Sonuçlarımız

Pur po se: To report the results of phacoemulsification and toric intraocular lens (IOL) implantation in patients with cataract and high\udastigmatism.\udMa te ri al and Met hod: Medical records of 21 eyes of 17 patients (6 men, 11 women) with 1,5 diopter (D) or more corneal\udastigmatism who underwent phacoemulsification and foldable hydrophobic acrylic toric intraocular lens implantation at Başkent\udUniversity, Department of Ophthalmology between 2008 and 2011 were reviewed. Preoperative and postoperative 1-month data were\udrecorded and compared for best corrected log Mar visual acuity (BCVA), and corneal and refractive cylinder powers. Toric IOL axis shift\udwas also evaluated at postoperative 3 months.\udRe sults: The average age of the patients was 63.0±6.9 years. The mean follow-up duration was 17.9±4.8 months (range, 12–28). The\udmean preoperative BCVA and refractive cylinder were 0.47±0.3 (range, 0.3-2.0, log-Mar) and 3.11±1.32 D, respectively. Postoperative\udBCVA increased to a mean of 0.14±0.27 (range, 0.1–1.0, log-Mar), while refractive cylinder power decreased to a mean of 1.00±0.98\udat the end of follow-up.\udDis cus si on: Toric IOL implantation is an effective surgical alternative in patients with high astigmatism and cataract. It is possible to\udcorrect preexisting astigmatism and to achieve visual recovery with toric IOL implantation with a good preoperative planning and proper\udsurgical technique. (Turk J Ophthalmol 2012; 42: 116-9