Injectable 1-piece hydrophilic acrylic toric intraocular lens for cataract surgery: efficacy and stability.

PURPOSE: To evaluate the efficacy and rotational stability of an injectable 1-piece hydrophilic acrylic toric intraocular lens (IOL).

SETTING

Department of Ophthalmology, Hillingdon Hospital, Uxbridge, Middlesex, United Kingdom.

DESIGN

Cohort study.

METHODS

This study enrolled consecutive patients who had 2.00 diopters (D) or more of preexisting corneal astigmatism. Patients had phacoemulsification with implantation of a T-flex 623T toric IOL through a 2.8 mm astigmatically neutral incision. Uncorrected (UDVA) and corrected (CDVA) distance visual acuities (logMAR), refraction, keratometry, and the cylinder axis of the toric IOL were measured.

RESULTS

Thirty-three eyes of 25 patients were evaluated. The mean preoperative refractive astigmatism was 3.35 D ± 1.20 (SD) and the mean keratometric astigmatism, 3.98 ± 1.89 D, respectively. Four months postoperatively, the mean UDVA was 0.28 ± 0.23 D logMAR, improving to 0.19 ± 0.23 D logMAR CDVA. The mean refractive astigmatism was 0.95 D ± 0.66 D; vector analysis using the Holladay-Cravy-Koch method showed that the mean reduction in refractive astigmatism was 2.94 ± 0.89 D. The mean difference between the intended and the actual final IOL cylinder axis was 3.44 degrees (range 0 to 12).

CONCLUSIONS

The toric IOL reduced visually significant keratometric astigmatism and increased spectacle independence after cataract surgery. There were no cases of significant IOL rotation in the capsular bag 4 months postoperatively.