scholarly journals Visual and Refractive Outcomes of a Toric Presbyopia-Correcting Intraocular Lens

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Alice T. Epitropoulos
Keyword(s):  
Intraocular Lens ◽  
Standard Of Care ◽  
Cataract Extraction ◽  
Rotational Stability ◽  
Axis Orientation ◽  
Refractive Outcomes ◽  
Manifest Refraction ◽  
Uncorrected Visual Acuity ◽  
Clinical Practice Setting ◽  
Wavefront Aberrometry

Purpose. To evaluate outcomes in astigmatic patients implanted with the Trulign (Bausch + Lomb) toric presbyopia-correcting intraocular lens (IOL) during cataract surgery in a clinical practice setting.Methods. Retrospective study in 40 eyes (31 patients) that underwent cataract extraction and IOL implantation in a procedure using intraoperative wavefront aberrometry guidance (ORA system). Endpoints included uncorrected visual acuity (VA), reduction in refractive cylinder, accuracy to target, axis orientation, and safety.Results. At postoperative month 1, refractive cylinder was ≤0.50 D in 97.5% of eyes (≤1.00 D in 100%), uncorrected distance VA was 20/25 or better in 95%, uncorrected intermediate VA was 20/25 or better in 95%, and uncorrected near VA was 20/40 (J3 equivalent) or better in 92.5%. Manifest refraction spherical equivalent was within 1.00 D of target in 95% of eyes and within 0.50 D in 82.5%. Lens rotation was <5° and best-corrected VA was 20/25 or better in all eyes.Conclusion.The IOL effectively reduced refractive cylinder and provided excellent uncorrected distance and intermediate vision and functional near vision. Refractive predictability and rotational stability were exceptional. Implantation of this toric presbyopia-correcting IOL using ORA intraoperative aberrometry provides excellent refractive and visual outcomes in a standard of care setting.

scholarly journals Rotational Stability of a New Posterior Chamber Toric Phakic Intraocular Lens

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Dilek Yaşa ◽  
Bülent Köse ◽  
Alper Ağca
Keyword(s):  
Intraocular Lens ◽  
Case Series ◽  
Mean Value ◽  
Rotational Stability ◽  
Posterior Chamber ◽  
Phakic Intraocular Lens ◽  
Axis Orientation ◽  
Good Visual Acuity ◽  
Manifest Refraction ◽  
Safety Indices

Purpose. To evaluate the refractive results and rotational stability of Eyecryl toric phakic intraocular lens (pIOL). Methods. In this retrospective single-surgeon case series, manifest refraction, visual acuities, endothelial cell density (ECD), and pIOL rotation were evaluated over 6 months. Results. 43 eyes from 23 patients were included. At 6 months, the SE was within ±0.50  D of emmetropia in 30 (70%) eyes and within ±1.00  D of emmetropia in 39 (91%) eyes. The efficacy and safety indices were 1.25 ± 0.38 and 1.41 ± 0.34, respectively. Mean ECD was 2719 ± 296 cells/mm2 at the preoperative visit and 2779.42 ± 422 cells/mm2 at the 6-month visit (p>0.05). The mean value of absolute axis orientation error was 4.95 ± 5.28°. Mean absolute change in axis orientation between visits was less than 3° for all visit intervals. Ninety percent or more of lenses were found to rotate 5° or less between all visit intervals. None of the patients experienced a vision-threatening complication, and no patient required secondary IOL repositioning. Conclusion. The pIOL appears to effectively reduce subjective manifest astigmatism and provide good visual acuity. Its position was found to be stable throughout the follow-up.

scholarly journals Clinical Evaluation of Toric Intraocular Lens Implantation Based on iTrace Wavefront Keratometric Astigmatism

2020 ◽  
Author(s):  
Zhe Zhang ◽  
Hui Li ◽  
Jing Zhou ◽  
Yaqin Zhang ◽  
Suhua Zhang
Keyword(s):  
Intraocular Lens ◽  
Case Series ◽  
Standard Technique ◽  
Rotational Stability ◽  
Toric Intraocular Lens ◽  
Vector Method ◽  
Toric Iol ◽  
Iol Implantation ◽  
Wavefront Aberrometry ◽  
Prospective Case Series

Abstract Background: There was no standard technique for measuring corneal astigmatism. The iTrace wavefront aberrometry of cornea calculated steep power and axis based on the best Zernike mathematical fit from all topo data within 4 mm circle. It was supposed to be more accurate than iTrace simulated keratometry which was calculated based on only 4 points on the circle of 3 mm. This study evaluated visual outcomes, rotational stability after performing toric intraocular lens (IOL) implantation planning based on the wavefront aberrometry of the cornea with iTrace. Setting: Single site in China, Shanxi Eye Hospital, Shanxi, China. Design: Prospective case series. Methods ： The study included 85 eyes of 63 patients undergoing phacoemulsification and toric IOL implantation. The IOL power and cylinders were chosen with the help of the iTrace toric planning program using wavefront keratometric astigmatism. Over a 3-month follow-up period, astigmatic changes were assessed using the Alpins vector method. Results ： Preoperative mean corneal topographic astigmatism was 1.91 diopters (D) ± 0.69 (standard deviation). Postoperative mean refractive astigmatism decreased significantly to 0.48 D ± 0.34. Surgical induced astigmatism was 1.73 D ± 0.77 and the mean correction index was 0.89 ± 0.22, showing a slight undercorrection. The proportion of astigmatism ≤ 0.50 D increased from 0 to 71.8% postoperatively. Conclusions ： This is the first study evaluating the clinical outcomes of using iTrace wavefront keratometric readings to plan a toric IOL implantation. The findings show that the iTrace built-in toric calculator with wavefront keratometric astigmatism for toric IOL planning is safe and effective.

Enhancement of Refractive Results after Intraocular Lens Implantation

2011 ◽  
Vol 05 (01) ◽  
pp. 59
Author(s):  
Michael Amon ◽  
Guenal Kahraman ◽  
◽  
Keyword(s):  
Visual Acuity ◽  
Intraocular Lens ◽  
Convex Surface ◽  
Ultrasound Biomicroscopy ◽  
Rotational Stability ◽  
Convex Shape ◽  
Multifocal Iol ◽  
Primary Implant ◽  
Uncorrected Visual Acuity ◽  
One Year

Summary:An overview on polypseudophakia (‘piggyback’ intraocular lens [IOLs]) is given. Requirements on a sulcus-supported supplementary IOL are defined. Two-year results of a new IOL (Sulcoflex®) are presented and indications for this IOL are defined.Methods:The IOL is especially designed for implantation into the ciliary sulcus in pseudophakic eyes (piggyback). It is a single-piece implant made of hydrophilic acrylic. Optic- and haptic-edges are round. The optic has a diameter of 6.5mm and a concave/convex shape for perfect fit on the anterior convex surface of the primary IOL. The haptic is angulated, and has an undulated design to preclude IOL rotation. A monofocal, a multifocal or a toric version of the sulcoflex IOL were implanted into the ciliary sulcus of pseudophakic eyes. All IOLs were implanted by injector through a 3mm clear cornea incision. After surgery near and far uncorrected visual acuity (UCVA), best corrected visual acuity (BCVA) and eye pressure were assessed. Inflammation was measured by laser flare/cell meter. Position and rotational stability of the IOL were documented regularly at all control visits. Furthermore, Scheimpflug photography and ultrasound biomicroscopy were performed.Results:Surgery was performed without any complication in all cases. Two years after surgery there were no severe intra- or post-operative complications detected. Emmetropia was achieved in all cases (±0.25dpt) and the refraction was stable. Flare values were lower than the values measured after standard cataract procedures. Rotational stability and centration were excellent. Intraocular pressure was within the normal range at all visits. After one year of follow-up no iris-chafing was documented. In all cases, a good distance was found between iris and the Sulcoflex-IOL and primary implant and the Sulcoflex-IOL. In those cases with the multifocal IOL-version all patient achieved independency from glasses.Conclusion:Surgery with implantation of a sulcus-IOL is safe and less traumatic than IOL-exchange. The material and design of the Sulcoflex IOL ensure that the implants are well tolerated within the eye. The implant can be used at the same time with the primary implant or as secondary implant. Indications for implantation of this IOL are the correction of ‘post-surgical’ ametropia, of astigmatism (toric IOL) of higher order aberrations (aspherical IOL) and of ‘pseudophakic presbyopia’ (multifocal IOL). In the future, other potential indications will be established.

scholarly journals Clinical Evaluation of Toric Intraocular Lens Implantation Based on iTrace Wavefront Keratometric Astigmatism

2020 ◽  
Author(s):  
Zhe Zhang ◽  
Hui Li ◽  
Jing Zhou ◽  
Yaqin Zhang ◽  
Suhua Zhang
Keyword(s):  
Intraocular Lens ◽  
Case Series ◽  
Standard Technique ◽  
Rotational Stability ◽  
Toric Intraocular Lens ◽  
Vector Method ◽  
Toric Iol ◽  
Iol Implantation ◽  
Wavefront Aberrometry ◽  
Prospective Case Series

Abstract Background: There was no standard technique for measuring corneal astigmatism. The iTrace wavefront aberrometry of cornea calculated steep power and axis based on the best Zernike mathematical fit from all topo data within 4 mm circle. It was supposed to be more accurate than iTrace simulated keratometry which was calculated based on only 4 points on the circle of 3 mm. This study evaluated visual outcomes, rotational stability after performing toric intraocular lens (IOL) implantation planning based on the wavefront aberrometry of the cornea with iTrace. Setting: Single site in China, Shanxi Eye Hospital, Shanxi, China.Design: Prospective case series.Methods: The study included 85 eyes of 63 patients undergoing phacoemulsification and toric IOL implantation. The IOL power and cylinders were chosen with the help of the iTrace toric planning program using wavefront keratometric astigmatism. Over a 3-month follow-up period, astigmatic changes were assessed using the Alpins vector method. Results: Preoperative mean corneal topographic astigmatism was 1.91 diopters (D) ± 0.69 (standard deviation). Postoperative mean refractive astigmatism decreased significantly to 0.48 D ± 0.34. Surgical induced astigmatism was 1.73 D ± 0.77 and the mean correction index was 0.89 ± 0.22, showing a slight undercorrection. The proportion of astigmatism ≤ 0.50 D increased from 0 to 71.8% postoperatively.Conclusions: This is the first study evaluating the clinical outcomes of using iTrace wavefront keratometric readings to plan a toric IOL implantation. The findings show that the iTrace built-in toric calculator with wavefront keratometric astigmatism for toric IOL planning is safe and effective.Trial registration: Current Controlled Trials ISRCTN94956424, Retrospectively registered (Date of registration: 05 February 2020). http://www.isrctn.com/ISRCTN94956424.

scholarly journals Persistent troublesome floaters necessitating the explantation of XtraFocus Pinhole IOL (Morcher)

2019 ◽  
Vol 12 (4) ◽  
pp. e229057 ◽  
Author(s):  
Prateek Agarwal ◽  
Samuel Edward Navon
Keyword(s):  
Visual Acuity ◽  
Intraocular Lens ◽  
Cataract Extraction ◽  
Blurred Vision ◽  
Uncorrected Visual Acuity ◽  
History Of ◽  
Irregular Astigmatism

A 41-year-old patient presented with blurred vision and photophobia in the left eye with an uncorrected visual acuity of 20/150, improving to 20/30 with pinhole and diagnostic rigid gas permeable lens trial. He had a history of trauma with subsequent cataract extraction with residual irregular astigmatism and traumatic mydriasis. XtraFocus Pinhole intraocular lens (Morcher) was implanted in the left eye and the vision improved to 20/40. Postoperatively, the patient experienced significant floaters which persisted to the extent of necessitating explantation of implant.

scholarly journals Clinical evaluation of toric intraocular lens implantation based on iTrace wavefront keratometric astigmatism

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Zhe Zhang ◽  
Hui Li ◽  
Jing Zhou ◽  
Yaqin Zhang ◽  
Suhua Zhang
Keyword(s):  
Intraocular Lens ◽  
Case Series ◽  
Standard Technique ◽  
Corneal Astigmatism ◽  
Rotational Stability ◽  
Toric Intraocular Lens ◽  
Vector Method ◽  
Toric Iol ◽  
Iol Implantation ◽  
Wavefront Aberrometry

Abstract Background Currently, there is no standard technique for determining corneal astigmatism. The iTrace wavefront aberrometry of cornea calculated steep power and axis based on the best Zernike mathematical fit from all topo data within 4 mm circle. It was supposed to be more accurate than iTrace simulated keratometry which was calculated based on only 4 points on the circle of 3 mm. This aim of this study was to evaluate visual outcomes and rotational stability after toric intraocular lens (IOL) implantation using the wavefront aberrometry of the cornea with iTrace. Setting: Single site in China, Shanxi Eye Hospital, Shanxi, China. Design: Prospective case series. Methods The study included 85 eyes of 63 patients undergoing phacoemulsification and toric IOL implantation. The IOL power and cylinders were chosen with the help of the iTrace toric planning program using wavefront keratometric astigmatism. Astigmatic changes were assessed using Alpins vector method over a 3-month follow-up period. Results Preoperative mean corneal topographic astigmatism was 1.91 diopters (D) ± 0.69 (standard deviation). Postoperative mean refractive astigmatism decreased significantly to 0.48 D ± 0.34. Surgical induced astigmatism was 1.73 D ± 0.77 and the mean correction index was 0.89 ± 0.22, showing a slight undercorrection. The proportion of astigmatism ≤0.50 D increased from 0 to 71.8% postoperatively. Conclusions This is the first study on evaluation of clinical outcomes of toric IOL implantation in corneal astigmatism patients using iTrace wavefront keratometric readings. The findings show that use of iTrace built-in toric calculator is safe and effective for planning toric IOL surgery for wavefront keratometric astigmatism. Trial registration Current Controlled Trials ISRCTN94956424, Retrospectively registered (Date of registration: 05 February 2020).

scholarly journals The visual and refractive outcomes of combined and sequential penetrating keratoplasty, cataract extraction, and intraocular lens insertion

Eye ◽  
2008 ◽  
Vol 23 (6) ◽  
pp. 1295-1301 ◽  
Author(s):  
D Q Nguyen ◽  
L L Mumford ◽  
M N A Jones ◽  
W J Armitage ◽  
S D Cook ◽  
...  
Keyword(s):  
Intraocular Lens ◽  
Penetrating Keratoplasty ◽  
Cataract Extraction ◽  
Refractive Outcomes

scholarly journals Evaluation of Astigmatism-Correcting Efficiency and Rotational Stability after Cataract Surgery with a Double-Loop Haptic Toric Intraocular Lens: A 1-Year Follow-Up

2021 ◽  
pp. 30-41
Author(s):  
Ladislav Viktor Nováček ◽  
Marie Němcová ◽  
Kateřina Tyx ◽  
Kristýna Lahodová ◽  
Leoš Rejmont ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Intraocular Lens ◽  
Medical Engineering ◽  
Rotational Stability ◽  
Toric Intraocular Lens ◽  
Refractive Outcomes ◽  
Astigmatism Correction ◽  
Cataract Patients

Objectives: The aim of this study was to assess the clinical outcomes, predictability of results, efficiency of astigmatism correction, and rotational stability of the Bi-Flex 677TAY (Medicontur Medical Engineering Ltd., Zsámbék, Hungary) monofocal toric intraocular lens (IOL) designed for cataract patients with astigmatism. Methods: The IOLs were implanted either mono- or binocularly, following routine cataract surgery. Visual and refractive outcomes, as well as off-axis rotation were assessed throughout a 1-year follow-up period. All clinical data for this work were collected retrospectively. Vector analysis based on the Alpins method was performed to assess the efficiency of astigmatism correction. Results: No complications or adverse events occurred during surgery or the follow-up period. IOL implantation brought 88% of eyes into the ±0.50 D, and 100% into the ± 1.00 D range compared to the target spherical equivalent refraction, emmetropia. Astigmatism correction brought similar results: 94% of eyes had a residual cylindrical error of not higher than ±0.50 D, and 97% were within ±1.00 D. Vector analysis resulted in a correction index of 0.96 and a difference vector of 0.17. Both refractive and visual outcomes showed long-term stability. During the 12-month follow-up period, no eyes had a rotation of >5°. Absolute rotation after 1 year was 1.42 ± 1.89° (median = 0°), while signed rotation was 1.06 ± 2.12° (median = 0°). Conclusion: The Bi-Flex 677TAY monofocal toric IOL, designed by Medicontur Medical Engineering Ltd., represents an efficient and safe solution for cataract patients with astigmatism. Clinical and refractive outcomes are predictable, and rotational stability ensures long-term visual comfort.

Rotational stability and refractive outcomes of a single-piece aspheric toric intraocular lens with 4 fenestrated haptics

2019 ◽  
Vol 45 (9) ◽  
pp. 1275-1279 ◽  
Author(s):  
Giacomo Savini ◽  
Giovanni Alessio ◽  
Giuseppe Perone ◽  
Scipione Rossi ◽  
Domenico Schiano-Lomoriello
Keyword(s):  
Intraocular Lens ◽  
Rotational Stability ◽  
Toric Intraocular Lens ◽  
Refractive Outcomes ◽  
Single Piece
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