Saratov JOURNAL of Medical and Scientific Research

The effect of different toric multifocal intraocular lenses on clinical results

Year: 2022, volume 18 Issue: №1 Pages: 7-12
Heading: Ophthalmology Article type: Original article
Authors: Alnoyelaty Almasri M.A.
Organization: Samara State Medical University
Summary:

Objective: to compare the clinical visual characteristics of two different models of multifocal toric intraocular lenses (IOL). Material and methods. In a retrospective study, 49 eyes with corneal astigmatism > 0.75 dptr were divided into two groups. In group 1 (n=19), patients were implanted with an open haptic multifocal toric IOL Aery Sof IQ PanOptix Toric (Alcon), and in group 2 (n=30) — BB T MFM 611, VSY (Acriva Reviol). Observations were carried out 1,3,6 and 12 months after the operation. The degree of rotation of the IOL, residual spherical refraction and astigmatism, as well as uncorrected visual acuity near and far were evaluated. Results. There were no differences between the two groups in terms of uncorrected visual acuity in the distance (p=0.382), spherical equivalent (p=0.174), degree of astigmatism (p=0.062), degree of rotation (p=0.219) and uncorrected visual acuity near (p=0.712). However, there was a noticeable improvement in visual acuity in the distance (0.3 and 0.1) and near (0.1 and 0.1) compared with preoperative values in groups 1 and 2, respectively. Conclusion. Both lenses have shown comparable high clinical results, which suggests that it is possible to effectively correct astigmatism and provide sufficient uncorrected visual acuity at any distance.

Bibliography:
1. Hoffer KJ. Biometry of 7,500 cataractous eyes. Am J Ophthalmol 1980; 90 (3): 360-8.
2. Ferrer-Blasco T, Montes-Mico R, Peixoto-de-Matos SC, et al. Prevalence of corneal astigmatism before cataract surgery. J Cataract Refract Surg 2009; 35 (1): 70-5.
3. Bellucci R. Multifocal intraocular lenses. Curr Opin Ophthalmol 2005; 16(1): 33-7.
4. Calladine D, Evans JR, Shah S, Leyland M. Multifocal versus monofocal intraocular lenses after cataract extraction. Cochrane Database Syst Rev 2012; 12 (9): CD003169.
5. Alio JL, Abdelghany AA, Fernandez-Buenaga R. Enhancements after cataract surgery. Curr Opin Ophthalmol 2015; 26(1): 50-5.
6. Zheleznyak L, Kim MJ, MacRae S, Yoon G. Impact of corneal aberrations on through-focus image quality of presbyopia-correcting intraocular lenses using an adaptive optics bench system. J Cataract Refract Surg 2012; 38 (10): 1724-33.
7. Grabow HB. Intraocular correction of refractive errors. In: Kershner RM, ed. Refractive Keratectomy for Cataract Surgery and the Correction of Astigmatism. Thorofare, NJ, Slack, 1994; p. 79-115.
8. Ivarsen A, Hjortdal J. Correction of myopic astigmatism with small incision lenticule extraction. J Refract Surg 2014; 30 (4): 240-7.
9. Katz T, Wagenfeld L, Galambos P, et al. LASIK versus photorefractive keratectomy for high myopic (> 3 diopter) astigmatism. J Refract Surg 2013; 29 (12): 824-31.
10. Hirnschall N, Gangwani V, Crnej A, et al. Correction of moderate corneal astigmatism during cataract surgery: toric intraocular lens versus peripheral corneal relaxing incisions. J Cataract Refract Surg 2014; 40 (3): 354-61.
11. Maedel S, Hirnschall N, Chen YA, Findl O. Rotational performance and corneal astigmatism correction during cataract surgery: aspheric toric intraocular lens versus aspheric nontoric intraocular lens with opposite clear corneal incision. J Cataract Refract Surg 2014; 40 (8): 1355-62.
12. Visser N, Bauer NJ, Nuijts RM. Toric intraocular lenses: historical overview, patient selection, IOL calculation, surgical techniques, clinical outcomes, and complications. J Cataract Refract Surg 2013; 39 (4): 624-37.
13. Weinand F, Jung A, Stein A, et al. Rotational stability of a singlepiece hydrophobic acrylic intraocular lens: new method for high precision rotation control. J Cataract Refract Surg 2007; 33 (5): 800-3.
14. Novis О Astigmatism and toric intraocular lenses. Curr Opin Ophthalmol 2000; 11 (1): 47-50.
15. Chua WH, Yuen LH, Chua J, et al. Matched comparison of rotational stability of 1-piece acrylic and plate-haptic silicone toric intraocular lenses in Asian eyes. J Cataract Refract Surg 2012; 38 (4): 620-4.
16. Prinz A, Neumayer T, Buehl W, et al. Rotational stability and posterior capsule opacification of a plate [1] haptic and an open-loop-haptic intraocular lens. J Cataract Refract Surg 2011; 37 (2): 251-7.
17. Garzon N, Poyales F, de Zarate BO, et al. Evaluation of rotation and visual outcomes after implantation of monofocal and multifocal toric intraocular lenses. J Refract Surg 2015; 31 (2): 90-7.
18. Nakamura K, Bissen-Miyajima H, Hayashi K, etal. Clinical results of tinted aspheric multifocal toric intraocular lens (SND1T3, SND1T4, SND1T5, SND1T6)foreyesfollowingcataract extraction. Nippon Ganka Gakkai Zasshi 2015; 119 (1): 7-15.
19. Zhu X, He W, Zhang K, Lu Y Factors influencing 1-year rotational stability of AcrySof Toric intraocular lenses. Br J Ophthalmol 2016; 100 (2): 263-8.

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