Visual Outcomes and Satisfaction with Toric IOL Versus Monofocal IOL

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Presentation transcript:

Visual Outcomes and Satisfaction with Toric IOL Versus Monofocal IOL Brian J. Groat, MD, Helga P. Sandoval, MD, MSCR, Mohamed A. Guenena, MD, Kerry D. Solomon, MD Magill Research Center for Vision Correction, Storm Eye Institute Medical University of South Carolina, Charleston, SC Financial Disclosure Brian J. Groat & Mohamed A. Guenena: None Helga P. Sandoval: Alcon Laboratories, Inc. - D; Allergan, Inc. - D; Abbott Medical Optics - D Kerry D. Solomon: Alcon Laboratories, Inc. - A,C,D; Allergan, Inc. - A,C,D; Abbott Medical Optics - A,C,D; Advanced Vision Research - A,C,D; Bausch & Lomb, Inc. - A,C,D; Eyemaginations - A,C,D; QLT, Inc. - A,C,D

AcrySof Toric IOL Design Characteristics AcrySof Single-Piece platform Open loop, modified-L haptics Posterior toricity Toric axis marks AcrySof Toric IOL Model Cylinder Power @ IOL Plane Corneal Plane SN60T3 1.50 1.03 SN60T4 2.25 1.55 SN60T5 3.00 2.06

Purpose To report visual outcomes of astigmatic patients implanted with a toric IOL To compare their satisfaction and spectacle freedom to a standard monofocal IOL group

Methods Inclusion Criteria Exclusion Criteria Retrospective chart review IOL groups were age, gender, preoperative manifest cylinder, manual cylinder and topographic cylinder matched for comparison Inclusion Criteria Exclusion Criteria Uneventful routine lens extraction between Aug 06 and Aug 08 IOL Implanted Toric (Acrysof Toric IOL, SN60T3) Monofocal (Acrysof IQ, SN60WF) Follow-up at least 3 weeks post-surgery Keratorefractive surgery before or after lens extraction and IOL implantation Any pre or postoperative pathology that could affect visual outcome Any postoperative complication Monovision Other ocular surgery at the time of the cataract extraction

Assessments Uncorrected visual acuity Residual astigmatism Patient satisfaction and spectacle freedom survey Bilateral implantation of the same IOL

Results A total of 547 medical records were reviewed 104 eyes of 80 subjects met inclusion/exclusion criteria and were included for analysis

Preoperative Data Toric n = 62 eyes Monofocal n = 42 eyes P value† Age (years) 73.8 ± 8.4 71.9 ±9.7 .302 Gender 64.5% F 50.0% F .140* Sph (D) -2.0 ± 3.2 -1.0 ± 3.3 .057 Cyl (D) 1.2 ± 0.8 1.3 ± 0.9 .930 SE (D) -1.4 ± 3.3 -0.4 ± 3.2 .069 Manual Cyl (D) 1.1 ± 0.3 1.3 ± 0.7 .548 Topo Astigm (D) 1.2 ± 0.4 1.5 ± 0.7 .276 † Wilcoxon test * Fisher’s Exact test

Cumulative Postoperative VA

Mean Manifest Cylinder Cylinder (Diopters)

Postoperative Patient Survey

Postoperative Patient Survey

Conclusion UCVA in the toric IOL group was as good as the BCVA in the monofocal IOL group. Although sample size of subjects who answer the survey is small there is a trend that shows higher satisfaction in the toric group. Toric IOL is an alternative to patients who wants distance spectacle independence.